Subscribe to RSS
DOI: 10.1055/s-0033-1333623
Microsurgical Training with Porcine Thigh Infusion Model
Publication History
22 August 2012
30 November 2012
Publication Date:
07 February 2013 (online)
Abstract
We herein present our experience with microsurgical training using a porcine thigh infusion model, which resembles living animal models. The main femoral artery was cannulated with a 24G angioneedle and fixed with 4–0 black silk sutures. Microanastomoses were performed on the femoral vessels of porcine thighs using end-to-end and end-to-side techniques. During the microanastomoses, dyed 0.9% isotonic sodium chloride was infused at 200 to 850 mL/min using an infusion pump. No anastomosis site leakage was observed and the patency of the anastomosis site was maintained. We consider the porcine thigh infusion model to be appropriate for the beginner trainee because the large vessel size enables him or her to practice. In addition, our model provides a circulation environment similar to the in vivo human environment. We believe that our model is more convenient than living animal models and more accurate than models that do not provide a circulation environment.
-
References
- 1 Suarez EL, Jacobson II JH. Results of small artery endarterectomy-microsurgical technique. Surg Forum 1961; 12: 256-257
- 2 Peled IJ, Kaplan HY, Wexler MR. Microsilicone anastomoses. Ann Plast Surg 1983; 10: 331-332
- 3 Demirseren ME, Tosa Y, Hosaka Y. Microsurgical training with surgical gauze: the first step. J Reconstr Microsurg 2003; 19: 385-386
- 4 Govila A. A simple model on which to practise microsurgical technique: a fresh chicken. Br J Plast Surg 1981; 34: 486-487
- 5 Guler MM, Rao GS. Canniesburn “ever-ready” model to practise microsurgery. Br J Plast Surg 1990; 43: 381-382
- 6 Kaufman T, Hurwitz DJ, Ballantyne DL. The foliage leaf in microvascular surgery. Microsurgery 1984; 5: 57-58
- 7 Yenidunya MO, Tsukagoshi T, Hosaka Y. Microsurgical training with beads. J Reconstr Microsurg 1998; 14: 197-198
- 8 Krishnan KG, Dramm P, Schackert G. Simple and viable in vitro perfusion model for training microvascular anastomoses. Microsurgery 2004; 24: 335-338
- 9 Schoffl H, Hager D, Hinterdorfer C , et al. Pulsatile perfused porcine coronary arteries for microvascular training. Ann Plast Surg 2006; 57: 213-216
- 10 Lannon DA, Atkins JA, Butler PE. Non-vital, prosthetic, and virtual reality models of microsurgical training. Microsurgery 2001; 21: 389-393
- 11 Hino A. Training in microvascular surgery using a chicken wing artery. Neurosurgery 2003; 52: 1495-1497 , discussion 1497–1498
- 12 Tellioglu AT, Eker E, Cimen K, Comert A, Karaeminogullari G, Tekdemir I. Training model for microvascular anastomosis. J Craniofac Surg 2009; 20: 238-239
- 13 Hwang G, Oh CW, Park SQ, Sheen SH, Bang JS, Kang HS. Comparison of different microanastomosis training models: model accuracy and practicality. J Korean Neurosurg Soc 2010; 47: 287-290