名古屋市立大学整形外科におけるマイクロ縫合実習について

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  • Training for Microvascular Surgery in Nagoya City University Graduate School of Medical Science

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Purpose : To attempt microvascular surgery, a necessary technique for hand surgeons and plastic surgeons, we have conducted microvascular suture training since 2010. Herein, we report the training results. <br>Materials and Methods : From September 2012 through July 2014, 128 university students in 29 groups participated in microvascular suture training. First, the teacher performed a demonstration with a careful explanation of the microvascular suture method. Next, the students performed the procedures one at a time. We assessed the use of both eyes, comprehension, and the time necessary for the suture. <br>Results : The results show that 101 students used both eyes ; 27 students used only one eye. Their respective suture times were 90 - 671 s ( avg. 264 s ) and 134 - 840 s ( avg. 380 s ). Students with excellent understanding numbered 64, those with good understanding 37, and fair 27. Their times required for suturing were, respectively, 90 - 397 s ( avg. 225 s ), 114 - 591 s ( avg. 319 s ), and 170 - 840 s ( avg. 395 s ). <br>Discussion：We explained the microvascular suture method carefully and sequentially, but the students performing the task early understood it only slowly. The distribution of materials explaining microvascular suture on the first day of orthopedics training is expected to be beneficial.

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