Translational microsurgery. A new platform for transplantation research

Kobayashi, Eiji; Haga, Junko

doi:10.1590/s0102-865020160030000010

Cited by 8 publications

(11 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Microsurgery with a conventional optical microscope provides a limited field of view and imposes serious strain on surgeons during long operations. Accordingly, an ophthalmological surgical technique known as "heads-up surgery" was recently developed; here, the field of view is displayed on a screen via a high-resolution camera 6 . This method is now being applied to various types of microsurgeries with long operating times that formerly required the use of a magnifying glass.…”

Section: Application Of High-resolution 3d Video Microscopes To Micromentioning

confidence: 99%

New trends in translational microsurgery

Kobayashi

2018

Acta Cir. Bras.

Self Cite

View full text Add to dashboard Cite

Technological advances such as optical instruments and surgical tools have enabled the considerable contributions of microsurgery to surgical therapies. Accordingly, surgical therapeutics has provided the latest information across a wide range of medical specialties, including immunology and pharmacology, despite specialization according to organs and organ systems. The International Society for Experimental Microsurgery, an academic organization, has utilized experimental microsurgery technology in the identification of curative concepts for diseases that remain difficult to treat. For this publication to mark the 32nd anniversary of the Brazilian Surgical Society, I introduced the following types of technology related to the further development of microsurgical technological innovations in the future: high-resolution three-dimensional (3D) video and touch-sensitive microsurgery robots.

show abstract

Section: Application Of High-resolution 3d Video Microscopes To Micromentioning

confidence: 99%

New trends in translational microsurgery

Kobayashi

2018

Acta Cir. Bras.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The selection of nonliving models spans from the very simple – but not very realis tic – rubber glove or rubber membrane suturing to the sophisticated computer simulators, but also includes exercises such as anastomoses on biomaterials [18, 21, 28-30]. A major aim of this training phase is to teach depth and hand-eye coordination, and gentle handling of the instruments and microscope.…”

Section: Considerations On Microsurgical Training Conceptsmentioning

confidence: 99%

Defining Standards in Experimental Microsurgical Training: Recommendations of the European Society for Surgical Research (ESSR) and the International Society for Experimental Microsurgery (ISEM)

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background: Expectations towards surgeons in modern surgical practice are extremely high with minimal complication rates and maximal patient safety as paramount objectives. Both of these aims are highly dependent on individual technical skills that require sustained, focused, and efficient training outside the clinical environment. At the same time, there is an increasing moral and ethical pressure to reduce the use of animals in research and training, which has fundamentally changed the practice of microsurgical training and research. Various animal models were introduced and widely used during the mid-20th century, the pioneering era of experimental microsurgery. Since then, high numbers of ex vivo training concepts and quality control measures have been proposed, all aiming to reduce the number of animals without compromising quality and outcome of training. Summary: Numerous microsurgical training courses are available worldwide, but there is no general agreement concerning the standardization of microsurgical training. The major aim of this literature review and recommendation is to give an overview of various aspects of microsurgical training. We introduce here the findings of a previous survey-based analysis of microsurgical courses within our network. Basic principles behind microsurgical training (3Rs, good laboratory practice, 3Cs), considerations around various microsurgical training models, as well as several skill assessment tools are discussed. Recommendations are formulated following intense discussions within the European Society for Surgical Research (ESSR) and the International Society for Experimental Microsurgery (ISEM), based on scientific literature as well as on several decades of experience in the field of experimental (micro)surgery and preclinical research, represented by the contributing authors. Key Messages: Although ex vivo models are crucial for the replacement and reduction of live animal use, living animals are still indispensable at every level of training which aims at more than just a basic introduction to microsurgical techniques. Modern, competency-based microsurgical training is multi-level, implementing different objective assessment tools as outcome measures. A clear consensus on fundamental principles of microsurgical training and more active international collaboration for the sake of standardization are urgently needed.

show abstract

“…We believe that microsurgical expertise can minimize surgical errors when working with experimental animals; thus, small animal models with fewer individual variations can be created. Consequently, we have focused on disseminating these techniques [9][10][11] . This study aimed to analyze the protocol for simplifying the insertion of a catheter into a blood vessel using a bent needle introducer, a commercially available injection needle whose tip has a gradual curve.…”

Section: ■ Introductionmentioning

confidence: 99%