An Economical Training Model to Teach and Practice Deep Inferior Epigastric Artery Perforator Dissection

Nykiel, Matthew; Wong, Ryan; Lee, Gordon

doi:10.1097/sap.0000000000000176

Cited by 3 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 The cost of a single live animal dissection, not including the cost of animal purchase and housing, is estimated between $672 and $1,258. 25 Our nonliving model overcomes these shortcomings, along with the added benefit of improved cost-effectiveness and greater accessibility, the last two factors needed for a surgical simulator to be "ideal" as identified in a recent article by Nykiel et al 29 While the focus of this study was to assess the change in resident confidence in performing flap elevation and perforator dissection, future implementation of this model as an assessment tool has been discussed, particularly given the increased trend to competency-based education and training in plastic and reconstructive surgery. Furthermore, with the addition of the latex-perfused perforator dissection model, our Division now has accessible models developed for autologous breast reconstruction recipient vessel harvest, flap elevation and perforator dissection, and microsurgical anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training

Shaffrey,

Zeng,

Nicksic

et al. 2024

J Reconstr Microsurg

View full text Add to dashboard Cite

Background Perforator dissection and flap elevation are routinely performed for microsurgical reconstruction; however, there is a steep learning curve to mastering these technical skills. Though live porcine models have been utilized as microsurgical training models, significant drawbacks limit their use. We recently developed a latex-perfused, nonliving, porcine abdomen perforator dissection simulation and described its anatomic similarity to the human deep inferior epigastric artery flap. The purpose was to assess the change in resident confidence in performing key operative steps of flap elevation and perforator dissection and obtain feedback on model realism and utility. Methods Seventeen plastic and reconstructive surgery resident physicians (postgraduate years 1–6) at a single institution participated in a perforator dissection session utilizing the simulation model. Each resident completed pre- and postactivity surveys to assess interval change in confidence in operating. The postactivity survey also asked residents to answer questions regarding their perception of the model's anatomic and surgical realism and utility in microsurgical training. Results Following a practice session using the latex-perfused, nonliving porcine abdomen, resident confidence was significantly increased in performing all key operative steps and the procedure overall (p = 0.001). All residents (n = 17, 100%) believed the model would improve “trainees' ability to perform perforator dissection in the operating room.” Perforator, fascial, and pedicle anatomy were reported to be “Very” similar to human anatomy, with a median Likert score (MLS) of 4. Additionally, six out of the eight surgical steps were noted to be “Very” realistic, with only “Flap Design” and “Fascial Closure” found to be “Moderately” realistic with an MLS of 3. Conclusion The latex-infused porcine abdominal model is a novel, realistic simulation for microsurgical trainee perforator dissection practice. This model offers a suitable substitute for perforator dissection practice, as its implementation within a microsurgery training course improves resident comfort and confidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training

Shaffrey,

Zeng,

Nicksic

et al. 2024

J Reconstr Microsurg

View full text Add to dashboard Cite

show abstract

Mind the Gap: a Competency-Based Scoping Review of Aesthetic and Reconstructive Reported Simulation Training Models

et al. 2021

View full text Add to dashboard Cite

Simulation in plastic and reconstructive surgery: a scoping review

Seifman

Young

Nestel

2022

ijohs

View full text Add to dashboard Cite

Since the origins of surgery, simulation has played an important role in surgical education, particularly in plastic and reconstructive surgery. This has greater relevance in contemporary settings of reduced clinical exposure resulting in limited work-based learning opportunities. With changing surgical curricula, it is prescient to examine the role of simulation in plastic and reconstructive surgery. A scoping review protocol was used to identify relevant studies, with an iterative process identifying, reviewing and charting the data to derive reported outcomes and themes. Of the 554 studies identified, 52 studies were included in this review. The themes identified included simulator modalities, curriculum elements targeted and relevant surgical competencies. There was a predominance of synthetically based simulators, targeting technical skills largely associated with microsurgery, paediatric surgery and craniomaxillofacial surgery. Existing simulators largely address high-complexity procedures. There are multiple under-represented areas, including low-complexity procedures and simulation activities addressing communication, collaboration, management and leadership. There are many opportunities for simulation in surgical education, which requires a contextual appreciation of educational theory. Simulation may be used both as a learning method and as an assessment tool. This review describes the literature relating to simulation in plastic and reconstructive surgery and proposes opportunities for incorporating simulation in a broader sense, in the surgical curriculum.

show abstract

An Economical Training Model to Teach and Practice Deep Inferior Epigastric Artery Perforator Dissection

Abstract: Overall, residents felt this exercise should be included in the postgraduate years 1 and 2 educational curriculum.

Cited by 3 publications

References 19 publications

Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training

Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training

Mind the Gap: a Competency-Based Scoping Review of Aesthetic and Reconstructive Reported Simulation Training Models

Simulation in plastic and reconstructive surgery: a scoping review

Contact Info

Product

Resources

About