Microsurgical training through laboratory experience: A step-by-step practical guideline

Background: Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, and symptomatic ischem...

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Main Authors: Ricardo Marian-Magaña, Marcos V Sangrador-Deitos, Gerardo Y Guinto-Nishimura, Daniel Ballesteros-Herrera, Gerardo Cano-Velazquez, Obet J Canela-Calderón, Jorge Ríos-Zermeño, Jorge F Aragon-Arreola, Juan L Gómez-Amador
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751921003121
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author Ricardo Marian-Magaña
Marcos V Sangrador-Deitos
Gerardo Y Guinto-Nishimura
Daniel Ballesteros-Herrera
Gerardo Cano-Velazquez
Obet J Canela-Calderón
Jorge Ríos-Zermeño
Jorge F Aragon-Arreola
Juan L Gómez-Amador
author_facet Ricardo Marian-Magaña
Marcos V Sangrador-Deitos
Gerardo Y Guinto-Nishimura
Daniel Ballesteros-Herrera
Gerardo Cano-Velazquez
Obet J Canela-Calderón
Jorge Ríos-Zermeño
Jorge F Aragon-Arreola
Juan L Gómez-Amador
author_sort Ricardo Marian-Magaña
collection DOAJ
description Background: Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, and symptomatic ischemic cerebrovascular diseases. Methods: We show the techniques, materials, and experience performed in a microsurgical laboratory of a neurosurgical referral center in Mexico City. Results: We describe the materials, non-specimen suture practices, specimen manipulation, and finally all the individual procedures we are capable to perform on live specimens. Conclusions: The microsurgical laboratory is an indispensable tool for the acquisition of the so needed microsurgical skills in neurosurgery, having a very special emphasis in vascular neurosurgery.
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spelling doaj.art-18a8e7907a8844babc88ee0f55f6ac512022-12-21T22:41:42ZengElsevierInterdisciplinary Neurosurgery2214-75192022-03-0127101400Microsurgical training through laboratory experience: A step-by-step practical guidelineRicardo Marian-Magaña0Marcos V Sangrador-Deitos1Gerardo Y Guinto-Nishimura2Daniel Ballesteros-Herrera3Gerardo Cano-Velazquez4Obet J Canela-Calderón5Jorge Ríos-Zermeño6Jorge F Aragon-Arreola7Juan L Gómez-Amador8Department of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, MexicoDepartment of Neurosurgery. National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, Mexico; Director of the Skull Base Program and Surgical Laboratory, National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, Mexico; Corresponding author at: Director of the Skull Base Program and Surgical Laboratory, National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Insurgentes Sur 3877, La Fama, Tlalpan, P.C. 14269, Mexico City, Mexico.Background: Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, and symptomatic ischemic cerebrovascular diseases. Methods: We show the techniques, materials, and experience performed in a microsurgical laboratory of a neurosurgical referral center in Mexico City. Results: We describe the materials, non-specimen suture practices, specimen manipulation, and finally all the individual procedures we are capable to perform on live specimens. Conclusions: The microsurgical laboratory is an indispensable tool for the acquisition of the so needed microsurgical skills in neurosurgery, having a very special emphasis in vascular neurosurgery.http://www.sciencedirect.com/science/article/pii/S2214751921003121Surgical laboratoryMicrosurgeryTraining
spellingShingle Ricardo Marian-Magaña
Marcos V Sangrador-Deitos
Gerardo Y Guinto-Nishimura
Daniel Ballesteros-Herrera
Gerardo Cano-Velazquez
Obet J Canela-Calderón
Jorge Ríos-Zermeño
Jorge F Aragon-Arreola
Juan L Gómez-Amador
Microsurgical training through laboratory experience: A step-by-step practical guideline
Interdisciplinary Neurosurgery
Surgical laboratory
Microsurgery
Training
title Microsurgical training through laboratory experience: A step-by-step practical guideline
title_full Microsurgical training through laboratory experience: A step-by-step practical guideline
title_fullStr Microsurgical training through laboratory experience: A step-by-step practical guideline
title_full_unstemmed Microsurgical training through laboratory experience: A step-by-step practical guideline
title_short Microsurgical training through laboratory experience: A step-by-step practical guideline
title_sort microsurgical training through laboratory experience a step by step practical guideline
topic Surgical laboratory
Microsurgery
Training
url http://www.sciencedirect.com/science/article/pii/S2214751921003121
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