microsurgery training-a home do-it-yourself model
TRANSCRIPT
LETTER TO THE EDITOR
MICROSURGERY 00:00–00 2014
MICROSURGERY TRAINING––A HOME DO-IT-YOURSELF MODEL
Dear Sir,
With the pressure of time, money, and competition
in today’s surgical training, having adequate practice to
better our skills is becoming an increasing struggle.1
Attending courses at most, provides a nonlasting famili-
arity of the various surgical techniques. Additionally,
with greater scrutiny of the ethical usage of live animals
in teaching microsurgery, simulated models have a role
to play in today’s microsurgical training.
A variety of live animal alternatives ranging from
synthetic materials to chicken leg or thigh have been
used.2,3 The main constraints to microsurgical excellence
are time at the microscope and access to the equipment.
Therefore, we have come up with a Do-It-Yourself
Model for Microsurgery Training at home that is cheap,
easily reproducible, and above all, realistic.
The equipment we used included: a table top micro-
scope with a X5–40 magnification (internal or external
lighting); a basic microsurgery kits which consists of nee-
dle holders, scalpels, scissors, and forceps. These can be
easily procured from Ebay medical training suppliers for
less than £200. For our purposes, we found a “Jeff and
Jenny” generic table top microscope made in China which
adequately served our purpose. This cost £149 from this
particular supplier.4 We would like to state that the suc-
cess of this table top microscope model is that it has an
adequate working distance and an option of internal/exter-
nal lighting to simulate intraoperative conditions. Our 10/0
microsurgical suture material can again be easily bought
from online stores based in China for practise.5 Many var-
ious sizes are available and come cheap and strong
enough for home use. The model we used for simulation
was chicken wings from Tesco’s value range which cost
under £5. The vessels and nerves on these chicken wings
range from 1 to 3 mm which are perfect for our purpose.
With the aforementioned equipment and specimen,
we were able to experiment with various microsurgery
scenarios. The key to microsurgery mastery is regular
practice, which this a Do-It-Yourself model permits in
the comfort of one’s home, which is significantly cheaper
than alternatives. The simplicity of approach and ease of
access of materials encourages one to train. We believe
that this method of training will not be a substitute for
formal microsurgical courses or technical tips from expe-
rienced instructors but instead provide a complementary
model for trainees who wish to hone or practise their
microsurgical skills learnt either on the job or from
courses. Without formal microsurgical training or teach-
ing, the learning curve with this Do-It-Yourself will be
much longer than a trainee who has had proper guidance.
We as trainees have undergone formal microsurgical
training but do feel that with this set up easily assembled
at home, our increase in technical ability has allowed us
to feel more comfortable working on microsurgical cases
in the clinical setting.
CHARLES YUEN YUNG LOH, M.B.B.S., M.Sc., M.R.C.S.
Plastic Surgery Department
Aberdeen Royal Infirmary
Aberdeen, UK
VINCENT TZE YANG TIONG, M.B.B.S.
Orthopaedic Surgery Department
Aberdeen Royal Infirmary
Aberdeen, UK
ALEX YUEN HUA LOH
University of Edinburgh, UK
THANASSI ATHANASSOPOULOS, M.B.B.S., D.M.,
F.R.C.S. (PLAST)
Plastic Surgery Department
Ninewells Hospital, Dundee, UKPublished online 00 Month 2014 in Wiley Online Library(wileyonlinelibrary.com). DOI: 10.1002/micr.22242
� 2014 Wiley Periodicals, Inc.
REFERENCES
1. Dean B, Pereira E. Surgeons and Training Time [Internet]. London:BMJ Careers; 2011. Oct 26, [cited 2013 Jun 18].
2. Ramachandran S, Chui CH-K, Tan B-K. The chicken aorta as asimulation-training model for microvascular surgery training. ArchPlast Surg 2013; 40:327–329.
3. Sch€offl H, Froschauer SM, Dunst KM, Hager D, Kwasny O, HuemerGM. Strategies for the reduction of live animal use in microsurgicaltraining and education. Altern Lab Anim 2008;36:153–160.
4. Available at: http://www.ebay.co.uk/usr/joy8899. Accessed on Febru-ary 14, 2014.
5. Available at: www.alibaba.com. Accessed on February 14, 2014.
2 Letter to the Editor
Microsurgery DOI 10.1002/micr