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The Anterolateral Thigh Perforator Flap in an Innovative Microsurgery Training Method
Parthena I Deskoulidi1, Konstantinos M Benetatos2, Nikolaos A Maltzaris1
1Department of Plastic Surgery, St. Savvas Cancer Hospital of Athens, Greece.
Plastic and Reconstructive Surgery. Global Open
|March 19, 2019
Summary
This study introduces a novel microsurgical training method for plastic surgery residents using the anterolateral thigh (ALT) perforator flap. The technique safely enhances microsurgical skills without impacting operative time or flap outcomes.
Area of Science:
- Plastic Surgery
- Microsurgery Training
- Surgical Education
Background:
- Developing proficient microsurgeons requires specialized training.
- Current methods may lack standardization or practical application in real-time procedures.
- The anterolateral thigh (ALT) perforator flap is a common reconstructive tool.
Purpose of the Study:
- To present and evaluate an innovative, in-situ microsurgical training method for plastic surgery residents.
- To assess the safety and efficacy of this method using the ALT perforator flap.
- To determine the impact on resident skill development and patient outcomes.
Main Methods:
- Implementation of a two-team approach during ALT perforator flap harvesting.
- Residents perform dissection and anastomosis distally to the perforator origin while the primary team completes tumor resection.
- Standardized training conditions applied during eight surgical procedures since 2015.
Main Results:
- Significant improvement in microsurgical skills observed in participating residents.
- No adverse impact on ALT perforator flap viability or overall operative time.
- The training method was safely integrated into plastic surgery residency programs.
Conclusions:
- The presented innovative microsurgical training method is safe and effective for residents.
- This standardized approach enhances microsurgical competency during residency.
- The technique supports the development of future microsurgeons, improving specialty standards.
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