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2018, Number 6

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Cir Cir 2018; 86 (6)

Vascular reparation training program in experimental model for general surgery residents

Sierra-Juárez MA, Cruz-Romero CI, Godinez-Vidal AR, Durán-Padilla MA
Full text How to cite this article

Language: Spanish
References: 12
Page: 481-484
PDF size: 400.48 Kb.


Key words:

Simulation training, Anastomosis, Anastomotic leak.

ABSTRACT

Introduction: Simulated training programs allow to optimize resources, increase technical practice and shorten learning curves, constituting a safe, standardized and validated method of learning for all those trained. Objective: Develop a vascular training program through the elaboration of an end to end anastomosis of a vessel in an experimental model for General Surgery residents. Method: For the development of this training model, an amputated limb was used at the supracondylar level free of medical-legal process. The dissection of the femoral artery was performed, it was divided into two portions and an end to end anastomosis was performed. A system was designed that included the evaluation of the following variables using the OSATS (Objective Structured Assessment of Technical Skills) and Likert scales: 1) manual knot and single stitch; 2) permeability of the anastomosis; 3) symmetry of the stitches; 4) Anastomosis leakage; and 5) total time of the anastomosis. Discussion: Recognizing the advantages of experimental training, a reproducible, standardized, and low cost experimental biological model is proposed. Conclusions: The development of experimental biological models, allows the general surgeon the acquisition of surgical skills and abilities, improving performance during a surgical procedure and reducing risks.


REFERENCES

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Cir Cir. 2018;86