Aplicabilidade do Treinamento Microcirúrgico em Placenta Humana: do preparo a realização de anastomoses

Applicability of Microsurgical Training in Human Placenta: from preparation to performing anastomoses

• Iracema Araújo Estevão (1)    
• José Ernesto Chang Mulato (2)    
• Glaucia Suzanna Jong A Liem (3)    
• Francisco José Luís de Sousa (4)
• Danilo Santos Ferreira (5)    
• Daniel Lucio Willing (6)    
• Thomas Meduneckas Tourinho (5)    
• Gustavo Bandeira Santos (7)    
• Ildonete Rodrigues de Almeida (8)    
• Feres Chaddad-Neto (9)    

• https://doi.org/10.22290/jbnc.2023.340103
• J Bras Neurocirur 34 (1): 17-23, 2023

Resumo

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Abstract

Introduction: The training of motor skills for neurosurgical practice is a crucial part of the learning process, whether in medical residency or through the first contact with the specialty through academic leagues, and it is often necessary to acquire dexterity in fine movements, such as those used in microsurgery. Objective: The present study aims to synthesize the necessary information to medical residents and students so they could be able to perform microsurgical training in the laboratory using the human placenta, from its preparation to the performance of vascular anastomoses (end-to-end and end-to-side). Methods: This study was carried out in the microneurosurgical anatomy laboratory of the Federal University of São Paulo, by fellows from October 2021, guided by the same professor, Dr. Feres Chaddad Neto, through the management of fresh human placentas and documentary research in the literature. Conclusion: Training neurosurgery residents in microsurgical skills is a crucial part of the learning process and ensures successful procedures. Among the different substrates available for practice, the human placenta is an effective, easily accessible, and low-cost alternative.

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References

1 MD, MR, Santa Paula Hospital, Medical Residency in Neurosurgery; Federal University of São Paulo, Microsurgery Lab, São Paulo, Brazil.

2 MD, Federal University of São Paulo, Microsurgery Lab, São Paulo, Brasil; General Hospital, Instituto Salvadorenho de Seguro Social, Neurosurgery Department, San Salvador, El Salvador.

3 MD, Federal University of São Paulo, Microsurgery Lab, São Paulo; Ophir Loyola Hospital, Medical Residency in Neurosurgery, Belém, Brazil.

4 MD, Mário Gatti Hospital, Medical Residency in Neurosurgery, Campinas, Brazil.

5 MD, Federal University of São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.

6 Federal University of São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.

7 MD, Federal University of São Paulo, Microsurgery Lab, São Paulo, Brazil.

8 Federal University of São Paulo, Microsurgery Lab, São Paulo, Brazil.

9 MD, PhD, Federal University of São Paulo, Neurosurgery Department and Microsurgery Lab, São Paulo, Brazil.

Received Dec 12, 2022

Accepted Dec 26, 2022