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3D printed chest wall: A tool for advanced microsurgical training simulating depth and limited view

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Title: 3D printed chest wall: A tool for advanced microsurgical training simulating depth and limited view
Authors: Papavasiliou, T
Ubong, S
Khajuria, A
Chatzimichail, S
Chan, J
Item Type: Journal Article
Abstract: The Deep Inferior Epigastric Perforator (DIEP) flap has become the free flap of choice for autologous breast reconstruction. However, anastomoses of DIEP pedicles to internal mammary vessels in the chest wall are difficult due to restricted access and the depth of the vessels. Successful performance of such demanding procedures necessitates advanced requirements for microsurgical training models. The current chicken thigh model has been used to acquire microsurgical skills, allowing early learning curve trainees to practice repeatedly in inconsequential environments. Despite the increasing use of this model for training purposes, the resemblance to a clinical environment is tenuous. Such models should include anastomosis practice within the depth where the recipient vessels are located. To address this, we developed a 3-dimensional (3D) printed chest wall as an addition to the current chicken thigh model, that reliably mimics the complexity of the anastomosis performed during DIEP breast reconstruction. This form of rapid prototyping facilitates a newfound ability for early learning curve trainees to exercise end-to-end anastomoses on vessels located with variable depths. Our enhancement of the current chicken thigh model is simple, cost-effective and offers a significantly more resemblance to a clinical situation.
Issue Date: Sep-2021
Date of Acceptance: 12-Jul-2021
URI: http://hdl.handle.net/10044/1/90611
DOI: 10.1097/GOX.0000000000003817
ISSN: 2169-7574
Publisher: Lippincott, Williams & Wilkins
Start Page: 1
End Page: 3
Journal / Book Title: Plastic and Reconstructive Surgery Global Open
Volume: 9
Issue: 9
Copyright Statement: © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
Publication Status: Published
Online Publication Date: 2021-09
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine



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