Enhancing cadaveric flap surgery simulation

Tarak Chouari, Lucy Watson, Jamil Ahmed, Alain Curnier, Ellen Bradshaw

Research output: Contribution to conferenceConference Abstractpeer-review


Learning to perform microsurgery requires intra-operative experience. Trainee operative exposure has decreased; leading to increased use of simulated training models. Fresh cadavers offer an alternative training method, with similar tissue handling. However, the bloodless condition reduces the similarity to real time operating. This projects aims to develop a cost-effective, reproducible, reliable perfused cadaveric model, to enhance flap surgery simulation, with qualitative assessment. Limbs were acquired by the University of Aberdeen in accordance with the Anatomy Act 2006. A gelatine concentration, dye and injection technique was established, creating a perfused model. Using a validated questionnaire, 27 trainees assessed the benefits of the model relating to confidence, operative skills and procedural learning. Training with the injected model resulted in improved confidence (p<0.001), and perceived unsupervised comfort (p<0.005). Respondents felt that the injected model would improve training, allowing easier identification of smaller perforating vessels, and ultimately improving the similarity to real time flap operating. Perfusion of the cadaver limbs created a low cost, and improved surgical training model. Cadaveric training with injected models may improve confidence. The model is easily reproducible and implemented, improving learning potential, and will be a valuable resource in surgical training.
Original languageEnglish
Publication statusPublished - 15 Oct 2016
EventThe British Society for Surgery of the Hand - Cardiff, United Kingdom
Duration: 13 Oct 201614 Oct 2016


ConferenceThe British Society for Surgery of the Hand
CountryUnited Kingdom
Internet address

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