A Cost-Effective and Reproducible Cadaveric Training Model for Internal Carotid Artery Injury Management During Endoscopic Endonasal Surgery: The Submersible Peristaltic Pump

Porto, Edoardo; Barbero, Juan M. Revuelta; Sun, Hanyao; Maldonado, Justin; Rodas, Alejandra; DelGaudio, John M.; Henriquez, Oswaldo A.; Barrow, Emily M.; Zada, Gabriel; Solares, C. Arturo; Garzón-Muvdi, Tomás; Pradilla, Gustavo

doi:10.1016/j.wneu.2022.12.014

Cited by 1 publication

(4 citation statements)

References 19 publications

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“…Among these, seven articles focused on ICAI, a rare but severe complication of EEN. 1 10 14 16 17 18 19 Ciporen et al, Porto et al, and Donoho et al aimed to establish the feasibility of utilizing cadaveric models along with a perfusion pump for the management of ICAI, 16 19 20 whereas studies by Shen et al, Donoho et al, Porto et al, and Pham et al demonstrated the face, content, and construct validity of perfused cadaveric models. 1 17 19 Utilizing pre- and post-simulation questionnaires, Pacca et al elucidated the educational value of cadaveric models.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…1,10,14,[16][17][18][19] Ciporen et al, Porto et al, and Donoho et al aimed to establish the feasibility of utilizing cadaveric models along with a perfusion pump for the management of ICAI, 16,19,20 whereas studies by Shen et al, Donoho et al, Porto et al, and Pham et al demonstrated the face, content, and construct validity of perfused cadaveric models. 1,17,19 Utilizing pre-and post-simulation questionnaires, Pacca et al elucidated the educational value of cadaveric models. 18 In addition, cadaveric simulation for ICAI management was moderated and guided by experienced surgeons in three studies.…”

Section: Cadaveric Modelsmentioning

confidence: 99%

“…Such is the case of tumor curetting during pituitary adenoma resection, which is better represented in synthetic models that can recreate the consistency and location of the lesion. 28 Similarly, ICAI management has been efficiently included as part of cadaveric training models, 1,10,14,[16][17][18][19] yet animal models provide an additional layer of complexity and realism through authentic hemodynamic instability and coagulability. 65 Although each training modality is associated with a certain degree of advantages as well as drawbacks, we believe there is a way to integrate different modalities into different stages of training to achieve an optimal educational outcome for EEN.…”

Section: Algorithm For Training In Eenmentioning

confidence: 99%

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Training in Endoscopic Endonasal Neurosurgical Procedures: A Systematic Review of Available Models

Porto,

Rodas,

Sun

et al. 2024

J Neurol Surg B Skull Base

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Background Proficiency in endoscopic endonasal neurosurgery (EEN) requires a unique skill set and is associated with a steep learning curve. Endoscopic simulation models present an opportunity for trainees to enhance their surgical skills and anatomical knowledge in a risk-free environment. To date, four main categories of training modalities have been recorded: cadaveric, synthetic, animal, and virtual reality (VR) models. Objective To analyze the features, advantages, and disadvantages of each EEN training model, describe the stages of simulation training, and propose future directions and an algorithm for EEN training. Methods A comprehensive search was performed including studies published before August 2023. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed in the search and selection of studies included. Terms for searching title and abstract were (“simulation”)AND(“endoscopic endonasal”)AND(“neurosurgery”). Articles were screened for duplicates. Results We identified 176 references, and 43 studies met the inclusion criteria. Twelve articles described cadaveric models, with 7 of them studying internal carotid artery injury (ICAI) management and 3 of them CSF leak management; fourteen articles illustrated synthetic models, one article described animal models, and sixteen articles outlined virtual reality (VR) simulations. Conclusion Cadaveric models provide realistic hands-on surgical training with acceptable cost and remain the gold standard method for training. Synthetic models are most effective for preoperative surgical planning and animal models are best suited for testing of hemostatic techniques. VR simulations may become the primary training tool for novices to acquire basic anatomical knowledge as their role in advanced surgical planning is evolving.

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