Human Placenta Simulator for Intracranial–Intracranial Bypass: Vascular Anatomy and 5 Bypass Techniques

Oliveira, Marcelo Magaldi; Wendling, Leonardo; Malheiros, José Augusto; Nicolato, Arthur; Prosdocimi, André; Guerra, Luiza Rodrigues Moreira; Costa, Pollyana Helena Vieira; Ferrarez, Carlos Eduardo; Ferreira, Mauro Tostes; Sauvageau, Eric; Hanel, Ricardó A.

doi:10.1016/j.wneu.2018.07.246

Cited by 28 publications

(21 citation statements)

References 12 publications

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“…For example, the human placenta model of education offers the opportunity to practice during multiple sessions, since there is a multitude of vessels to work with. These vessels are prepared with macrodissection or microdissection after removal of the outer membrane of the placenta [49][50][51].…”

Section: Discussionmentioning

confidence: 99%

Superiority of living animal models in microsurgical training: beyond technical expertise

et al. 2021

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Background Many studies are investigating the role of living and nonliving models to train microsurgeons. There is controversy around which modalities account for the best microsurgical training. In this study, we aim to provide a systematic literature review of the practical modalities in microsurgery training and compare the living and nonliving models, emphasizing the superiority of the former. We introduce the concept of non-technical skill acquisition in microsurgical training with the use of living laboratory animals in the context of a novel proposed curriculum. Methods A literature search was conducted on PubMed/Medline and Scopus within the past 11 years based on a combination of the following keywords: “microsurgery,” “training,” “skills,” and “models.” The online screening process was performed by two independent reviewers with the Covidence tool. A total of 101 papers was identified as relevant to our study. The protocol was reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results Living models offer the chance to develop both technical and non-technical competencies (i.e., leadership, situation awareness, decision-making, communication, and teamwork). Prior experience with ex vivo tissues helps residents consolidate basic skills prior to performing more advanced techniques in the living tissues. Trainees reported a higher satisfaction rate with the living models. Conclusions The combination of living and nonliving training microsurgical models leads to superior results; however, the gold standard remains the living model. The validity of the hypothesis that living models enhance non-technical skills remains to be confirmed. Level of evidence: Not ratable.

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Section: Discussionmentioning

confidence: 99%

Superiority of living animal models in microsurgical training: beyond technical expertise

et al. 2021

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“…Microsurgical training is mandatory for neurosurgeons performing brain bypass, usually performed on single-vessel simulators, such as live animals, chicken wings, or synthetic models, with limited vessel caliber variety. Furthermore, brain bypass can be performed in cadaveric specimens ( 17 , 18 ).…”

Section: Applied Skills In Specific Training Models From Case Illustr...mentioning

confidence: 99%

The art of combining neuroanatomy and microsurgical skills in modern neurosurgery

et al. 2023

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Neurosurgical training outside the operating room has become a priority for all neurosurgeons around the world. The exponential increase in the number of publications on training in neurosurgery reflects changes in the environment that future neurosurgeons are expected to work in. In modern practice, patients and medicolegal experts demand objective measures of competence and proficiency in the growing list of techniques available to treat complex neurosurgical conditions. It is important to ensure the myriad of training models available lead to tangible improvements in the operating room. While neuroanatomy textbooks and atlases are continually revised to teach the aspiring surgeon anatomy with a three-dimensional perspective, developing technical skills are integral to the pursuit of excellence in neurosurgery. Parapharsing William Osler, one of the fathers of neurosurgical training, without anatomical knowledge we are lost, but without the experience and skills from practice our journey is yet to begin. It is important to constantly aspire beyond competence to mastery, as we aim to deliver good outcomes for patients in an era of declining case volumes. In this article, we discuss, based on the literature, the most commonly used training models and how they are integrated into the treatment of some surgical brain conditions.

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“…Another study investigated the use of placenta to simulate intracranial-intracranial bypass surgery 59 . The model was well validated, achieving a rating 2 for internal structure as testretest validity was assessed among 50 healthcare professionals, rating 1 for content among 5 experts, and rating 2 for relations to other variables.…”

Section: Patel 13mentioning

confidence: 99%

A Systematic Review of Simulation-Based Training in Neurosurgery, Part 1: Cranial Neurosurgery

Patel

Aydın

Cearns³

et al. 2020

World Neurosurgery

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Human Placenta Simulator for Intracranial–Intracranial Bypass: Vascular Anatomy and 5 Bypass Techniques

Cited by 28 publications

References 12 publications

Superiority of living animal models in microsurgical training: beyond technical expertise

Superiority of living animal models in microsurgical training: beyond technical expertise

The art of combining neuroanatomy and microsurgical skills in modern neurosurgery

A Systematic Review of Simulation-Based Training in Neurosurgery, Part 1: Cranial Neurosurgery

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