scholarly journals Considerations about the experience in experimental microsurgery in Catania University

2021 ◽  
Vol 24 (1) ◽  
pp. 73-76
Author(s):  
A. Di Cataldo ◽  
G. La Greca ◽  
F. S. Latteri ◽  
S. Puleo
Keyword(s):  
General Surgery ◽  
Surgical Instruments ◽  
Portocaval Shunt ◽  
Research Activity ◽  
Suture Materials ◽  
Femoral Arteries ◽  
Microsurgical Techniques ◽  
Experimental Microsurgery ◽  
Surgical Operations

In the 1980s and 1990s Microsurgery has had a great diffusion in Italy. Our group, who worked in University of Catania, Sicily, got in touch with Sun Lee, the father of Experimental Microsurgery, and applied actively the microsurgical techniques both in the experimental and clinical field.Several Courses have been organized in Catania to involve young doctors who have been charmed by this new surgical branch.It is our opinion that in the present time Microsurgery could play an important role in the training of the general surgery residents. An experimental microsurgical training, together with simulators, could guarantee a more complete training of the residents, helping them to be familiar with surgical instruments and suture materials, improving their skill in performing microvascular anastomoses (carotid and femoral arteries) and more complex surgical operations (portocaval shunt) and leading them to a valid research activity.

Surgery: theatre notes

2018 ◽  
pp. 1059-1072
Keyword(s):  
Hand Hygiene ◽  
Surgical Instruments ◽  
Ophthalmic Surgery ◽  
Suture Materials ◽  
Key Concepts

‘Ophthalmic surgery: theatre notes’ introduces a number of key concepts to prepare the trainee for ophthalmic theatre. These areas include suture materials and needle types, common surgical instruments (with illustrations), and important supportive issues such as sterilization services and hand hygiene.

Surgical instruments, materials, and the acquisition of surgical skills

2011 ◽  
Author(s):  
G. O'Dair ◽  
G. R. McLatchie ◽  
David J. Leaper
Keyword(s):  
Surgical Skills ◽  
Surgical Instruments ◽  
Suture Materials ◽  
Endoscopic Equipment ◽  
Laparoscopic Equipment ◽  
Artery Forceps

Introduction 92Scalpel handles 94Needle holders 94Scissors—suture and dissecting 96Tissue dissecting forceps 98Tissue holding forceps 98Artery forceps 100Hand-held retractors 101Self-retaining retractors 103Bowel clamps 107Vascular instruments 109Suckers 111Endoscopic equipment 112Laparoscopic equipment 116Suture materials ...

Face, Content, and Construct Validity of Brain Tumor Microsurgery Simulation Using a Human Placenta Model

2015 ◽  
Vol 12 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Marcelo Magaldi Oliveira ◽  
Audrey Beatriz Araujo ◽  
Arthur Nicolato ◽  
Andre Prosdocimi ◽  
Joao Victor Godinho ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Brain Tumors ◽  
Construct Validity ◽  
Content Validity ◽  
Ex Vivo ◽  
Subjective Evaluation ◽  
Surgical Instruments ◽  
Surgical Performance ◽  
Human Brain Tumor ◽  
Microsurgical Techniques

Abstract BACKGROUND Brain tumors are complex 3-dimensional lesions. Their resection involves training and the use of the multiple microsurgical techniques available for removal. Simulation models, with haptic and visual realism, may be useful for improving the bimanual technical skills of neurosurgical residents and neurosurgeons, potentially decreasing surgical errors and thus improving patient outcomes. OBJECTIVE To describe and assess an ex vivo placental model for brain tumor microsurgery using a simulation tool in neurosurgical psychomotor teaching and assessment. METHODS Sixteen human placentas were used in this research project. Intravascular blood remnants were removed by continuous saline solution irrigation of the 2 placental arteries and placental vein. Brain tumors were simulated using silicone injections in the placental stroma. Eight neurosurgeons and 8 neurosurgical residents carried out the resection of simulated tumors using the same surgical instruments and bimanual microsurgical techniques used to perform human brain tumor operations. Face and content validity was assessed using a subjective evaluation based on a 5-point Likert scale. Construct validity was assessed by analyzing the surgical performance of the neurosurgeon and resident groups. RESULTS The placenta model simulated brain tumor surgical procedures with high fidelity. Results showed face and content validity. Construct validity was demonstrated by statistically different surgical performances among the evaluated groups. CONCLUSION Human placentas are useful haptic models to simulate brain tumor microsurgical removal. Results using this model demonstrate face, content, and construct validity.

