Current aspects of training Ukrainian doctors for reconstructive microsurgery
https://doi.org/10.52581/1814-1471/76/3
Abstract
Modern technologies and the skills of specialists in reconstructive microsurgery make it possible to solve the problem of restoring the lost cover tissues and bone tissues of the skeleton in one stage with the greatest efficiency, as well as to carry out replantation of limbs or their parts. However, the shortage of such specialists is widely recognized, leading to an increase in disability and death, which account for up to 30% of the global burden of the national health service. In the work, which prepared by specialists from the centres of the cities Dnipro and Kiev, the issue of mastering the skills of reconstructive microsurgery by young specialists is considered. The authors conduct a comparative analysis of teaching methods at two bases in Ukraine and two bases in the European Union.
At the current level of development of international educational programs of a specialized online community (international microsurgery club), it is possible to improve or master new techniques for a surgeon of any level of basic training. According to the price-quality criterion and geographical location, the Pius Branzeu Center laboratory (Romania), in the context of the globalization of the world economy and the integration of the European Union countries, can be considered as optimal centre for teaching basic skills for residents and young doctors. However, after obtaining these skills, the microsurgeon must continue training in the real clinical conditions of existing centres in Ukraine for obtain practical experience.
About the Authors
S. V. SliesarenkoUkraine
Sergii V. Sliesarenko, Dr. Med. sci, Professor, head
53, Sergey Nigoyan Ave., Dnipro, 49064
P. A. Badiul
Ukraine
Pavlo A. Badiul, Dr. Med. sci, Associate Professor, the Department of Surgery No. 1
9, Academician Vernadsky st., Dnipro, 49044
S. P. Galich
Ukraine
Sergey P. Galich – Dr. Med. sci, head of the Department of Microsurgery
30, Geroev Sevastopolya st., Kiev, 03680
A. Yu. Furmanov
Ukraine
Alexander Yu. Furmanov – Dr. Med. sci, researcher, the Department of Microsurgery
30, Geroev Sevastopolya st., Kiev, 03680
A. Yu. Dabizha
Ukraine
Alexey Yu. Dabizha – Cand. Med. sci, researcher, the Department of Microsurgery
30, Geroev Sevastopolya st., Kiev, 03680
N. N. Nor
Ukraine
Nadezhda N. Nor – Cand. Med. sci, Assistant Professor, the Department of General Surgery
9, Academician Vernadsky st., Dnipro, 49044
References
1. Вербо Е.В., Неробеев А.И. Реконструкция лица реваскуляризированными аутотрансплантатами. М.: Медицина, 2008:208 с. [Verbo E.V., Nerobeev A.I. Rekonstrukciya lica revaskulyarizirovannymi autotransplantatami [Facial reconstruction with revascularized autografts]. Moscow, Medicine Publ., 2008 p. (In Russ.)].
2. Blondeel P.N., Morris S.F., Hallock G.G., Neligan P.C. Perforator Flaps: anatomy, technique and clinical applications. QMP, Inc; 2006:1096.
3. Белоусов А.Е. Пластическая, реконструктивная и эстетическая хирургия. СПб.: Гиппократ, 1998:744 с. [Belousov A.E. Plasticheskaya, rekonstruktivnaya i esteticheskaya hіrurgіya [Plastic, reconstructive and aesthetic surgery]. St. Petersburg, Gippokrat Publ., 1998: 744 p. (In Russ.)].
4. Masia J, Lidia S, Carmen V. et al. New Paradigms in Reconstructive Microsurgery. Education Annals of Plastic Surgery. 2019; 83 (3):243-246.
5. Amin K, Mohan A.T. Reconstructive Microsurgery: The Future Is Today. Annals of Plastic Surgery. 2017; 78(1):5-6.
6. Inchauste S.M., Deptula P.L., Zelones J.T. et al. Global Health Microsurgery Training With Cell Phones. Annals of Plastic Surgery. 2020;84(5S):S273-S277.
7. Вогнепальні поранення м’яких тканин (Досвід антитерористичної операції/операції об’єднаних сил). Під ред. В.І. Цимбалюка: Харків: Колегіум, 2020. 399 с. [Vognepal`ni poranennya m'yaky`x tkany`n (Dosvid anty`terory`sty`chnoyi operaciyi operaciyi ob'yednany`x sy`l) [Soft tissue gunshot wounds (Experience of anti-terrorist operation / joint force operation)]. Ed. V.I.Tsimbalyuk]. Kharkiv, Kolegium, 2020. 399 p. (In Ukr.)].
