Affordable Access

deepdyve-link
Publisher Website

A Training Model for Local Flaps Using Fresh Human Skin Excised During Body Contouring Procedures.

Authors
  • Ederer, Ines Ana1
  • Reutzsch, Franziska Leandra2
  • Schäfer, Ruth Christine3
  • Wahler, Theodora4
  • Daigeler, Adrien3
  • Rieger, Ulrich Michael5
  • Rothenberger, Jens5
  • 1 Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital, Frankfurt, Germany; Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard Karls University Tuebingen, Tuebingen, Germany. Electronic address: [email protected] , (Germany)
  • 2 Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard Karls University Tuebingen, Tuebingen, Germany; Department of Hand, Plastic and Aesthetic Surgery, Medius Hospital Nuertingen, Nuertingen, Germany. , (Germany)
  • 3 Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard Karls University Tuebingen, Tuebingen, Germany. , (Germany)
  • 4 Department of Hand, Plastic and Aesthetic Surgery, Medius Hospital Nuertingen, Nuertingen, Germany. , (Germany)
  • 5 Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital, Frankfurt, Germany. , (Germany)
Type
Published Article
Journal
Journal of Surgical Research
Publisher
Elsevier
Publication Date
Jun 01, 2021
Volume
262
Pages
190–196
Identifiers
DOI: 10.1016/j.jss.2021.01.011
PMID: 33607413
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The safe execution of local flaps tends to be challenging for surgical residents. Thus, the purpose of the study was to evaluate a training model of local flaps based on fresh human skin excised from body contouring procedures. A questionnaire and surgical skills evaluation-analyzing the theoretical and procedural knowledge about local flaps-were held both before and after the surgical skills training. All surgical procedures were executed on a simulation model based on fresh human skin. Skills evaluation was done according to a modified version of the Objective Structured Assessment of Technical Skills Score. Results before and after the training were compared using SPSS, version 21. In pretraining evaluation, residents showed great difficulty regarding the accuracy of flap design and sufficiency of wound coverage indicating the need for surgical training outside the operating theater. After training, the procedural skills significantly improved as depicted by the modified Objective Structured Assessment of Technical Skills score with a mean cumulative pretraining score of 26.81 ± 5.41 and posttraining score of 43.59 ± 5.72 (P = 0.008). Also, theoretical knowledge significantly improved in the posttraining evaluation with exception to the indication of a Z-plasty (P = 0.257). The training model itself was generally regarded as highly useful and thus recommendable to others. Surgical handling and the understanding of tissue rotation clearly improved by the presented model which mimics very realistic conditions. The simulation model based on fresh human skin shows cost-effectiveness and allows a broad range for flap procedures wherefore its use should be further promoted. Copyright © 2021 Elsevier Inc. All rights reserved.

Report this publication

Statistics

Seen <100 times