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From surgical problem to surgical solution - lessons and reflections.

J Hand Surg Eur Vol

March 2025

Department of Surgery, Federal University of Santa Catarina, Florianópolis, SC, Brazil.

In this insightful and personal biographical article, Professor Bertelli recounts his journey from surgical problem to surgical solution with incredible detail. This was an invited article as part of the 2025 Special Issue on 'Technology and Innovation'. He shares some of this thought process behind novel nerve transfer or examination techniques, built on solid anatomical foundations and careful patient observations.

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Introduction: Anatomical education serves as the cornerstone of medical and dental training, and cadaveric dissection is traditionally regarded as the gold standard for teaching human anatomy. This study explored the attitudes and perceptions of first-year Bachelor of Medicine and Bachelor of Surgery (MBBS) and Bachelor of Dental Surgery (BDS) students toward cadaveric dissection and its impact on their academic performance and professional development.

Materials And Methods: A cross-sectional survey was conducted in the Department of Anatomy.

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Objectives: Over recent years, the practice of surgery has seen a dramatic shift to minimally invasive approaches and techniques, with decreased surgical trainee exposure to open procedures, and less experience and confidence of junior surgeons. In vascular surgery specifically, endovascular procedures now dominate surgical management. Simulation labs attempt to address this deficit but fail to accurately replicate anatomical dissections and exposures.

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Background And Objectives: The lateral transorbital approach (LTOA) has gained increased recognition, but there is still a paucity of data on its effectiveness and advantages compared with the LTOA with lateral orbitotomy, herein denoted as the lateral orbital wall approach (LOWA). The aim of this study was to provide an anatomical reappraisal and the authors' clinical experience to compare the 2 approaches to the orbit and middle cranial fossa (MCF).

Methods: Eight latex-injected cadaveric specimens were used to perform LTOA and LOWA.

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Anatomy is vital for integrating basic science with clinical practice, particularly for surgeons specializing in hand, orthopedic, and plastic surgery. Traditional teaching methods often lack the hands-on experience needed for a thorough understanding. To address this issue, the Italian Society of Hand Surgery (SICM) designed a course focused on cadaveric dissection aimed at enhancing anatomical knowledge and surgical skills.

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