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Plast Surg (Oakv)

August 2015

Department of Plastic and Hand Surgery, Inselspital, University of Bern, Switzerland;

Background: Since the pioneering work of Jacobson and Suarez, microsurgery has steadily progressed and is now used in all surgical specialities, particularly in plastic surgery. Before performing clinical procedures it is necessary to learn the basic techniques in the laboratory.

Objective: To assess an animal model, thereby circumventing the following issues: ethical rules, cost, anesthesia and training time.

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Is there good simulation basic training for end-to-side vascular microanastomoses?

Aesthetic Plast Surg

April 2013

Department of Plastic and Hand Surgery, Inselspital Bern, University of Bern, Freiburgstrasse, Bern, Switzerland.

Background: Microvascular anastomosis is the cornerstone of free tissue transfers. Irrespective of the microsurgical technique that one seeks to integrate or improve, the time commitment in the laboratory is significant. After extensive previous training on several animal models, we sought to identify an animal model that circumvents the following issues: ethical rules, cost, time-consuming and expensive anesthesia, and surgical preparation of tissues required to access vessels before performing the microsurgical training, not to mention that laboratories are closed on weekends.

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Background: Experiments using animal models are the most common way to learn microsurgery. This expertise is necessary for liver research, microsurgical reconstruction of the esophagus by free jejunum or reconstruction of the hepatic artery during reimplantation from living donors. The goal of this prospective study is to assess the reliability of an invertebrate model for microsurgical training.

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Telemicrosurgery (TMS) is a new technique inspired by telesurgery and conventional microsurgery (CMS). One of the difficulties of CMS is learning to control physiological tremor. TMS eliminates the physiological tremor, thus theoretically simplifying microsurgical procedures, but no tactile feedback is provided while tying knots.

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