serval:BIB_1D5A87F72C19
Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training.
10.1097/MD.0000000000007528
000406477600032
28723767
Krähenbühl
S.M.
author
Čvančara
P.
author
Stieglitz
T.
author
Bonvin
R.
author
Michetti
M.
author
Flahaut
M.
author
Durand
S.
author
Deghayli
L.
author
Applegate
L.A.
author
Raffoul
W.
author
article
2017-07
Medicine
1536-5964
0025-7974
journal
96
29
e7528
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.
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
eng
60_published
true
peer-reviewed
Publication types: Journal Article
Publication Status: ppublish
University of Lausanne
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