A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model
Background Although they may not replace standard training methods that use surgical microscopes, smartphones equipped with high-resolution screens and high-definition cameras are an attractive alternative for practicing microsurgical skills. They are ubiquitous, simple to operate, and inexpensive....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.01340 |
| _version_ | 1828279022635712512 |
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| author | Surut Jianmongkol Chaiyos Vinitpairot Navapong Thitiworakarn Settapon Wattanakamolchai |
| author_facet | Surut Jianmongkol Chaiyos Vinitpairot Navapong Thitiworakarn Settapon Wattanakamolchai |
| author_sort | Surut Jianmongkol |
| collection | DOAJ |
| description | Background Although they may not replace standard training methods that use surgical microscopes, smartphones equipped with high-resolution screens and high-definition cameras are an attractive alternative for practicing microsurgical skills. They are ubiquitous, simple to operate, and inexpensive. This study compared anastomoses of chicken femoral vessels using a smartphone camera versus a standard operative microscope.
Methods Forty anastomoses of non-living chicken femoral vessels were divided into four groups. A resident and an experienced microsurgeon performed anastomoses of femoral chicken vessels with 8-0 and 10-0 sutures, using a smartphone camera and a surgical microscope. The time to complete the anastomosis and the number of anastomosis errors were compared using the Mann-Whitney U test.
Results The time taken to perform an anastomosis by the experienced microsurgeon was significantly longer when using the smartphone (median: 32.5 minutes vs. 20 minutes, P<0.001). The resident completed the anastomoses with both types of equipment without a significant difference in the operative times. When using a smartphone, the operation times were not significantly different between the resident and the experienced microsurgeon (P=0.238). The resident showed non-significant differences in operation time and the number of errors when using a smartphone or an operative microscope (P=1.000 and P=0.065, respectively).
Conclusions Microsurgical practice with non-living chicken femoral vessels can be performed with a smartphone, though it can take longer than with an operative microscope for experienced microsurgeons. The resident may also experience frustration and tend to make more anastomosis errors when using a smartphone versus an operative microscope. |
| first_indexed | 2024-04-13T07:37:52Z |
| format | Article |
| id | doaj.art-5c030e9183ef4dc6baf18fb259d0bc47 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T07:37:52Z |
| publishDate | 2022-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-5c030e9183ef4dc6baf18fb259d0bc472022-12-22T02:56:00ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712022-01-01490112112610.5999/aps.2021.013403952A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living modelSurut Jianmongkol0Chaiyos Vinitpairot1Navapong Thitiworakarn2Settapon Wattanakamolchai3Hand and Reconstructive Unit, Department of Orthopedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandHand and Reconstructive Unit, Department of Orthopedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandHand and Reconstructive Unit, Department of Orthopedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandHand and Reconstructive Unit, Department of Orthopedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandBackground Although they may not replace standard training methods that use surgical microscopes, smartphones equipped with high-resolution screens and high-definition cameras are an attractive alternative for practicing microsurgical skills. They are ubiquitous, simple to operate, and inexpensive. This study compared anastomoses of chicken femoral vessels using a smartphone camera versus a standard operative microscope. Methods Forty anastomoses of non-living chicken femoral vessels were divided into four groups. A resident and an experienced microsurgeon performed anastomoses of femoral chicken vessels with 8-0 and 10-0 sutures, using a smartphone camera and a surgical microscope. The time to complete the anastomosis and the number of anastomosis errors were compared using the Mann-Whitney U test. Results The time taken to perform an anastomosis by the experienced microsurgeon was significantly longer when using the smartphone (median: 32.5 minutes vs. 20 minutes, P<0.001). The resident completed the anastomoses with both types of equipment without a significant difference in the operative times. When using a smartphone, the operation times were not significantly different between the resident and the experienced microsurgeon (P=0.238). The resident showed non-significant differences in operation time and the number of errors when using a smartphone or an operative microscope (P=1.000 and P=0.065, respectively). Conclusions Microsurgical practice with non-living chicken femoral vessels can be performed with a smartphone, though it can take longer than with an operative microscope for experienced microsurgeons. The resident may also experience frustration and tend to make more anastomosis errors when using a smartphone versus an operative microscope.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.01340smartphonemicrosurgeryblood vesselsanastomosis, surgical |
| spellingShingle | Surut Jianmongkol Chaiyos Vinitpairot Navapong Thitiworakarn Settapon Wattanakamolchai A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model Archives of Plastic Surgery smartphone microsurgery blood vessels anastomosis, surgical |
| title | A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model |
| title_full | A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model |
| title_fullStr | A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model |
| title_full_unstemmed | A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model |
| title_short | A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model |
| title_sort | comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non living model |
| topic | smartphone microsurgery blood vessels anastomosis, surgical |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.01340 |
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