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Background: Plastic surgery is considered one of the unique surgical specialties as any minimal surgical inaccuracy may cause affection of the final outcome, so simulation technology, which considered the future of plastic surgery education, should be introduced for surgical skills and knowledge transfer. Training programs have been changed to be performed in surgical skills laboratories rather than surgical theaters, in which, trainee can gain surgical skills by using training models. These laboratories have been settled not to replace the operating theater experience, but to supplement it. Aim of Study:Is to develop a bench model for training on all crucial basic steps in cleft palate surgery, and to validate this model regarding its educational effectiveness and its ability to transfer operative skills from the bench in the skills lab to real life in operative theaters. Material and Methods:A life-size bench model of cleft palate was customized with respect to actual size and anatomy of tissues at 18 month of age. The study period was 6 months, it entails comparing performance and operative timing of two groups of plastic surgery trainees performing primary repair of isolated cleft palate in theatre. Our model was delivered to group II only before real surgical assessment. Intraoperative evaluation of both groups of surgeons was done using the Global Rating index for Technical Skills (GRITS) and the time taken to complete the operation.Results: Our study revealed a significant improvement in Group II GRITS score by 63.2% and significant shortening of operative time in Group II by 36.5%. Conclusion:This study provides the plastic surgery community with a novel cleft palate bench model as a validated training tool. After a single session, we observed improvement in cleft palate procedural skills, confidence, knowledge and shortening in time taken to finish the operation among trainees. Additional research is needed to assess the durability of these improvements over time, and also the benefit of additional sessions with the bench model.

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Background Abdominoplasty is one of the most common body-contouring procedures. It is among the top five procedures in aesthetic surgery. The aim of abdominoplasty is to remove excess fat and skin and restore weakened muscles to create smoother firmer abdominal figure Aim of study The aim of the present study is to compare between the rate of seroma in patients undergone abdominoplasty using quilting sutures technique and patients undergone abdominoplasty using fibrin glue. Patients and Methods This study was conducted on 20 patients complaining of variable degrees of abdominal wall laxity seeking for surgical repair of abdominal wall, conducted from april 2019 till october 2019.on patients admitted at ain shams university hospitals and cairo university hospitals Results This study includes twenty patients with abdominal wall redundancy presented to Ain-Shams university hospital and kasr AL Ainy university hospital in the period (April 2019 - October 2019). The patients were divided into two groups: group A ten patients undergone abdominoplasty with quilting sutures technique, group B ten patients undergone abdominoplasty with fibrin glue. All 20 patients were females aging between 25 and 50 and with BMI between 25 and 30. Conclusion Within the limitations of our study we have concluded that this study adds to the mounting evidence that placement of quilting sutures or the application of fibrin glue is safe and effective and will contribute to a decrease in the seroma rate, the total amount of drain output, the time of drain removal and complications. It produces a safe and less eventful postoperative period.

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