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  • Enhancing Surgical Skills in Clipping Cerebral Aneurysms and Management of Intraoperative Rupture using the “Live Cadaver” Training Model

    Final Number:
    508

    Authors:
    Emad T. Aboud MD; Hassan Saad MD; Talal E Aboud; Ali F. Krisht MD

    Study Design:
    Laboratory Investigation

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2018 Annual Meeting

    Introduction: Current training methods for simulating neurovascular procedures lack the combination of life-like conditions and real human anatomy essential for effective surgical training. We previously introduced a realistic cadaver based training method that combined both, the life-like conditions and the real human anatomy for practicing neurovascular procedures and the management of intraoperative complications, In this report we present the effectiveness of this model in enhancing surgical skills in aneurysmal clipping and management of intraoperative aneurysmal rupture.

    Methods: 32 cephalous were used in 21 hands-on workshops. The carotid artery, jugular vein and at least one vertebral artery were cannulated and connected to blood simulant reservoirs. The arterial side then was connected to a pump that provided pulsatile pressure.

    Results: In five courses, we rated the performance of residents for two tasks. First “Clipping cerebral aneurysms”: number of attempts to clip an aneurysm decreased with multiple sessions from 3-5 attempts to one or two. Second “controlling bleeding”: the time to control bleeding from a ruptured aneurysm dropped from 80-160 seconds, to 50 seconds after three sessions of practice in most cases.

    Conclusions: the “Live Cadaver” model is a valuable tool for enhancing surgical skills. It offers an identical environment as that in the operating room allowing “real” surgical practice without endangering patients’ lives. Practicing complex surgical procedures using the live cadaver model can enhance surgical skills and performance of young neurosurgeons and neurosurgery residents.

    Patient Care: by enhancing surgical skills.

    Learning Objectives: after attending this session trainees will be able to learn how to prepare the model and use it in their own institutions, understand its applications and Identify the benefit of practicing on the same anatomy under life-like conditions.

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