Seven microaneurysms: description of an experimental rodent model for neurovascular training.

Abstract

This study has been presented as an e-poster in XXIII SENEC Congress on 2019 at Salamanca, Spain.

Towards a standardized initial training program in experimental microsurgery for pediatric surgeons

“…In line with the dynamism of this idea, we collected the data obtained by a pediatric surgery resident in order to record and compare the data obtained by other residents and even specialists in the future, like Schimpke et al (4) and Lascar et al (12) . The initial results revealed a model that appeared adequate for the progression of the resident in terms of operating time and functional outcome, consistent with those obtained by other authors such as Feijoo et al, Juratli et al, and Rodriguez et al, among others, who obtained satisfactory results when applying microsurgical experimentation programs in their most junior professionals (10,(13)(14)(15)(16) . Even authors such as Kim et al show the improvement in technique, confidence, and even the willingness of specialists to grant a higher level of participation and autonomy to residents after an experimentation program (17) .…”

“…Despite all these advantages, there are limiting factors such as the 3R principle, ethics, or the association with legal problems in some countries, which results in microsurgical models in synthetic material being offered to replace the above (24)(25)(26) . Far from opposing this idea, we consider that any experimental program should start with synthetic models and end with live animal models, since they are the ones that most closely resemble human surgery and represent an essential step that gives the surgeon confidence and technical skill (4,10,27) . An added drawback is their high cost.…”

“…One of the consequences of this is that they graduate feeling unprepared to carry out their daily work in clinical practice with confidence and autonomy (4)(5)(6)(7) . Since the mid-20th century, experimental microsurgery has developed rapidly and has been a valuable tool for the acquisition of technical skills, which results in a more delicate handling of tissues and greater dexterity in the operating room, while increasing the safety of the surgeon in training (8)(9)(10) . Finally, this will not only benefit the trainees, but also the research institutions, and most importantly, the patients.…”

Hacia un programa inicial de formación estandarizado en microcirugía experimental para cirujanos pediátricos

“…En paralelo al dinamismo de esta idea, se recogieron los datos obtenidos por un residente de cirugía pediátrica, para en un futuro, registrar y comparar los datos obtenidos por otros residentes e incluso especialistas, como hacen Schimpke et al (4) o Lascar et al (12) . Así, los resultados iniciales mostraron un modelo que parecía adecuado para la progresión del residente en términos de tiempo quirúrgico y resultado funcional, coincidiendo con los obtenidos por otros autores como Feijoo et al, Juratli et (10,(13)(14)(15)(16) . Incluso autores como Kim y et al, muestran la mejoría en la técnica, la confianza e incluso la disposición de los especialistas a conceder un mayor nivel de participación y autonomía a los residentes tras un programa de experimentación (17 ).…”

“…Una de las consecuencias, es que aquellos se gradúen sin sentirse preparados para ejercer con confianza y autonomía su labor diaria en la práctica clínica (4)(5)(6)(7) . Desde mediados del siglo XX, la microcirugía experimental se ha desarrollado rápidamente y supone una valiosa herramienta para la adquisición de habilidades técnicas, lo que se traduce en un manejo más delicado de los tejidos y mayor destreza en el quirófano, a la vez que aumenta la seguridad del cirujano en formación (8)(9)(10) . Finalmente, esto no solo beneficiará a los aprendices, si no a las instituciones de investigación y lo más importante, a los pacientes.…”