Die Häufigkeit der Durchführung einer Gefäßanastomose ist der entscheidende Faktor auf den Lernerfolg in einer retrospektiven Analyse von 212 Teilnehmern des Münchner Mikrochirurgiekurses

Frank, Konstantin; Hagen, Christine Sophie; Mollhoff, Nicholas; Wiggenhauser, Paul Severin; Giunta, Riccardo E.; Ehrl, Denis und Schenck, Thilo Ludwig (2021): Die Häufigkeit der Durchführung einer Gefäßanastomose ist der entscheidende Faktor auf den Lernerfolg in einer retrospektiven Analyse von 212 Teilnehmern des Münchner Mikrochirurgiekurses. In: Handchirurgie Mikrochirurgie Plastische Chirurgie, Bd. 53, Nr. 2: S. 125-129

Abstract

Objective Microsurgical courses are a widely accepted and common method of acquiring microsurgical skills outside of the operation theatre. In-vivo models are often used to prepare surgeons for vascular microsurgery in patients. Although microsurgical courses are commonly offered and attended, the learning curve acquired in such courses remains elusive. Material and Methods The patency of end-to-end anastomoses performed by a total of 212 participants with different education levels and from different specialist fields were assessed in models of living rats. Participants attended the annually held microsurgical course at the Department for Hand, Plastic and Aesthetic Surgery, Ludwig Maximilian University of Munich, between 2013 and 2018. Results A highly significant correlation (rp = 0,658;p < 0,001) between number of trials and patent anastomoses was observed. There was no significant correlation between years of surgical experience and age and total number of patent anastomoses achieved during the course. No statistically significant difference of total number of patent anastomoses between residents and board-certified surgeons was detected. Conclusion Looking at the steep learning curves of our participants and the high rate of patent anastomoses, we recommend the setting of microsurgical courses using in-vivo models to overcome potential failures in the beginning of vascular microsurgery careers.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0722-1819
• Sprache: Deutsch