A NOVEL TRAINING MODEL TO IMPROVE VASCULAR ANASTOMOSIS IN DEEP CAVITY WITH LIMITED ACCESS

R KHAN; N IMTIAZ; A BADSHAH; A MASOOD; MH HAIDRI; AM BHATTI

doi:10.54112/bcsrj.v2024i1.1002

Authors

R KHAN Department of Vascular Surgery, CMH Rawalpindi, Pakistan
N IMTIAZ Department of Vascular Surgery, CMH Rawalpindi, Pakistan
A BADSHAH Department of Vascular Surgery, CMH Rawalpindi, Pakistan
A MASOOD Department of Vascular Surgery, CMH Rawalpindi, Pakistan
MH HAIDRI Department of Vascular Surgery, CMH Rawalpindi, Pakistan
AM BHATTI Department of Vascular Surgery, CMH Rawalpindi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1002

Keywords:

Deep Cavities,, Depth,, Improvised Model,, Silicone Rubber,, Simulation, , Training, , Vascular Anastomosis,

Abstract

Vascular surgery, particularly the anastomosis of blood vessels in deep cavities, poses significant challenges due to limited access and visibility. Traditional dental and surgical education often focuses on superficial techniques, leaving a gap in training for deep cavity procedures. This study introduces a new training model designed to address this gap and enhance skills in vascular surgery. Objective: To improve skills in performing vascular anastomosis in deep cavities, which presents greater difficulty compared to superficial areas, through the use of an improvised training model. Methods: This prospective observational study was conducted at the Combined Military Hospital, Rawalpindi, from 1st September 2023 to 29th February 2024. The improvised training model is box-shaped with a depth akin to the aorta, made of silicone rubber, and features a removable cap for easy cleaning and reuse. The model provides a realistic environment for practicing deep cavity vascular anastomosis. Participants, including experienced and novice surgeons, used the model to assess its effectiveness in enhancing surgical skills. Results: The model was highly effective in improving surgical techniques, with volunteer surgeons reporting an 82.9% enhancement in their skills and experiences. First-time users also noted significant improvements in their surgical competencies. Quantitative analysis showed that the model was perceived as cost-effective (71.4%) and reusable (74.3%). Participants commented on the realism of the model, particularly its depth and complexity, which facilitated repeated practice without the need for animals or cadavers. Conclusion: The study suggests that this improvised training model can significantly enhance skills in vascular anastomosis, particularly in deep cavity situations. The model is affordable, portable, durable, and provides a realistic simulation of aortic anastomosis in restricted spaces. Further studies are needed to validate its efficacy in broader contexts and its impact on patient outcomes.

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