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  • New training Scenarios for practicing the Management of Intra-operative aneurysmal rupture

    Final Number:

    Emad T. Aboud MD Syria Board of Neurosurgery; Firas Alhamdani; Ali F. Krisht MD

    Study Design:
    Laboratory Investigation

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2013 Annual Meeting

    Introduction: the relatively high incidence of neurysmal rupture which reported to be 9.2% (in some reports it reached 40%), the lake of exposure of residents to such complication necessitates the adaption of several techniques for practicing the management of such complication, non of the available training models combines the real human anatomy along with the Life- like situation to provide the perfect simulation Scenarios of the intra-operative, her we are presenting a new technique using the live cadaver model for surgical training rupture

    Methods: the vessels in a cadaveric head are filled with colored fluid under pulsating pressure for arteries and static pressure for veins the Carotid or vertebral is canulated and connected to a red liquid reservoir that connected to a pump. The jugular vein is connected to a dark red liquid reservoir. suitable approaches to the anterior circulation were made, artifichal aneurysms are made in regular locations. and trainees rcticed dissecting and clipping the aneurysm, and during dissection or clipping we increase the pressure that make the aneurysm bleed, and trainees are asked to stop the bleeding.

    Results: This model simulates that of live surgery in terms of bleeding, pulsation, vascular liquid filling, and softness of the tissue that made the training scenario on aneursmal rupture as real. Trainees were able to clip the aneurysms and deal with aneurysmal rupture with no difficulties after practicing this scenario several times.

    Conclusions: This new training scenario is so effective in teaching how to deal with such complication, residents and trainees felt so confident facing such complication in the future.

    Patient Care: by teaching surgeons how to deal with intra=operative aneurysmal rupture and other neurovascular complications

    Learning Objectives: Participants will learn a new technique for practicing the management of Intra operative aneurysmal rupture


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