TITLE

Description and evaluation of a bench porcine model for teaching surgical residents vascular anastomosis skills

AUTHOR(S)
Khalil, Philipe N.; Kleespies, Axel; Rentsch, Markus; Thasler, Wolfgang E.; Jauch, Karl-Walter; Bruns, Christiane J.
PUB. DATE
January 2010
SOURCE
BMC Research Notes;2010, Vol. 3, p189
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Numerous models, of variable quality, exist to impart the complex skills required to perform vascular anastomosis. These models differ with regard to the kinds of materials used, as well as their sizes, the time needed for their preparation, their availability, and the associated costs. The present study describes a bench model that uses formalin-fixed porcine aorta, and its evaluation by young surgical residents during a recent skills course. Findings: The aortic segments used were a by-product of slaughtering. They were fixed and stored after harvesting for eventual use. Ten young surgical residents participated, and each performed one end-to-side vascular anastomosis. The evaluation was a questionnaire maintaining anonymity of the participant containing questions addressing particular aspects of the model and the experiences of the trainee, along with their ratings concerning the need for a training course to learn vascular anastomosis techniques. The scoring on the survey was done using a global 6-point rating scale (Likert Scale). In addition, we ranked the present model by reviewing the current literature for models that address vascular anastomosis skills. The trainees who participated were within their first two years of training (1.25 ± 0.46). A strong agreement in terms of the necessity of training for vascular anastomosis techniques was evident among the participating trainees (5.90 ± 0.32), who had only few prior manual experiences (total number 1.50 ± 0.53). The query revealed a strong agreement that porcine aorta is a suitable model that fits the needs for training vascular anastomosis skills (5.70 ± 0.48). Only a few bench models designed to teach surgical residents vascular anastomosis techniques were available in the literature. Conclusions: The preparatory and financial resources needed to perform anastomosis skills training using porcine aorta are few. The presented bench model appears to be appropriate for learning vascular anastomosis skills, as rated by the surgical trainees themselves.
ACCESSION #
52861159

 

Related Articles

  • Peripheral Vascular Disease: Diagnosis and Treatment. Sontheimer, Daniel L. // American Family Physician;6/1/2006, Vol. 73 Issue 11, p1971 

    Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease leads to...

  • A Comprehensive Approach to Patients with PAD. Aung, Barbara J. // Podiatry Management;Nov/Dec2006, Vol. 25 Issue 9, p175 

    This article describes a comprehensive approach to patients with peripheral arterial disease (PAD). The disease affects over ten million people in the U.S. and only few of the sufferers are receiving treatment. The characteristics of patients with PAD is listed. The benefits of the vascular...

  • Propensity Matched Analysis of Bleeding and Vascular Complications Associated with Vascular Closure Devices vs Standard Manual Compression Following Percutaneous Coronary Intervention. IQTIDAR, ALI F.; LI, DADONG; MATHER, JEFFREY; McKAY, RAYMOND G. // Connecticut Medicine;Jan2011, Vol. 75 Issue 1, p5 

    Background: In patients undergoing percutaneous coronary intervention (PCI), controversy exists regarding the effect of vascular closure device (VCD) use on bleeding and vascular complications with limited data available for comparison of the different devices. Methods: We developed propensity...

  • endarterectomy. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p266 

    An encyclopedia entry for "endarterectomy" is presented. It refers to an operation to remove the lining of an artery affected by atherosclerosis. It usually performed to treat cerebrovascular disease and peripheral vascular disease. It may be done endoscopically or by open surgery. Following...

  • Noninvasive Therapy May Save Legs.  // Medical Update;2005, Vol. 30 Issue 9, p4 

    Presents the results of a study on the application of cryoplasty therapy for peripheral vascular disease as of March 2005. Effect of the therapy on leg arteries clogged with plaque; Chemical used in the therapy; Availability of the therapy in the U.S.

  • Prevalence of Subclavian Artery Stenosis in Patients with Peripheral Vascular Disease. Gutierrez, Godofredo R.; Mahrer, Peter; Aharonian, Vicken; Mansukhani, Prakash; Bruss, Jeffrey // Angiology;Mar2001, Vol. 52 Issue 3, p189 

    Studies the prevalence of subclavian artery stenosis in patients with peripheral vascular disease (PVD). Screening of patients with PVD manifestations; Prevalence ofg stenosis in the brachiocephalic vessels; Use of differential brachial blood pressure as a clinical screening tool.

  • Transcutaneous PO[sub2] Response to Transient Arterial Occlusion in Peripheral Vascular Disease Detected by Heating Power Oximeter. Frau, Giuseppe // Angiology;Dec2001, Vol. 52 Issue 12, p851 

    Evaluates the transcutaneous PO[sub 2] response to transient arterial occlusion in peripheral vascular disease. Mean values of the rest flow and recovery area; Observation on the delayed appearance of PO[sub 2]; Findings on the perfusion in severe peripheral arterial obstructive disease.

  • An Overview on Peripheral Vascular Disease in Blackfoot Disease--Hyperendemic Villages in Taiwan. Chin-Hsiao Tseng // Angiology;Sep/Oct2002, Vol. 53 Issue 5, p529 

    The arsenic-related peripheral vascular disease found to be endemic along the southwestern coast of Taiwan is reviewed. In the early 20th century a strange disease involving the lower extremities characterized by typical clinical symptoms and signs of progressive arterial occlusion was reported...

  • Progress in the Management of Peripheral Vascular Disease. Blau, Steven; Kerstein, Morris D. // Vascular Surgery;May/Jun1982, Vol. 16 Issue 3, p172 

    A search of the recent literature reveals a number of significant advances in peripheral vascular surgery. However, today's surgeon continues to find himself battling a disease process he does not understand with diagnostic tools which need improvement. The purpose of this paper is to outline...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics