Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training.

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Version: Final published version
Serval ID
serval:BIB_1D5A87F72C19
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training.
Journal
Medicine
Author(s)
Krähenbühl S.M., Čvančara P., Stieglitz T., Bonvin R., Michetti M., Flahaut M., Durand S., Deghayli L., Applegate L.A., Raffoul W.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
07/2017
Peer-reviewed
Oui
Volume
96
Number
29
Pages
e7528
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Successful Plastic Surgery Residency training is subjected to evolving society pressure of lower hourly work weeks imposed by external committees, labor laws, and increased public awareness of patient care quality. Although innovative measures for simulation training of surgery are appearing, there is also the realization that basic anatomy training should be re-enforced and cadaver dissection is of utmost importance for surgical techniques.In the development of new technology for implantable neurostimulatory electrodes for the management of phantom limb pain in amputee patients, a design of a cadaveric model has been developed with detailed steps for innovative transfascicular insertion of electrodes. Overall design for electrode and cable implantation transcutaneous was established and an operating protocol devised.Microsurgery of the nerves of the upper extremities for interfascicular electrode implantation is described for the first time. Design of electrode implantation in cadaver specimens was adapted with a trocar delivery of cables and electrodes transcutaneous and stabilization of the electrode by suturing along the nerve. In addition, the overall operating arena environment with specific positions of the multidisciplinary team necessary for implantable electrodes was elaborated to assure optimal operating conditions and procedures during the organization of a first-in-man implantation study.Overall importance of plastic surgery training for new and highly technical procedures is of importance and particularly there is a real need to continue actual cadaveric training due to patient variability for nerve anatomic structures.

Keywords
Amputation, Arm/surgery, Cadaver, Clinical Protocols, Dissection/education, Education, Medical, Graduate/methods, Electrodes, Implanted, Equipment Design, Humans, Internship and Residency, Median Nerve/surgery, Microsurgery/education, Models, Anatomic, Neurosurgical Procedures/education, Patient Care Team, Phantom Limb/etiology, Phantom Limb/surgery, Surgery, Plastic/education, Ulnar Nerve/surgery
Pubmed
Web of science
Open Access
Yes
Create date
15/08/2017 12:22
Last modification date
20/08/2019 13:53
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