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Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Authors
 Mohammad Ali Alessa  ;  Sang Hyun Kwak  ;  Young Woo Lee  ;  Mi-Lan Kang  ;  Hak-Joon Sung  ;  Soon Hyun Ahn  ;  Eun Chang Choi  ;  Won Shik Kim 
Citation
 Journal of Visualized Experiments : JoVE, Vol.139 : e58104, 2018 
Journal Title
 Journal of Visualized Experiments : JoVE 
Issue Date
2018
Abstract
Live models that resemble surgical conditions of humans are needed for training free-flap harvesting and anastomosis. Animal models for training purposes have been available for years in many surgical fields. We used the female (because they are easy to handle for the procedure) Yorkshire pigs for the head and neck reconstruction by harvesting the deep inferior epigastric artery perforator or the superior epigastric artery perforator flap. The anastomosis site (neck skin defect or tracheal wall defect) was prepared via the dissection of the common carotid artery and the internal jugular vein, in which 3.5× loupe magnification was used for anastomosis as we use on human cases in real life. This procedure demonstrates a new training method using a reliable learning model and provides a detailed anatomy in a live scenario. We focused on the ischemia time, harvesting, vessel anastomosis, and designing the flap to fit the defect site. This model improves tissue handling and with the use of proper instruments can be repeated many times so that the surgeon is fully confident before starting the surgery on humans.
Full Text
https://www.jove.com/video/58104/porcine-as-training-module-for-head-neck-microvascular
DOI
10.3791/58104
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Medical Engineering (의학공학교실) > 1. Journal Papers
Yonsei Authors
곽상현(Kwak, Sanghyun) ORCID logo https://orcid.org/0000-0002-2827-8456
성학준(Sung, Hak-Joon) ORCID logo https://orcid.org/0000-0003-2312-2484
최은창(Choi, Eun Chang)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167301
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