Mikroanastomoz eğitiminde basamaklı multimodal yaklaşım: Sentetik, biyolojik ve canlı modellerin katılımcı görüşlerine dayalı değerlendirilmesi

Öz

Amaç: Bu çalışma, ulusal bir nörovasküler sempozyumu sırasında uygulanan yapılandırılmış bir mikrocerrahi eğitim programında kullanılan dört mikroanastomoz eğitim modelinin (silikon tüp modeli, tavuk kanadı brakiyal arter modeli, UpSurgeOn Mycro simülatörü ve Wistar Albino sıçan modeli) algılanan eğitsel değerini değerlendirmektedir. Gereç ve Yöntemler: On altı katılımcı, basamaklı bir eğitim dizisini takip eden iki günlük, on altı saatlik bir mikrocerrahi kursunu tamamladı. Her modalite için gerçekçilik, teknik zorluk, özgüven ve mikro-vasküler beceri gelişimine genel uygunluk gibi ölçütleri değerlendiren beşli Likert ölçekleri kullanılarak eğitim öncesi ve sonrası anketler uygulandı. Bulgular: Tüm modaliteler eğitsel açıdan faydalı olarak algılandı ve mikroanastomoz becerilerinin farklı aşamalarında katkı sağladı. Silikon tüp modeli, erken aşama beceri kazanımı ve temel alet koordinasyonu geliştirilmesi için oldukça etkili olarak değerlendirildi. Tavuk kanadı brakiyal arter modeli, lojistik ve etik kısıtlamalardan kaçınırken temel biyolojik özellikleri yansıtması nedeniyle takdir edildi. Wistar Albino sıçan modeli, sürekli olarak eğitim programının en gerçekçi ve eğitsel açıdan en değerli bileşeni olarak değerlendirildi ve ameliyat koşullarına en yakın deneyimi sundu. UpSurgeOn Mycro simülatörü katılımcı beklentilerini karşılamasa da sentetik ve biyolojik modeller arasında yararlı bir köprü işlevi gördü. Sonuç: Bu çok modelli basamaklı mikroanastomoz eğitim yaklaşımı, eğitsel açıdan değerli olarak algılanmış olup, her model beceri gelişiminin farklı aşamalarına katkıda bulunmuştur. Bu bulgular, yapılandırılmış simülasyon temelli mikroanastomoz eğitiminin ulusal nöroşirürji eğitim programlarına dâhil edilmesinin klinik pratiğe hazırlığı destekleyebileceğini göstermektedir.

Anahtar Kelimeler

• Mikrocerrahi
• cerrahi anostomoz
• vasküler cerrahi girişimler
• simülasyon eğitimi
• hayvan modelleri

A stepwise multimodal approach to microanastomosis training: Participant-reported evaluation of synthetic, biological, and living platforms

Öz

Aim: This study evaluates the perceived educational value of four microanastomosis training models: the silicone tube model, the chicken wing brachial artery model, the UpSurgeOn Mycro simulator, and the Wistar Albino rat model, used within a structured microsurgical training program delivered during a national neurovascular symposium. Material and Methods: Sixteen participants completed a two-day, sixteen-hour microsurgical course that followed a stepwise training sequence. Pre-training and post-training surveys were administered for each modality using five-point Likert scales evaluating realism, technical difficulty, confidence, and overall suitability for microvascular skill development. Results: All modalities were perceived as educationally beneficial and contributed to microanastomosis skill development at different stages. The silicone tube model was viewed as highly effective for early-stage skill acquisition and basic instrument coordination. The chicken wing brachial artery model was appreciated for reproducing key biological characteristics while avoiding the logistical and ethical constraints. The Wistar Albino rat model was consistently rated as the most realistic and educationally valuable component of the training program, providing the closest approximation to operative conditions. The UpSurgeOn Mycro simulator did not meet participants expectations but served as a useful bridge between synthetic and biologic models. Conclusion: This multimodal stepwise approach to microanastomosis training was perceived as educationally valuable, with each model contributing at different stages of skill development. Based on these observations, incorporating structured simulation-based microanastomosis training into national neurosurgical education programs may help support preparedness for clinical practice.

Anahtar Kelimeler

• Microsurgery
• surgical anostomosis
• vascular surgical procedures
• simulation training
• animal models

Kaynakça

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