A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

Mitchell, Erica L.; Sevdalis, Nick; Arora, Sonal; Azarbal, Amir F.; Liem, Timothy K.; Landry, Gregory J.; Moneta, Gregory L.

doi:10.1016/j.jvs.2011.09.098

Cited by 57 publications

(44 citation statements)

References 19 publications

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“…This technique is still used, and its benefits to surgical training have been reported in vascular surgery, plastic surgery, and gynecology. [12][13][14][15][16][17] Despite the obvious benefits of fresh tissue dissection, all past applications have lacked physiologic parameters of blood flow and pressure.…”

mentioning

confidence: 99%

Perfused fresh cadavers: method for application to surgical simulation

Carey

Minneti

Leland

et al. 2015

The American Journal of Surgery

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mentioning

confidence: 99%

Perfused fresh cadavers: method for application to surgical simulation

Carey

Minneti

Leland

et al. 2015

The American Journal of Surgery

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“…[10][11][12][13][14][15][16][26][27][28][29][30][31][32] However, none of those measures are specific for trauma-related emergency surgical procedures, which have unique temporal and management criteria, nor is individual surgeon performance measured systematically or specifically during residency training. 32 The present study of trauma-specific vascular procedures shows that correct identification of surface landmarks, incisions, and procedural steps can be documented and the IPS increased for vascular exposure and control after ASSET training.…”

Section: Discussionmentioning

confidence: 99%

Using an Individual Procedure Score Before and After the Advanced Surgical Skills Exposure for Trauma Course Training to Benchmark a Hemorrhage-Control Performance Metric

Mackenzie

Garofalo

Shackelford³

et al. 2015

Journal of Surgical Education

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Improved knowledge of surface landmarks and underlying anatomy is associated with increased IPS, faster procedures, more accurate incision placement, and successful vascular control. Structural recognition during specific procedural steps and anatomical knowledge were key points learned during the ASSET course. Such training may accelerate acquisition of specific trauma surgery skills to compensate for shortened training hours, infrequent exposure to major vascular injuries, or when just-in-time training is necessary. IPS is a benchmark for competence in extremity vascular control.

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“…However, in this study, cadaveric simulation was employed within a curriculum; therefore, it is unsure whether the effect on trainees' confidence was due to the hands-on practice or the remaining aspects of the curriculum. Mitchell et al [17] used fresh frozen cadavers to teach dissection of structures rarely identified in vascular surgery and showed increased post-simulation anatomical knowledge and confidence. Transferability of skills to the real operating theatre was not assessed.…”

Section: Comparatorsmentioning

confidence: 99%

Cadaveric simulation: a review of reviews

et al. 2017

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Background Traditional surgical training, largely based on the Halstedian model Bsee one, do one, teach one^is not as effective in the era of working time restrictions and elaborate shiftpatterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education. Methods All the Evidence-Based Medicine databases were searched for relevant reviews. The resulting studies were assessed for inclusion to this review, according to predetermined criteria. Data extraction was performed using a custom-made spreadsheet, and the quality of included reviews was assessed using a validated scoring system (AMSTAR). Results The literature review yielded 33 systematic reviews; five of which matched the inclusion criteria and were included in this review of reviews. Cadaveric simulation was found to have good face (subjective assessment of usefulness) and content validity (whether a specific element adds or retracts to the educational value) while trainees improved their surgical skills after practicing on cadavers. However, concerns have been raised about ethical issues, high cost and availability. Conclusion Cadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings.

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A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

Abstract: Fresh cadaver laboratories can provide a learner-centered and safe environment for acquiring procedural understanding and operative confidence of complex vascular exposures. This may allow for the transformational change essential to becoming a competent vascular surgeon.

Cited by 57 publications

References 19 publications

Perfused fresh cadavers: method for application to surgical simulation

Perfused fresh cadavers: method for application to surgical simulation

Using an Individual Procedure Score Before and After the Advanced Surgical Skills Exposure for Trauma Course Training to Benchmark a Hemorrhage-Control Performance Metric

Cadaveric simulation: a review of reviews

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