Microsurgical education in the USA: Past, present and future
https://doi.org/10.52581/1814-1471/76/1
Abstract
Microsurgery is a demanding surgical skillset which requires attention to detail and repeated practice to succeed. Microsurgery courses around the globe allow students to learn through performing a variety of technical exercises. Microsurgery education dates back to the late 1960s with notable instructors, Harry J. Buncke and Robert Acland. Currently, many microsurgery courses are available that share commonalities, and some important structural differences have been demonstrated to differentially affect student progression and competence. Multiple available training programs as well as the advancement of supermicrosurgery training is listed and described.
The microsurgery training course at Columbia University’s New York Presbyterian Irving Medical Center led by Drs. Ronsenwasser, Strauch and Akelina provides students with expert instruction through a punctilious training curriculum. By imparting these techniques to the students, trainees’s progression markedly improves relative to alternative microsurgery courses that do not incorporate expert instruction. The Covid-19 pandemic, has resulted in the development of a virtual microsurgery training program at the lab which focuses on building the foundation of basic skills for trainees unable to travel or receive adequate education.
About the Authors
K. H. ParkUnited States
Katherine H. Park, Department of Orthopedic Surgery; Department of Biomedical Engineering
New York
New Brunswick, New Jersey
G. Romero
United States
Gessel Romero, BS, Department of Orthopedic Surgery; Department of Medicine
New York
J. Paladino
United States
Joseph Paladino, BS, Department of Orthopedic Surgery; Department of Orthopedics
New York
J. Daou
United States
Jonathan Daou, BS, Department of Orthopedic Surgery; Department of Medicine
New York
Y. Akelina
United States
Yelena Akelina, DVM, MSc, Department of Orthopedic Surgery
New York
References
1. Badash Ido, Gould Daniel J., Patel Ketan M. Supermicrosurgery: History, Applications, Training and the Future. Frontiers in Surgery. 2018;5(01):23.
2. Terzis J.K. History of Microsurgery. Eastern Virginia Medical School, 2008.
3. Tamai S. History of Microsurgery. Plastic and Reconstructive Surgery. 2009;124:e282–e294.
4. Tamai S. History of Microsurgery – from the beginning until the end of the 1970s. Microsurgery. 1993;14(1): 6–13.
5. Fricker J. Robert Acland. BMJ. 2016; i1761. doi:10.1136/bmj.i1761
6. Balasundaram I., Aggarwal R., Darzi L.A. Development of a training curriculum for microsurgery. British Journal of Oral and Maxillofacial Surgery. 2010;48(8):598–606.
7. Paladino J., Gasteratos K., Akelina Y., Marshall B., Papazoglou L.G., Strauch R.J. The Benefits of Expert Instruction in Microsurgery Courses. Journal of Reconstructive Microsurgery. 2020.
8. Sayadi L.R., Fligor J.E., Couchois S., Evans G.R.D., Widgerow A.D., Lanier B. A Novel Application of Digital Microscope for Microsurgery Training. Journal of Reconstructive Microsurgery Open. 2020;05(01):e32–e35.
9. Acland R.D. Practice Manual for Microvascular Surgery. 2nd ed., Mosby, 1989.
10. Cooley B.C. A Laboratory Manual for Microvascular and Microtubal Surgery. Surgical Specialties, 2014.
11. Kania K., Chang D.K., Abu-Ghname A. et al. Microsurgery Training in Plastic Surgery. Plast Reconstr Surg Glob Open. 2020;8(7):e2898. Published 2020 Jul 17. doi:10.1097/GOX.0000000000002898
12. Cleveland Clinic. Accessed December 3, 2020.
13. Columbia Orthopedic Surgery. Accessed December 3, 2020.
14. Mayo Clinic Microvascular Surgery Skills Training 2020 | Mayo Clinic School of Continuous Professional Development. Ce.mayo.edu. Accessed December 3, 2020.
15. Baş C., Cwykiel J., Siemionow M. A New Supermicrosurgery Training Model of Saphenous Artery and Great Saphenous Vein Anastomosis for Development of Advanced Microsurgical Skills. 2017. [Accessed 12 January 2021].
16. Chen W.F., Eid A., Yamamoto T., Keith J., Nimmons G.L., Lawrence W.T. A novel supermicrosurgery training model: the chicken thigh. J Plast Reconstr Aesthet Surg. 2014;67(7):973-978. doi:10.1016/j.bjps.2014.03.024
17. Hayashi K., Hattori Y., Yii Chia D., Sakamoto S., Marei A., Doi K. A Supermicrosurgery Training Model Using The Chicken Mid And Lower Wing. [online] JPRAS. 2018. [Accessed 12 January 2021].
18. Hong J., Song S., Suh H. Supermicrosurgery: Principles And Applications. [online] 2018. Wiley Online Library. [Accessed 12 January 2021].
19. Zheng Y., Corvi J.J., Nicolas C.F., Akelina Y. Supermicrosurgery simulation training program for submillimeter anastomoses in the rat epigastric artery and vein. Microsurgery. 2019. doi:10.1002/micr.30483
20. Harb A., Levi M., Akelina Y., Kadiyala R., Ascherman J. A Novel Technique to Perform Microvascular Anastomosis Revisions without Clamps. Journal of Reconstructive Microsurgery Open. 2018;03(02):e58–e61. doi:10.1055/s-0038-1669451
Review
For citations:
Park K.H., Romero G., Paladino J., Daou J., Akelina Y. Microsurgical education in the USA: Past, present and future. Issues of Reconstructive and Plastic Surgery. 2021;24(1):9-18. https://doi.org/10.52581/1814-1471/76/1