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Step By Step: Microsurgical training method combining two nonliving animal models

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MicrosimUC: Validation of a Low-Cost, Portable, Do-It-Yourself Microsurgery Training Kit.

Alfonso Navia¹, Rodrigo Tejos¹, Sebastian Canahuate¹

¹Experimental Surgery and Simulation Center, Section of Plastic and Reconstructive Surgery, Surgery Division, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Journal of Reconstructive Microsurgery

|October 23, 2021

Summary

A new portable, low-cost microsurgery training kit was developed for remote skill acquisition. This innovative simulation tool demonstrated comparable skill improvement to traditional courses, making microsurgical training more accessible.

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Area of Science:

Surgical Education
Medical Simulation
Microsurgery Training

Background:

Microsurgery skill acquisition heavily relies on simulated training.
Current training courses are often short, intensive, and require physical laboratory access.
A need exists for accessible, portable, and cost-effective microsurgery training solutions.

Purpose of the Study:

To develop and validate a portable, low-cost microsurgery training kit.
To assess the efficacy of home-based training using the developed kit.
To compare skill acquisition with traditional laboratory-based microsurgery courses.

Main Methods:

A miniature microscope was modified into a portable training kit (MicrosimUC).
Twenty general surgery residents were divided into a home-based training group (MicrosimUC, n=10) and a traditional course group (MicroLab, n=10).
Skill performance was assessed before and after training using blinded expert ratings, with statistical comparison via Wilcoxon's and Mann-Whitney tests.

Main Results:

MicrosimUC residents showed significant performance score improvements (p < 0.05) post-training.
No significant differences in skill acquisition were observed between the MicrosimUC and MicroLab groups.
The MicrosimUC model was rated highly useful by experts, with 100% considering it for training; kit cost was $92.

Conclusions:

A low-cost, portable microsurgical training kit and curriculum were successfully developed.
The kit facilitated significant skill acquisition comparable to formal microsurgery courses.
This portable solution enhances accessibility for microsurgical skill development.