8. Косульников С.О., Карпенко С.И., Тарнопольский С.А., Кравченко К.В. Ошибки диагностики и лечения раненных с огнестрельными поражениями конечностей. Клініч. хірургія. 2014;11(3): 51-52 [Kosul'nikov S.О., Karpenko S.I., Tarnopol'skij S.A., Kravchenko K.V. Oshibki diagnostiki i lecheniya ranenyh s ognestrel'nymi porazheniyami konechnostej [Errors in diagnosis and treatment of wounded with gunshot lesions of the extremities]. Klіnіch. hіrurgіya. 2014;11(3): 51-52 (In Russ.)].
9. Бур’янов О.А., Лакша А.М., Лакша А.А. и др.. Первинна хірургічна допомога постраждалим з вогнепальними пораненнями кінцівок. Therapia. Укр. мед. вісник. 2014;10: 42-44 [Bur'yanov O.A., Laksha A.M., Laksha A.A. et al. Pervy`nna xirurgichna dopomoga postrazhdaly`m z vognepal`ny`my` poranennyamy` kincivok [Primary surgical care for victims with gunshot wounds to the extremities]. Therapia. Ukr. med. visny`k. 2014;10: 42-44 (In Ukr.)].
10. Sliesarenko S.V., Badiul P.O., Sliesarenko K.S. Extensive Mine-Shrapnel and Gunshot Wound Closure Using Keystone Island Perforator Flaps. Plastic and Reconstructive Surgery – Global Open. 2016; 4(e5):e723.
11. Gillies H. The tubed pedicle in plastic surgery. NY Med J. 1920;111:1-4.
12. Gillies H. Plastic Surgery of the Face: Based on Selected Cases of War Injuries of the Face Including Burns. London: Henry Frowde Oxford University Press; 1920.
13. Lee L., Jamie P., Fu-Chan W. Reconstructive Surgery of the Lower Exremity. St Louis, Missouri: QMP, 2013:1368.
14. Badiul P.O., Sliesarenko S.V., Sliesarenko R.S. The local perforator flaps for plastic closure of extensive military wounds. Chirurgia Plastyczna i Oparzenia.2015; 3(2):59-60.
15. Thomas S., Ji S., Joseph C. et al. Microsurgery Education in Residency Training: Validating an Online Curriculum. Annals of Plastic Surgery. 2012 ; 68(4): 410-414.
16. Бадюл П.А., Слесаренко С.В. Применение тонкого перфорантного лоскута на поверхностной артерии, огибающей подвздошную кость (SCIP), в реконструктивной хирургии. Вопросы реконструктивной и пластической хирургии. 2020; 2(73):13-21 [Badyul P.A., Slesarenko S.V. Primenenie tonkogo perforantnogo loskuta na poverhnostnoj arterii, ogibayushchej podvzdoshnuyu kost' (SCIP), v rekonstruktivnoj hirurgii [The use of a thin perforating flap on the superficial circumflex artery (SCIP) in reconstructive surgery]. Voprosy rekonstruktivnoj i plasticheskoj hirurgii – Issues of Reconstructive and Plastic Surgery. 2020; 2(73):13-21.
17. Hong J.P., Koshima I. Using perforators as recipient vessels (supermicrosurgery) for free flap reconstruction of the knee region. Ann Plast Surg. 2010;64:291-293.
18. Hong J.P., Sun S.H., Ben-Nakhi M. Modified Superficial Circumflex Iliac Artery Perforator Flap and Supermicrosurgery Technique for Lower Extremity Reconstruction. Ann Plast Surg. 2013;71:380-383.
Review
For citations:
Sliesarenko S.V., Badiul P.A., Galich S.P., Furmanov A.Yu., Dabizha A.Yu., Nor N.N. Current aspects of training Ukrainian doctors for reconstructive microsurgery. Issues of Reconstructive and Plastic Surgery. 2021;24(1):29-38. https://doi.org/10.52581/1814-1471/76/3