Microvascular Anastomosis Training in Neurosurgery: A Review

摘要: Cerebrovascular diseases are among the most widespread in world, which largely determine structure of morbidity and mortality rates. Microvascular anastomosis techniques important for revascularization surgeries on brachiocephalic carotid arteries complex cerebral aneurysms even during resection brain tumors that obstruct major arteries. Training microvascular surgery became more difficult with less case exposure growth use endovascular techniques. In this text we will briefly discuss history surgery, review current literature simulation models emphasis their merits shortcomings, describe views opinions future training neurosurgery. “dry” microsurgical training, various created from artificial materials simulate biological tissues used. The next stage experienced surgeons is to work nonliving tissue models. using live considered be relevant due presence blood flow. laboratory animals has high indicators face constructive validity. One directions development robotic systems. Robotic systems may play a role teaching generations microsurgeons. Modern technologies allow access highly accurate learning environments extremely similar real environment. Additionally, assessment skills should become fundamental part evaluation competence within microneurosurgical program. Such an tool could utilized ensure constant level surgical recertification process. It based validated