Assessment of the microsurgical skills: 30 minutes versus 2 weeks patency

• Published in: Microsurgery 2007, Vol.27 (5), p.451-454
• Main Authors: Ilie, Vlad, Ilie, Victor, Ghetu, Nicolae, Popescu, Sidonia, Grosu, Oana, Pieptu, Dragos
• Format: Article
• Language: English
• Subjects: Animals; Clinical Competence; Dissection - education; Humans; Microsurgery - education; Models, Animal; Rats; Rats, Wistar; Suture Techniques - education; Time Factors; Vascular Patency
• ISSN: 0738-1085; 1098-2752
• DOI: 10.1002/micr.20379

The aim of this study is to evaluate the amount of training needed by a trainee, with no background in microsurgery, in order to achieve proper skills for microvascular anastomosis. A protocol based on the rat femoral artery was established to provide a quantitative representation. Five inexperienced subjects started performing microvascular anastomosis. Patency was assessed at 30 min. The final assessment was performed at 2 weeks when rats were reoperated and the patency below the anastomosis was checked. The experiment was discontinued for one subject when he/she succeeded to have two series of four anastomosis with 100% patency at 2 weeks. The results were: 47.5% patency rate at 30 min and 7.5% at 2 weeks (series 1–2); 67.5 and 32.5% (3–4); 82.5 and 35% (5–6); 100 and 70% (7–8); 100 and 87.5% (9–10). Two trainees obtained 100% patency at 2 weeks after series 9–10. Other three needed two more series. There is a significant statistic difference (P < 0.01) between the results at 30 min and 2 weeks for the series (1–2, 3–4, 5–6, 7–8). The patency rate at 2 weeks reflects in a better way the microsurgical skills of a trainee. For long term functioning anastomosis, the training period needs an extension beyond that necessary for 100% patency at 30 min. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.