A Comprehensive Training Model for Simulation of Intracranial Aneurysm Surgery Using a Human Placenta and a Cadaveric Head
Rattachement africain : fr, it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND AND OBJECTIVES: Aneurysmal surgery is technically complex, and surgeon experience is an important factor in therapeutic success, but training young vascular neurosurgeons has become a complex paradigm. Despite new technologies and simulation models, cadaveric studies still offer an incomparable training tool with perfect anatomic accuracy, especially in neurosurgery. The use of human placenta for learning and improving microsurgical skills has been previously described. In this article, we present a comprehensive simulation model with both realistic craniotomy exposure and vascular handling consisting of a previously prepared and perfused human placenta encased in a human cadaveric specimen. METHODS: Humans' placentas from the maternity and cadaveric heads from the body donation program of the anatomy laboratory were used. Placentas were prepared according to the established protocol, and aneurysms were created by catheterization of a placental artery. Ten participants, including senior residents or young attendees, completed an evaluation questionnaire after completing the simulation of conventional unruptured middle artery aneurysm clipping surgery from opening to closure. RESULTS: The skin incision, muscle dissection, and craniotomy were assessed as very similar to reality. Brain tissue emulation and dissection of the lateral fissure were judged to be less realistic. Vascular management was evaluated as similar to reality as closure. Participants uniformly agreed that this method could be implemented as a standard part of their training. CONCLUSION: This model could provide a good model for unruptured aneurysm clipping training.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Comprehensive Training Model for Simulation of Intracranial Aneurysm Surgery Using a Human Placenta and a Cadaveric Head
- Date Crossref
- 05/07/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Centre Hospitalier Universitaire de Grenoble Service de Neurochirurgie pays non établi dans la noticeÉtablissement de santé
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Université Grenoble Alpes pays non établi dans la noticeUniversité ou école supérieure
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Centre Hospitalier Universitaire de Clermont-Ferrand pays non établi dans la noticeÉtablissement de santé
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Maria Cecilia Hospital Neurosurgery Unit pays non établi dans la noticeÉtablissement de santé
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Université de Grenoble Alpes Laboratoire d’Anatomie Des Alpes Françaises (LADAF) pays non établi dans la noticeUniversité ou école supérieure
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Centre hospitalier universitaire Gabriel Montpied Service de Neurochirurgie pays non établi dans la noticeÉtablissement de santé
Service de Neurochirurgie — Centre Hospitalier Universitaire de Grenoble, Université Grenoble Alpes et Centre Hospitalier Universitaire de Clermont-Ferrand, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.