Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model

Background Nonliving chickens are commonly used as a microvascular anastomosis training model. However, previous studies have investigated only a few types of vessel, and no study has compared the characteristics of the various vessels. The present study evaluated the anatomic characteristics of va...

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Main Authors: Bo Young Kang, Byung-Joon Jeon, Kyeong-Tae Lee, Goo-Hyun Mun
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2017-01-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.1.12
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author Bo Young Kang
Byung-Joon Jeon
Kyeong-Tae Lee
Goo-Hyun Mun
author_facet Bo Young Kang
Byung-Joon Jeon
Kyeong-Tae Lee
Goo-Hyun Mun
author_sort Bo Young Kang
collection DOAJ
description Background Nonliving chickens are commonly used as a microvascular anastomosis training model. However, previous studies have investigated only a few types of vessel, and no study has compared the characteristics of the various vessels. The present study evaluated the anatomic characteristics of various chicken vessels as a training model. Methods Eight vessels—the brachial artery, basilic vein, radial artery, ulnar artery, ischiatic artery and vein, cranial tibial artery, and common dorsal metatarsal artery—were evaluated in 26 fresh chickens and 30 chicken feet for external diameter (ED) and thicknesses of the tunica adventitia and media. The dissection time from skin incision to application of vessel clamps was also measured. Results The EDs of the vessels varied. The ischiatic vein had the largest ED of 2.69±0.33 mm, followed by the basilic vein (1.88±0.36 mm), ischiatic artery (1.68±0.24 mm), common dorsal metatarsal artery (1.23±0.23 mm), cranial tibial artery (1.18±0.19 mm), brachial artery (1.08±0.15 mm), ulnar artery (0.82±0.13 mm), and radial artery (0.56±0.12 mm), and the order of size was consistent across all subjects. Thicknesses of the tunica adventitia and media were also diverse, ranging from 74.09±19.91 µm to 158.66±40.25 µm (adventitia) and from 31.2±7.13 µm to 154.15±46.48 µm (media), respectively. Mean dissection time was <3 minutes for all vessels. Conclusions Our results suggest that nonliving chickens can provide various vessels with different anatomic characteristics, which can allow trainees the choice of an appropriate microvascular anastomosis training model depending on their purpose and skillfulness.
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spelling doaj.art-a83ff80189f04d88be8ac5e7eedf46812022-12-22T04:22:32ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712017-01-014401121810.5999/aps.2017.44.1.12772Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training ModelBo Young Kang0Byung-Joon Jeon1Kyeong-Tae Lee2Goo-Hyun Mun3Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaBackground Nonliving chickens are commonly used as a microvascular anastomosis training model. However, previous studies have investigated only a few types of vessel, and no study has compared the characteristics of the various vessels. The present study evaluated the anatomic characteristics of various chicken vessels as a training model. Methods Eight vessels—the brachial artery, basilic vein, radial artery, ulnar artery, ischiatic artery and vein, cranial tibial artery, and common dorsal metatarsal artery—were evaluated in 26 fresh chickens and 30 chicken feet for external diameter (ED) and thicknesses of the tunica adventitia and media. The dissection time from skin incision to application of vessel clamps was also measured. Results The EDs of the vessels varied. The ischiatic vein had the largest ED of 2.69±0.33 mm, followed by the basilic vein (1.88±0.36 mm), ischiatic artery (1.68±0.24 mm), common dorsal metatarsal artery (1.23±0.23 mm), cranial tibial artery (1.18±0.19 mm), brachial artery (1.08±0.15 mm), ulnar artery (0.82±0.13 mm), and radial artery (0.56±0.12 mm), and the order of size was consistent across all subjects. Thicknesses of the tunica adventitia and media were also diverse, ranging from 74.09±19.91 µm to 158.66±40.25 µm (adventitia) and from 31.2±7.13 µm to 154.15±46.48 µm (media), respectively. Mean dissection time was <3 minutes for all vessels. Conclusions Our results suggest that nonliving chickens can provide various vessels with different anatomic characteristics, which can allow trainees the choice of an appropriate microvascular anastomosis training model depending on their purpose and skillfulness.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.1.12chickensmodels, educationalanastomosis, surgical
spellingShingle Bo Young Kang
Byung-Joon Jeon
Kyeong-Tae Lee
Goo-Hyun Mun
Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
Archives of Plastic Surgery
chickens
models, educational
anastomosis, surgical
title Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
title_full Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
title_fullStr Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
title_full_unstemmed Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
title_short Comprehensive Analysis of Chicken Vessels as Microvascular Anastomosis Training Model
title_sort comprehensive analysis of chicken vessels as microvascular anastomosis training model
topic chickens
models, educational
anastomosis, surgical
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.1.12
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AT goohyunmun comprehensiveanalysisofchickenvesselsasmicrovascularanastomosistrainingmodel