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Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training

Krähenbühl, Swenn Maxence ; Čvančara, Paul ; Stieglitz, Thomas ; Bonvin, Raphaël ; Michetti, Murielle ; Flahaut, Marjorie ; Durand, Sébastien ; Deghayli, Lina ; Applegate, Lee Ann ; Raffoul, Wassim

Medicine (Baltimore), 2017-07, Vol.96 (29), p.e7528-e7528 [Peer Reviewed Journal]

United States: Wolters Kluwer Health

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Title:
Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training
Author: Krähenbühl, Swenn Maxence ; Čvančara, Paul ; Stieglitz, Thomas ; Bonvin, Raphaël ; Michetti, Murielle ; Flahaut, Marjorie ; Durand, Sébastien ; Deghayli, Lina ; Applegate, Lee Ann ; Raffoul, Wassim
Subjects: Amputation, Surgical ; Arm - surgery ; Cadaver ; Clinical Protocols ; Dissection - education ; Education, Medical, Graduate - methods ; Electrodes, Implanted ; Equipment Design ; Humans ; Internship and Residency ; Median Nerve - surgery ; Microsurgery - education ; Models, Anatomic ; Neurosurgical Procedures - education ; Patient Care Team ; Phantom Limb - etiology ; Phantom Limb - surgery ; Quality Improvement Study ; Surgery, Plastic - education ; Ulnar Nerve - surgery
Is Part Of: Medicine (Baltimore), 2017-07, Vol.96 (29), p.e7528-e7528
Notes: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Description: Successful Plastic Surgery Residency training is subjected to evolving society pressure of lower hourly work weeks imposed by external committees, labor laws, and increased public awareness of patient care quality. Although innovative measures for simulation training of surgery are appearing, there is also the realization that basic anatomy training should be re-enforced and cadaver dissection is of utmost importance for surgical techniques.In the development of new technology for implantable neurostimulatory electrodes for the management of phantom limb pain in amputee patients, a design of a cadaveric model has been developed with detailed steps for innovative transfascicular insertion of electrodes. Overall design for electrode and cable implantation transcutaneous was established and an operating protocol devised.Microsurgery of the nerves of the upper extremities for interfascicular electrode implantation is described for the first time. Design of electrode implantation in cadaver specimens was adapted with a trocar delivery of cables and electrodes transcutaneous and stabilization of the electrode by suturing along the nerve. In addition, the overall operating arena environment with specific positions of the multidisciplinary team necessary for implantable electrodes was elaborated to assure optimal operating conditions and procedures during the organization of a first-in-man implantation study.Overall importance of plastic surgery training for new and highly technical procedures is of importance and particularly there is a real need to continue actual cadaveric training due to patient variability for nerve anatomic structures.
Publisher: United States: Wolters Kluwer Health
Language: English

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Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training

Krähenbühl, Swenn Maxence ; Čvančara, Paul ; Stieglitz, Thomas ; Bonvin, Raphaël ; Michetti, Murielle ; Flahaut, Marjorie ; Durand, Sébastien ; Deghayli, Lina ; Applegate, Lee Ann ; Raffoul, Wassim

United States: Wolters Kluwer Health

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