Simulation of plastic surgery and microvascular procedures using perfused fresh human cadavers

摘要: Summary Introduction Surgical simulation models are often limited by their lack of fidelity, which hinders essential purpose, making a better surgeon. Fresh cadaveric tissue is superior model owing to its approximation live tissue. One major unresolved difference between dead and perfusion. Here, we propose means enhancing the fidelity through development perfused whereby further able approach life-like surgery teach one more technically demanding skills plastic surgery: microsurgery. Method human cadavers were procured according university protocol. Perfusion was performed via cannulation large vessels, arterial venous pressure maintained centrifugal circulation. Skin perfusion evaluated with incisions in regions using indocyanine green angiography. simulations selected broadly evaluate applicability surgical education. Result 38 procedures ranging complexity from skin excisions microsurgical cases high priority given accurate clinical procedures. Flap dissections included perforator flaps, muscle fasciocutaneous flaps. Effective noted ICG angiography notable bleeding vessels. Microsurgical flap transfer successfully performed. Conclusion We report establishment fresh realistic environment akin operating room. anticipate utilization this prior entering room will enhance ability offer valuable resource