Suture Materials in General Surgery A Comment

2015 ◽  
pp. 38-44 ◽  
Author(s):  
U. Brunius ◽  
B. Zederfeldt
Keyword(s):  
General Surgery ◽  
Suture Materials

Ophthalmic surgery: theatre notes

2014 ◽  
pp. 943-956
Author(s):  
Alastair K.O. Denniston ◽  
Philip I. Murray
Keyword(s):  
Hand Hygiene ◽  
Surgical Instruments ◽  
Ophthalmic Surgery ◽  
Suture Materials ◽  
Key Concepts

‘Ophthalmic surgery: theatre notes’ introduces a number of key concepts to prepare the trainee for an ophthalmic theatre. These areas include suture materials and needle types, common surgical instruments (with illustrations) and important supportive issues such as sterilisation services and hand hygiene.

scholarly journals Short and medium-term outcomes for general surgery in nonagenarian patients in a district general hospital

2016 ◽  
Vol 98 (6) ◽  
pp. 401-404 ◽  
Author(s):  
AJ Hayes ◽  
A Davda ◽  
M El-Hadi ◽  
P Murphy ◽  
T Papettas
Keyword(s):  
General Hospital ◽  
General Surgery ◽  
Clinical Care ◽  
Postoperative Mortality ◽  
District General Hospital ◽  
Mortality And Morbidity ◽  
Operative Severity Score ◽  
One Year ◽  
Logistical Regression Analysis ◽  
Surgical Operations

IntroductionSurgeons are increasingly performing surgery on older patients. There are currently no tools specifically for risk prediction in this group. The aim of this study was to review general surgical operations carried out on patients aged over 90 years and their outcome, before comparing these with predictors of morbidity and mortality.MethodsA retrospective review was carried out at our district general hospital of all general surgery patients aged over 90 years who underwent a general surgical operation over a period of 14 years. Information collected included demographics, details of procedures, P-POSSUM (Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity), complications and outcomes.ResultsA total of 119 procedures were carried out, 72 involving entry into the peritoneal cavity. Overall, 14 patients (12%) died within 30 days and 34 (29%) died within one year. Postoperative complications included infection (56%), renal failure (24%), need for transfusion (17%) and readmission within 30 days (11%). Logistical regression analysis showed that the P-POSSUM correlated well with observed mortality and infection was a significant predictor of in-hospital mortality (p=0.003).ConclusionsThe P-POSSUM correlates significantly with outcome and should be used when planning major elective or emergency surgery in patients over 90 years of age. Infective complications appear to be a significant predictor of postoperative mortality. This study supports operative intervention as an option in this extreme age group but we emphasise the importance of appropriate patient selection and judicious clinical care.

Manual for those studying surgery in the anatomical theater (edited by professor M.V. Danilenko, Corresponding author of the USSR Academy of Medical Sciences). M., Medicine, 1979

1982 ◽  
Vol 63 (1) ◽  
pp. 68-69
Author(s):  
N. L. Bidloo
Keyword(s):  
Ussr Academy ◽  
Associate Professor ◽  
Surgical Instruments ◽  
Medical Sciences ◽  
Military Medical Academy ◽  
Peter The Great ◽  
Medical Academy ◽  
Anatomical Theater ◽  
The Military ◽  
Surgical Operations

The publication is a translation of a Latin manuscript by N.L. Bidloo of 1710, the only copy of which is kept in the fundamental library of the Military Medical Academy. S. M. Kirov in Leningrad. The translation of the manuscript was done by Cand. philol. Sciences A. A. Sodomora and Dr. med. Sciences M.I.Dubovoy. The book is well illustrated. Images of surgical instruments belonging to Peter the Great were taken from the collection of the State Hermitage. Among the illustrations are stylized drawings of surgical operations, recreated on the basis of the text of the manuscript by Lviv artists - candidate med. Sciences AI Mendelai and associate professor GM Skubchenko. The book is superbly designed by the artist B.K.Krivitsky. In general, the publication is an example of the printing art.

Redefining the Surgical Council of Resident Education (SCORE) Curriculum: A Comparison with the Operative Experiences of Graduated General Surgical Residents

2018 ◽  
Vol 84 (4) ◽  
pp. 526-530
Author(s):  
David S. Strosberg ◽  
Kristen M. Quinn ◽  
Sherif R. Abdel-Misih ◽  
Alan E. Harzman
Keyword(s):  
General Surgery ◽  
Retrospective Review ◽  
Resident Education ◽  
Single Center ◽  
Surgical Residents ◽  
Surgical Operations

Our objective was to investigate the number and classify surgical operations performed by general surgery residents and compare these with the updated Surgical Council on Resident Education (SCORE) curriculum. We performed a retrospective review of logged surgical cases from general surgical residents who completed training at a single center from 2011 to 2015. The logged cases were correlated with the operations extracted from the SCORE curriculum. Hundred and fifty-one procedures were examined; there were 98 “core” and 53 “advanced” cases as determined by the SCORE. Twenty-eight residents graduated with an average of 1017 major cases. Each resident completed 66 (67%) core cases and 17 (32%) advanced cases an average of one or more times with 39 (40%) core cases and 6 (11%) advanced cases completed five or more times. Core procedures that are infrequently or not performed by residents should be identified in each program to focus on resident education.

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