Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers

Microsurgical vascular anastomosis in reconstructive surgery learning is usually based on rat dissection. But this technique does not allow dissection of the flap, preparing of the recipient vessels training, and suturing in conditions as realistic as possible of the surgery. The aim of this study w...

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Autores principales:	Laroche,Carine, Vacher,Christian
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2014
Materias:	Anatomy Cadavers Microsurgery Reconstructive surgery Teaching
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022014000200049
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spelling	oai:scielo:S0717-950220140002000492015-11-16Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh CadaversLaroche,CarineVacher,Christian Anatomy Cadavers Microsurgery Reconstructive surgery Teaching Microsurgical vascular anastomosis in reconstructive surgery learning is usually based on rat dissection. But this technique does not allow dissection of the flap, preparing of the recipient vessels training, and suturing in conditions as realistic as possible of the surgery. The aim of this study was to describe a technique of surgical anatomy learning on human fresh cadavers, easy to perform and to evaluate its pedagogic interest. In the first part of the study, six fresh cadavers have been dissected simulating 6 forearm flaps with growing difficulty. In the second part of the study, 30 residents in surgery were evaluated on their ability to recognize main anatomic structures and to perform microsurgical anastomosis, of forearm flaps anastomosed on facial vessels. Concerning the first part of the study, it has been possible to use this method in all cases. The second part of the study showed that all the residents performed the dissection of the flap with success. The main anatomic structures (origin of the radial and ulnar arteries, companion veins of radial artery) have been identified by all the residents. The cephalic vein, the median antebrachial vein and the superficial branch of the radial nerve have been identified by most of the residents. The lateral antebrachial cutaneous nerve has been identified by only 12 residents. The arterial anastomosis has been performed with success in most cases (11/15 dissections), and the venous anastomosis in only 5/15 dissections. Surgical anatomy learning in the field of microvascular reconstructive surgery on human fresh cadavers is possible, easy to organize in a anatomy department. This method has to be considered as a useful complement of microvascular anastomosis learning on rats.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.32 n.2 20142014-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022014000200049en10.4067/S0717-95022014000200049
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Anatomy Cadavers Microsurgery Reconstructive surgery Teaching
spellingShingle	Anatomy Cadavers Microsurgery Reconstructive surgery Teaching Laroche,Carine Vacher,Christian Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
description	Microsurgical vascular anastomosis in reconstructive surgery learning is usually based on rat dissection. But this technique does not allow dissection of the flap, preparing of the recipient vessels training, and suturing in conditions as realistic as possible of the surgery. The aim of this study was to describe a technique of surgical anatomy learning on human fresh cadavers, easy to perform and to evaluate its pedagogic interest. In the first part of the study, six fresh cadavers have been dissected simulating 6 forearm flaps with growing difficulty. In the second part of the study, 30 residents in surgery were evaluated on their ability to recognize main anatomic structures and to perform microsurgical anastomosis, of forearm flaps anastomosed on facial vessels. Concerning the first part of the study, it has been possible to use this method in all cases. The second part of the study showed that all the residents performed the dissection of the flap with success. The main anatomic structures (origin of the radial and ulnar arteries, companion veins of radial artery) have been identified by all the residents. The cephalic vein, the median antebrachial vein and the superficial branch of the radial nerve have been identified by most of the residents. The lateral antebrachial cutaneous nerve has been identified by only 12 residents. The arterial anastomosis has been performed with success in most cases (11/15 dissections), and the venous anastomosis in only 5/15 dissections. Surgical anatomy learning in the field of microvascular reconstructive surgery on human fresh cadavers is possible, easy to organize in a anatomy department. This method has to be considered as a useful complement of microvascular anastomosis learning on rats.
author	Laroche,Carine Vacher,Christian
author_facet	Laroche,Carine Vacher,Christian
author_sort	Laroche,Carine
title	Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
title_short	Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
title_full	Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
title_fullStr	Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
title_full_unstemmed	Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers
title_sort	learning surgical anatomy in the field of microsurgical reconstructive surgery: a new pedagogic method on human fresh cadavers
publisher	Sociedad Chilena de Anatomía
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022014000200049
work_keys_str_mv	AT larochecarine learningsurgicalanatomyinthefieldofmicrosurgicalreconstructivesurgeryanewpedagogicmethodonhumanfreshcadavers AT vacherchristian learningsurgicalanatomyinthefieldofmicrosurgicalreconstructivesurgeryanewpedagogicmethodonhumanfreshcadavers
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Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery: A new Pedagogic Method on Human Fresh Cadavers

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