Use of Latex-Free Elastic Bandage to Simulate Flap Mechanics

Maher, Ian A.; Boyle, Monica; Abdelmalek, Mark

doi:10.1111/j.1524-4725.2009.01362.x

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…To overcome these setbacks, clay models, mannequins, and computer software have been used to simulate surgeries 1–3 . In dermatologic surgery, models made from hydrogels, 4 elastic bandages, 5 depilated rat skin, 6 sponge rubber, and urethane foam 7 or more‐sophisticated polymers 8 are used to train students to perform biopsies and flaps.…”

Section: Discussionmentioning

confidence: 99%

Ethylene Vinyl Acetate (Foam): An Inexpensive and Useful Tool for Teaching Suture Techniques in Dermatologic Surgery

Gutiérrez-Mendoza

Narro-Llorente

Contreras-Barrera

et al. 2011

Dermatologic Surgery

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The authors have indicated no significant interest with commercial supporters.D ermatology is now a medical-surgical specialty because of the increasing incidence of skin cancer, and skin diseases that must be treated using surgical means. Dermatologists must develop skills to treat benign and malignant lesions while maintaining function and aesthetics. To achieve this, residency programs have been urged to use novel teaching methods to train dermatologists in cutaneous surgery. Skin models that have traditionally been used for these purposes may be expensive, inaccessible, or impractical. We have developed a surgical model that is inexpensive, easily obtainable, and comparable with human skin for the training of dermatologic surgery. ObjectiveOur purpose was to demonstrate that ethylene vinyl acetate (EVA) is an inexpensive and useful tool for teaching suture techniques in dermatologic surgery. MethodsA dermatologic surgery professor gave a 60-minute theoretical and practical lecture on common surgical stitches (simple interrupted, running, horizontal and vertical mattress, interrupted buried, ''8'', three-and four-point corner, and half-buried horizontal stitches) to 15 dermatology residents. The techniques were thoroughly explained with images on color slides. The residents were then asked to draw the sutures to prove that they had learned the techniques. Afterwards, participants used EVA as a skin model to practice the sutures. The materials used included an 8-Â 6-inch sheet of EVA foam with linear incisions, a 5-0 nylon suture, and a surgical instrument kit that included forceps, needle holder, and cutting scissors. The residents were evaluated on their surgical abilities (handling of the needle holder, forceps, and foam and correct angle of entry of the needle) and the final result of the sutured incision. ResultsThe 15 residents were able to reproduce all of the stitches taught during the lecture. The consistency of the EVA allowed handling with the forceps and penetration by the needle without ripping the sheet. The thickness of the sheet allowed all of the superficial and deep stitches to be performed. Some examples are the superficial cuticular and threepoint corner stitch shown in Figures 1 and 2 and the deeper buried stitch (Figure 3). It also allowed proper eversion of the borders of the simulated linear wound. Students and professor were able to evaluate and rate the students' surgical skills with the final result. The residents showed interest and were

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Section: Discussionmentioning

confidence: 99%

Ethylene Vinyl Acetate (Foam): An Inexpensive and Useful Tool for Teaching Suture Techniques in Dermatologic Surgery

Gutiérrez-Mendoza

Narro-Llorente

Contreras-Barrera

et al. 2011

Dermatologic Surgery

View full text Add to dashboard Cite

show abstract

“…There are a variety of models available for teaching cutaneous suture techniques, from expensive, realistic, full‐size models to synthetic tissue pads; animal models such as pig's feet and skin; and inexpensive models such as plastic, foam, and fabric . Cost can be prohibitive for the higher‐end models, and pig's feet and skin are unhygienic and often difficult to work with.…”

Section: Introductionmentioning

confidence: 99%