Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field

Summary:. Accessibility of microsurgical equipment is a major barrier to proper training of surgeons before live patient free flap surgery. A technique is presented that uses a smartphone camera as the microscopic field, eliminating the need for an expensive operative microscope for surgical practic...

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Main Authors: Elise A. Johnson, BS, R. Michael Johnson, MD, MPH, FACS
Format: Article
Language:English
Published: Wolters Kluwer 2024-03-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005651
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author Elise A. Johnson, BS
R. Michael Johnson, MD, MPH, FACS
author_facet Elise A. Johnson, BS
R. Michael Johnson, MD, MPH, FACS
author_sort Elise A. Johnson, BS
collection DOAJ
description Summary:. Accessibility of microsurgical equipment is a major barrier to proper training of surgeons before live patient free flap surgery. A technique is presented that uses a smartphone camera as the microscopic field, eliminating the need for an expensive operative microscope for surgical practice. A convenient and cost-effective simulation protocol could reduce the time frame of the microsurgery learning curve. Furthermore, the use of the smartphone video function may allow improved feedback by mentors, improving access and communication between microsurgical teachers and learners. The PocketSuture smartphone stand is a commercially available device that allows the smartphone camera to be used as magnification. The proposed education protocol included suture practice, vessel dissection, and free tissue transfer in nonliving animal models, with vessel anastomosis and patency confirmation performed with a smartphone camera for field magnification. Video of the suturing technique allowed feedback from the mentor. A progressive suturing protocol leading to the ability to perform microsurgical anastomosis on nonliving animal models was developed. The basic costs for the stand, instrument set and suture were less than $500. The PocketSuture smartphone stand can be used for microsurgical training with real-time video for plastic surgery learners with limited access to microscopes and local mentors.
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spelling doaj.art-91ac1066a7234483a6862241771aff472024-03-27T03:41:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-03-01123e565110.1097/GOX.0000000000005651202403000-00002Microsurgical Practice with Use of Smartphone Camera as the Microscopic FieldElise A. Johnson, BS0R. Michael Johnson, MD, MPH, FACS1From the * Ross University School of Medicine, Bridgetown, Barbados† Division of Plastic & Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio.Summary:. Accessibility of microsurgical equipment is a major barrier to proper training of surgeons before live patient free flap surgery. A technique is presented that uses a smartphone camera as the microscopic field, eliminating the need for an expensive operative microscope for surgical practice. A convenient and cost-effective simulation protocol could reduce the time frame of the microsurgery learning curve. Furthermore, the use of the smartphone video function may allow improved feedback by mentors, improving access and communication between microsurgical teachers and learners. The PocketSuture smartphone stand is a commercially available device that allows the smartphone camera to be used as magnification. The proposed education protocol included suture practice, vessel dissection, and free tissue transfer in nonliving animal models, with vessel anastomosis and patency confirmation performed with a smartphone camera for field magnification. Video of the suturing technique allowed feedback from the mentor. A progressive suturing protocol leading to the ability to perform microsurgical anastomosis on nonliving animal models was developed. The basic costs for the stand, instrument set and suture were less than $500. The PocketSuture smartphone stand can be used for microsurgical training with real-time video for plastic surgery learners with limited access to microscopes and local mentors.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005651
spellingShingle Elise A. Johnson, BS
R. Michael Johnson, MD, MPH, FACS
Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
Plastic and Reconstructive Surgery, Global Open
title Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
title_full Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
title_fullStr Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
title_full_unstemmed Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
title_short Microsurgical Practice with Use of Smartphone Camera as the Microscopic Field
title_sort microsurgical practice with use of smartphone camera as the microscopic field
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005651
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