Enhancing microsurgical skills in neurosurgery residents of low-income countries: A comprehensive guide

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Ovalle Torres, Carlos Salvador
• dc.contributor.author Espinosa Mora, Alfredo
• dc.contributor.author Campero, Álvaro
• dc.contributor.author Cherian, Iype
• dc.contributor.author Sufianov, Albert
• dc.contributor.author Fragoza Sánchez, Edgar
• dc.contributor.author Ramírez, Manuel Encarnación
• dc.contributor.author Ramírez Pena, Issael
• dc.contributor.author Nurmukhametov, Renat
• dc.contributor.author Arellano Beltrán, Macario
• dc.contributor.author Díaz Juárez, Eduardo
• dc.contributor.author Muñoz Cobos, Arturo
• dc.contributor.author Lafuente Baraza, Jesus
• dc.contributor.author Baldoncini, Matias
• dc.contributor.author Luzzi, Sabino
• dc.contributor.author Montemurro, Nicola
• dc.date.accessioned 2024-11-08T08:20:54Z
• dc.date.available 2024-11-08T08:20:54Z
• dc.date.issued 2023
• dc.description.abstract Background: The main objectives of this paper are to outline the essential tools, instruments, and equipment needed to set up a functional microsurgery laboratory that is affordable for low-income hospitals and to identify cost-effective alternatives for acquiring microsurgical equipment, such as refurbished or donated instruments, collaborating with medical device manufacturers for discounted rates, or exploring local suppliers. Methods: Step-by-step instructions were provided on setting up the microsurgery laboratory, including recommendations for the layout, ergonomic considerations, lighting, and sterilization processes while ensuring cost-effectiveness, as well as comprehensive training protocols and a curriculum specifically tailored to enhance microsurgical skills in neurosurgery residents. Results: We explored cost-effective options for obtaining microsurgery simulators and utilizing open-source or low-cost virtual training platforms. We also included guidelines for regular equipment maintenance, instrument sterilization, and establishing protocols for infection control to ensure a safe and hygienic learning environment. To foster collaboration between low-income hospitals and external organizations or institutions that can provide support, resources, or mentorship, this paper shows strategies for networking, knowledge exchange, and establishing partnerships to enhance microsurgical training opportunities further. We evaluated the impact and effectiveness of the low-cost microsurgery laboratory by assessing the impact and effectiveness of the established microsurgery laboratory in improving the microsurgical skills of neurosurgery residents. About microsutures and microanastomosis, after three weeks of training, residents showed improvement in "surgical time" for ten separate simple stitches (30.06 vs. 8.65 min) and ten continuous single stitches (19.84 vs. 6.51 min). Similarly, there was an increase in the "good quality" of the stitches and the suture pattern from 36.36% to 63.63%. Conclusion: By achieving these objectives, this guide aims to empower low-income hospitals and neurosurgery residents with the necessary resources and knowledge to establish and operate an affordable microsurgery laboratory, ultimately enhancing the quality of microsurgical training and patient care in low-income countries.
• dc.format.mimetype application/pdf
• dc.identifier.citation Ovalle Torres CS, Mora AE, Campero A, Cherian I, Sufianov A, Sanchez EF, et al. Enhancing microsurgical skills in neurosurgery residents of low-income countries: A comprehensive guide. Surg Neurol Int. 2023 Dec 22;14:437. DOI: 10.25259/SNI_791_2023
• dc.identifier.doi http://dx.doi.org/10.25259/SNI_791_2023
• dc.identifier.issn 2229-5097
• dc.identifier.uri http://hdl.handle.net/10230/68468
• dc.language.iso eng
• dc.publisher Scientific Scholar
• dc.relation.ispartof Surg Neurol Int. 2023 Dec 22;14:437
• dc.rights © 2023 Published by Scientific Scholar on behalf of Surgical Neurology Internationa. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License (http://creativecommons.org/licenses/by-nc-sa/4.0/), which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/4.0/
• dc.subject.keyword Low-income countries
• dc.subject.keyword Microsurgery laboratory
• dc.subject.keyword Microsurgical skills
• dc.subject.keyword Neurosurgery
• dc.title Enhancing microsurgical skills in neurosurgery residents of low-income countries: A comprehensive guide
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion