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Updated: Oct 10, 2025

Step By Step: Microsurgical training method combining two nonliving animal models
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[Microsurgery Training with a Commercial Smartphone Kit - a new Device].

Johannes Tobias Thiel1, Adrien Daigeler1, Ruth Christine Schäfer1

  • 1BG Klinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|December 7, 2021
PubMed
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This study introduces an affordable, portable microsurgery training system using a smartphone as a microscope. It enables trainees to practice essential skills like suturing and knot tying anywhere, improving surgical readiness.

Area of Science:

  • Microsurgery
  • Surgical Education
  • Medical Device Technology

Background:

  • Microsurgical skills require extensive practice on various models.
  • Existing training methods range from traditional dry models to virtual reality and animal subjects.
  • Self-made smartphone magnification devices have emerged as accessible tools.

Purpose of the Study:

  • To introduce a new, cost-effective commercial system for microsurgical training.
  • To evaluate the utility of a smartphone-based system for practicing basic and advanced microsurgical techniques.
  • To propose the integration of such training kits into standard microsurgical curricula.

Main Methods:

  • Utilizing a commercial system with a 3D swivel arm to mount a smartphone.
  • Practicing anastomoses on prefabricated "cards" with plastic tubes (1-3 mm diameter).

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  • Employing the smartphone camera to simulate a surgical microscope for magnification.

    • Main Results:

    • The system allows for convenient and inexpensive practice of microsurgical techniques, including knot tying.
    • Trainees can learn and refine skills like "through-the-loop" knotting.
    • The setup mimics a surgical microscope effectively for practice.

    Conclusions:

    • This smartphone-based microsurgery training kit offers a practical and accessible solution for skill development.
    • It can facilitate continuous learning and skill perfection for interns and students.
    • Such systems have the potential to become standard components of microsurgical training programs.