背景:解剖学主题仍然是学习整形外科复杂程序的关键因素。我们在这里介绍在SIMLIFE®模型上对培训中操作员的评估,由人体组成的超现实模型捐赠给科学配备脉动再循环和换气装置。
方法:从2019年2月至2019年10月,学习者在SIMLIFE®模型上收获了8个带有径向近端椎弓根的前臂皮瓣。条件尽可能接近手术室:无菌,无菌悬垂,助手和仪器,包括电凝法。
结果:该过程分为13个不同的步骤。平均总手术时间为90,5±11,62分钟。只有一例动脉蒂病变导致严重的血液渗漏。通过来自SIMLIFE®控制台的假失血来测量出血。平均术中出血为171±108毫升。我们回顾了这项新技术的优缺点,该技术特别适用于复杂的整形和重建手术培训。
结论:使用SIMLIFE®技术,我们有了一种新的方法来训练整形和重建手术中的复杂程序。这项新技术可以应用于许多其他外科手术。更广泛的应用仍然受到成本和尸体使用立法的限制。
BACKGROUND: The anatomical subject is still a key element to learn complex procedures in plastic surgery. We present here the evaluation of an in-training operator on a
SIMLIFE® model, hyper realistic model consisting in human bodies donated to science equipped with pulsating recirculation and reventilation device.
METHODS: From February 2019 to October 2019, 8 forearm flaps with radial proximal pedicle were harvested by the learner on a
SIMLIFE® model. Conditions were as close as possible to the operating room : asepsy, sterile draping, assistant and instrumentation including electrocoagulation.
RESULTS: The procedure was decomposed in 13 distinct steps. Mean total surgery time was 90,5±11,62minutes. There was only one case of arterial pedicle lesion resulting in major blood leak. Bleeding was measured by fake blood loss from the
SIMLIFE® console. Mean intraoperatoy bleeding was 171±108 milliliters. We review pros and cons of this new technology particulary suited for complex plastic and reconstructive surgery training.
CONCLUSIONS: Using
SIMLIFE® technology we have a new mean to train for complex procedures in plastic and reconstructive surgery. This new technology could be applied to numerous other surgical procedures. Broader applications are still limited by cost and cadaver use legislation.