Doing More with LessA Portable Training Model for Deep Bypass Surgery
Introduction
Deep bypass surgery, an alternative treatment for complex aneurysms and skull base tumors, remains a challenging operative procedure.1, 2 Because of the relatively few number of cases, it is not easy for young neurosurgeons to acquire sufficient practical experience. Although there have been several studies on various training programs for deep bypass surgery,3, 4 novice trainees still face difficulties in training because of the high cost of advanced instruments and the awkward hand posture required due to the deep and narrow surgical field. The aim of this paper was to introduce a basic training model to teach the hand posture suitable for deep bypass surgery using affordable and simple devices.
Section snippets
Portable Training System
The current training model was invented to improve deep bypass skills without the need for a microscope. The surgical environment consisted of two 15.5-cm straight serrated forceps with a 1-mm tip width (Medicon, Tuttlingen, Germany), 9-cm curved iris scissors (Medicon), 4-0 black silk suture, gauze, and a 15 × 10.5 × 3.5-cm-sized box with a transparent cover (Figure 1A and B) The box is a lunchbox that can be obtained easily from a retail store and costs approximately 3 USD per unit. A box
Discussion
Technical skills training in neurosurgery mostly are achieved in the operating room. However, because cases that require deep bypass are quite rare, it is challenging for less experienced neurosurgeons to learn the unique technique.5 Few publications have addressed a training model especially for deep bypass surgery.
A variety of materials, such as rat, chicken wings, artificial vessels, and placenta, have been used for microvascular training.3, 4, 6, 7 Some studies introduced training models to
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Prototype of Low-Cost Microvascular Clips for Laboratory Use
2024, World NeurosurgerySeven bypasses simulation set: description and validity assessment of novel models for microneurosurgical training
2023, Journal of NeurosurgerySuperiority of living animal models in microsurgical training: beyond technical expertise
2021, European Journal of Plastic SurgeryThe impact of neurosurgical procedure on cognitive resources: Results of bypass training
2018, Surgical Neurology International
Conflict of interest statement: The authors declare that the article content was composed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.