Training microneurosurgery - four years experiences with an in vivo model

Central European Neurosurgery
J RegelsbergerM Westphal

Abstract

Enquiries among surgical trainees revealed an increasing discontent regarding their quality of training. 40 % of young surgical trainees judge their training as inadequate and 70% are offered no structured training programme. Working time restrictions and economic pressure may be strong factors hindering residents from becoming skillful surgeons. Therefore, additional forms of training seem to be needed. An in vivo swine model was evaluated for its practical use in training neurosurgical residents. Surgical procedures included craniotomy, dural opening, brain surgery and excision of an artificial tumour created by injection of coloured fibrin glue. Microscopy and bleeding management with bipolar cautery and haemostyptics were an integrated part of training. Supervision by experienced neurosurgeons with up to 3 trainees in a 2-day course was warranted. Standardised questionnairies before and after training were used to assess the quality and utility of the programme. 24 residents have participated in the course (1 (st)-5 (th) year of training). Minor experience with less than 100 conducting surgeries was seen in 59% of trainees. 14 residents had participated in more than 100 surgeries as first assistant. Spinal surgery was the p...Continue Reading

Citations

May 13, 2014·Surgical Neurology International·Jan VavruskaMartin Scholz
Jun 21, 2014·Journal of Neurosurgery·Matthew A KirkmanNick Sevdalis
Sep 23, 2014·Neurosurgical Review·Jan RegelsbergerOliver Heese
Jun 12, 2014·Acta Cirúrgica Brasileira·Lucas Alves AurichRicardo Ramina
Feb 28, 2014·Surgical Neurology International·D H HeilandL Schreiber
May 18, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Carlo GiussaniErik Sganzerla
Dec 30, 2017·Surgical Neurology International·Ahmad HafezMika Niemelä
Sep 15, 2020·Chinese Neurosurgical Journal·Zahraa F Al-SharshahiLuis Rafael Moscote-Salazar
May 26, 2018·Minimally Invasive Surgery·Vadim A ByvaltsevMark C Preul

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