Do we need animal hands‐on courses for transplantation surgery?

Golriz, Mohammad; Hafezi, Mohammadreza; Garoussi, Camelia; Fard, Nassim; Arvin, Jalal; Fonouni, Hamidreza; Nickkholgh, Arash; Kulu, Yakob; Frongia, Giovani; Schemmer, Peter; Mehrabi, Arianeb

doi:10.1111/ctr.12155

Cited by 28 publications

(17 citation statements)

References 57 publications

(56 reference statements)

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“…RxT surgery is more difficult to learn than any other open surgery; it offers fewer opportunities to be practiced, requires more experience, and the mistakes made may compromise the graft and the recipient. 7 Alternative mechanisms must be developed to teach surgical skills in RxT. 7 The surgical learning is described as a process that begins by reading and studying, going through discussion forums, viewing of multimedia, continues by cadaver dissection exercises, ex vivo experimental models, and simulations in the experimentation animal, and it ends by activity in the operating room.…”

Section: Discussionmentioning

confidence: 99%

“…7 Alternative mechanisms must be developed to teach surgical skills in RxT. 7 The surgical learning is described as a process that begins by reading and studying, going through discussion forums, viewing of multimedia, continues by cadaver dissection exercises, ex vivo experimental models, and simulations in the experimentation animal, and it ends by activity in the operating room. 8 Surgery in the experimental animal is useful for teaching and surgical practice.…”

Section: Discussionmentioning

confidence: 99%

“…8 Surgery in the experimental animal is useful for teaching and surgical practice. 7 Its use approaches the student to situations they will face in the real operating room, making it possible to face and practice complex techniques that they would not have the opportunity to perform in humans. 7 Of the different models for research and experimental training in RxT 9 perhaps the most affordable, widespread, and similar to human, both anatomically and functionally, is the porcine.…”

Section: Discussionmentioning

confidence: 99%

“…7 Its use approaches the student to situations they will face in the real operating room, making it possible to face and practice complex techniques that they would not have the opportunity to perform in humans. 7 Of the different models for research and experimental training in RxT 9 perhaps the most affordable, widespread, and similar to human, both anatomically and functionally, is the porcine. 10,11 The incorporation of novel surgeons to the transplant units does not compromise the results, provided that this is done gradually and supervised by an experienced surgeon.…”

Section: Discussionmentioning

confidence: 99%

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Residency in urology and training in kidney transplantation. Results of a national survey

Cabello-Benavente¹,

González-Enguita²

2015

Actas Urológicas Españolas (English Edition)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Residency in urology and training in kidney transplantation. Results of a national survey

Cabello-Benavente¹,

González-Enguita²

2015

Actas Urológicas Españolas (English Edition)

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“…In addition, porcine and human kidneys demonstrate similarities in the pathophysiology of ischemia reperfusion injury (IRI), biochemistry, and immunological parameters 14 . Thus, porcine renal transplantation is well-suited to investigate new organ preservation methods for marginal kidney grafts [15][16][17] , model human IRI 18 , study immunological pathways and allograft tolerance 19 , provide surgical training [20][21][22] , test new pharmacological therapies 23 , implement new medical devices, and study new immunological mechanisms in xenotransplantation [24][25][26] .…”

Section: Introductionmentioning

confidence: 99%

Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

Kaths

Echeverri

Goldaracena

et al. 2016

JoVE

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Kidney transplantation is the treatment of choice for patients suffering from end-stage renal disease. It offers better life expectancy and higher quality of life when compared to dialysis. Although the last few decades have seen major improvements in patient outcomes following kidney transplantation, the increasing shortage of available organs represents a severe problem worldwide. To expand the donor pool, marginal kidney grafts recovered from extended criteria donors (ECD) or donated after circulatory death (DCD) are now accepted for transplantation. To further improve the postoperative outcome of these marginal grafts, research must focus on new therapeutic approaches such as alternative preservation techniques, immunomodulation, gene transfer, and stem cell administration.Experimental studies in animal models are the final step before newly developed techniques can be translated into clinical practice. Porcine kidney transplantation is an excellent model of human transplantation and allows investigation of novel approaches. The major advantage of the porcine model is its anatomical and physiological similarity to the human body, which facilitates the rapid translation of new findings to clinical trials. This article offers a surgical step-by-step protocol for an autotransplantation model and highlights key factors to ensure experimental success. Adequate pre-and postoperative housing, attentive anesthesia, and consistent surgical techniques result in favorable postoperative outcomes. Resection of the contralateral native kidney provides the opportunity to assess post-transplant graft function. The placement of venous and urinary catheters and the use of metabolic cages allow further detailed evaluation. For long-term follow-up studies and investigation of alternative graft preservation techniques, autotransplantation models are superior to allotransplantation models, as they avoid the confounding bias posed by rejection and immunosuppressive medication. Video LinkThe video component of this article can be found at

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At-home hands-on surgical training during COVID19: proof of concept using a virtual telementoring platform

et al. 2021

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Introduction Surgeons in practice have limited opportunities to learn new techniques and procedures. Traditionally, in-person hands-on courses have been the most common means for surgeons to gain exposure to new techniques and procedures. The COVID19 pandemic caused a cessation in these courses and left surgeons with limited opportunities to continue their professional development. Thus, SAGES elected to create an innovative hands-on course that could be completed at home in order to provide surgeons with opportunities to learn new procedures during the pandemic. Methods This course was initially planned to be taught as an in-person hands-on course utilizing the Acquisition of Data for Outcomes and Procedure Transfer(ADOPT) method 1 . We identified a virtual telementoring platform, Proximie Ltd(London, UK), and a company that could create a model of an abdominal wall in order to perform a Transversus Abdominis Release, KindHeart™(Chapel Hill, NC, USA). The course consisted of pre-course lectures and videos to be reviewed by participants, a pre-course call to set learning goals, the hands-on telementoring session from home, and monthly webinars for a year. Results The ADOPT hands-on hernia course at home was successfully completed on October 23rd of 2020. All participants and faculty were successfully able to set up their model and utilize the telementoring platform, but 15% required assistance. Post course-surveys showed that participants felt that the course was successful in meeting their educational goals and felt similar to prior in-person courses. Conclusions SAGES was successfully able to transition and in-person hands-on course to a virtual at-home format. This innovative approach to continuing professional development will be necessary during the times of the COVID19 pandemic, but may be a helpful option for rural surgeons and others with travel restrictions in the future to continue their professional development without the need to travel away from their practice.

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Do we need animal hands‐on courses for transplantation surgery?

Cited by 28 publications

References 57 publications

Residency in urology and training in kidney transplantation. Results of a national survey

Residency in urology and training in kidney transplantation. Results of a national survey

Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

At-home hands-on surgical training during COVID19: proof of concept using a virtual telementoring platform

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