Treinamento inicial em microcirurgia

Abstract

Rev. Bras. Cir. Plást. 2010; 25(4): 595-9 595Treinamento inicial em microcirurgia Treinamento inicial em microcirurgia Initial training in microsurgery RESUMOA técnica microcirúrgica que até a década de 80 do século passado se constituiu um procedimento de exceção, somente utilizada em casos extremos, devido aos avanços facilmente observados em diversas publicações atuais, tornou-se em muitos procedimentos a primeira opção cirúrgica, fazendo com quase que, de maneira obrigatória, todos os médicos que exerçam a especialidade de Cirurgia Plástica tenham que realizar treinamento na citada técnica operatória. O presente artigo se propõe a apresentar um modelo de fácil execução como treinamento básico em microcirurgia.Descritores: Cirurgia plástica. Microcirurgia. Educação médica. ABSTRACTThe microsurgical technique witch until the 1980's was an exclusion procedure, only chosen in extreme cases, due to easily observed advances seen in innumerous current publications, has become in various procedures the first surgical option, practically compelling all doctors who practice in the field of Plastic Surgery to perform training in the referred technique. The current article presents an easy executed model of microsurgery basic training.

Avaliação dos programas de residência médica em Cirurgia Plástica no Distrito Federal

“…As an example of these courses, microsurgery practical training, lasting a week, was held at various universities. As described by Dias et al 7 , the routine microsurgery course and the use of the microscope must start with training on performing sutures by using nonliving tissue, followed by live models for vascu lar anastomoses and transplantation. Nevertheless, the challen ge for preceptors to reconcile training with the need of health services remains.…”

“…Pochat et al 5 highlighted the importance of cadaveric dissection activities in anatomy studies during medical residency training, and Ruiz et al 6 proposed a methodology for training in the nonsurgical treatment of the nasolabial fold area and perioral region. Finally, Dias et al 7 described a practical training course of microsurgery in plastic surgery.…”

Rotina de treinamento laboratorial em microcirurgia do Instituto Nacional do Câncer

“…In 1969, Cobbet performed the first toe transference for thumb reconstruction in England 24 . Ferreira et al 5 performed the first successful hand replan tation in humans in Brazil in 1972 6 . More elaborate micro vascular tissue transference techniques were developed and published later.…”

“…Training requires a high degree of dedication and teaching proper laboratory practices is the first step required to master the technique prior to its application in clinical practice because experimentation using materials and live animals is essential for the development of surgical skills. Several training models are currently available that involve different materials and animals 6 . Certain training programs were esta blished with the aim of achieving suitable vascular permea bility, and consequently to ensure the successful performance of surgery in clinical practice 6,7,1316 .…”

“…Several training models are currently available that involve different materials and animals 6 . Certain training programs were esta blished with the aim of achieving suitable vascular permea bility, and consequently to ensure the successful performance of surgery in clinical practice 6,7,1316 . The present study describes the microsurgery training pro gram completed by trainee physicians in the Department of Plastic Surgery and Reconstructive Microsurgery at the Experimental Microsurgery Laboratory of the National Can cer Institute (INCA -Rio de Janeiro, RJ, Brazil).…”