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Technical report
peer-reviewed

A Practice Platform for Systematic Development of Microsurgical Instrument Technique



Abstract

Many surgical disciplines, particularly those specializing in the pediatric age group, use microsurgical instruments with the assistance of either optical loupe or microscope magnification to perform high precision surgical procedures. We developed a course consisting of two parts: Part 1 consists of low fidelity, inanimate exercises or training and practice platform, and part 2 employed a rat model. In this report, we describe and provide templates for the first part of the course, namely the practice platform as an integral set of six low-fidelity exercises, each focusing on a specific aspect of instrument handling required to master the later use of the instruments during actual microsurgery. This platform is made to systematically and efficiently improve the microsurgical skills of junior as well as advanced surgical trainees.



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Technical report
peer-reviewed

A Practice Platform for Systematic Development of Microsurgical Instrument Technique


Author Information

Darius Bagli Corresponding Author

Urology, The Hospital for Sick Children, University of Toronto

Rakan Odeh

Urology, The Hospital for Sick Children, University of Toronto

Frank Penna

Urology, The Hospital for Sick Children, University of Toronto

Ethan Grober

Urology, University of Toronto

Nicolas Fernandez

Urology, The Hospital for Sick Children, University of Toronto

Armando Lorenzo

Urology, The Hospital for Sick Children, University of Toronto

Lisa Satterthwaite

Surgical Skills Centre, University of Toronto

Surgical Skills Centre, University of Toronto

Adam Dubrowski

Emergency Medicine, Pediatrics, Memorial University of Newfoundland

Marine Institute, Memorial University of Newfoundland


Ethics Statement and Conflict of Interest Disclosures

Human subjects: This study did not involve human participants or tissue. Animal subjects: This study did not involve animal subjects or tissue. Conflicts of interest: The authors have declared that no conflicts of interest exist.


Technical report
peer-reviewed

A Practice Platform for Systematic Development of Microsurgical Instrument Technique


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Technical report
peer-reviewed

A Practice Platform for Systematic Development of Microsurgical Instrument Technique

  • Author Information
    Darius Bagli Corresponding Author

    Urology, The Hospital for Sick Children, University of Toronto

    Rakan Odeh

    Urology, The Hospital for Sick Children, University of Toronto

    Frank Penna

    Urology, The Hospital for Sick Children, University of Toronto

    Ethan Grober

    Urology, University of Toronto

    Nicolas Fernandez

    Urology, The Hospital for Sick Children, University of Toronto

    Armando Lorenzo

    Urology, The Hospital for Sick Children, University of Toronto

    Lisa Satterthwaite

    Surgical Skills Centre, University of Toronto

    Surgical Skills Centre, University of Toronto

    Adam Dubrowski

    Emergency Medicine, Pediatrics, Memorial University of Newfoundland

    Marine Institute, Memorial University of Newfoundland


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: This study did not involve human participants or tissue. Animal subjects: This study did not involve animal subjects or tissue. Conflicts of interest: The authors have declared that no conflicts of interest exist.

    Acknowledgements


    Article Information

    Published: May 16, 2017

    DOI

    10.7759/cureus.1253

    Cite this article as:

    Bagli D, Odeh R, Penna F, et al. (May 16, 2017) A Practice Platform for Systematic Development of Microsurgical Instrument Technique. Cureus 9(5): e1253. doi:10.7759/cureus.1253

    Publication history

    Received by Cureus: March 20, 2017
    Peer review began: April 19, 2017
    Peer review concluded: May 10, 2017
    Published: May 16, 2017

    Copyright

    © Copyright 2017
    Bagli et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Many surgical disciplines, particularly those specializing in the pediatric age group, use microsurgical instruments with the assistance of either optical loupe or microscope magnification to perform high precision surgical procedures. We developed a course consisting of two parts: Part 1 consists of low fidelity, inanimate exercises or training and practice platform, and part 2 employed a rat model. In this report, we describe and provide templates for the first part of the course, namely the practice platform as an integral set of six low-fidelity exercises, each focusing on a specific aspect of instrument handling required to master the later use of the instruments during actual microsurgery. This platform is made to systematically and efficiently improve the microsurgical skills of junior as well as advanced surgical trainees.



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Create a free account to continue reading this article.

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Darius Bagli

Urology, The Hospital for Sick Children, University of Toronto

For correspondence:
darius.bagli@sickkids.ca

Rakan Odeh

Urology, The Hospital for Sick Children, University of Toronto

Frank Penna

Urology, The Hospital for Sick Children, University of Toronto

Ethan Grober

Urology, University of Toronto

Nicolas Fernandez

Urology, The Hospital for Sick Children, University of Toronto

Armando Lorenzo

Urology, The Hospital for Sick Children, University of Toronto

Lisa Satterthwaite

Surgical Skills Centre, University of Toronto

Adam Dubrowski, Ph.D., Professor

Emergency Medicine, Pediatrics, Memorial University of Newfoundland

Darius Bagli

Urology, The Hospital for Sick Children, University of Toronto

For correspondence:
darius.bagli@sickkids.ca

Rakan Odeh

Urology, The Hospital for Sick Children, University of Toronto

Frank Penna

Urology, The Hospital for Sick Children, University of Toronto

Ethan Grober

Urology, University of Toronto

Nicolas Fernandez

Urology, The Hospital for Sick Children, University of Toronto

Armando Lorenzo

Urology, The Hospital for Sick Children, University of Toronto

Lisa Satterthwaite

Surgical Skills Centre, University of Toronto

Adam Dubrowski, Ph.D., Professor

Emergency Medicine, Pediatrics, Memorial University of Newfoundland