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Effectiveness of a microsurgery training program using a chicken wing model.

Aniket Dave1,2, Maneesh Singhal1, Raja Tiwari1

  • 1Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Plastic Surgery and Hand Surgery
|August 2, 2021
PubMed
Summary
This summary is machine-generated.

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The chicken wing model significantly improves microsurgical skills and reduces errors for plastic surgery residents. This cost-effective training alternative enhances overall proficiency in microsurgery.

Area of Science:

  • Surgical Training
  • Microsurgery
  • Plastic Surgery

Background:

  • Microsurgical skills are crucial for modern plastic surgeons.
  • Traditional training models like live rats have limitations.
  • The chicken wing model presents an accessible and economical alternative.

Purpose of the Study:

  • To evaluate the effectiveness of the chicken wing model for microsurgery training.
  • To assess improvements in microsurgical skills and error reduction among residents.
  • To determine the suitability of the chicken wing model for varied skill levels.

Main Methods:

  • A prospective study involving 15 plastic surgery residents over 6 months.
  • Weekly microsurgery training sessions using chicken wing ulnar arteries for 15 weeks.
Keywords:
Microsurgery traininganimal modelchicken wingmicrosurgery training modelresident trainingsimulated surgical training

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  • Pre- and post-training assessments using a modified Structured Assessment of Microsurgery Skills (SAMS) tool.
  • Main Results:

    • Significant improvement in mean SAMS scores (33.46 to 41.42, p=0.002).
    • Significant reduction in the average number of errors (6.75 to 4.79, p=0.012).
    • No significant change in the average time to perform anastomosis (58.03 to 52.51 mins, p=0.182).

    Conclusions:

    • The chicken wing model is a valuable and cost-effective tool for microsurgery training.
    • It effectively enhances microsurgical skills and decreases procedural errors.
    • The model's varied vessels accommodate training for different proficiency levels.