A stepwise multimodal approach to microanastomosis training: Participant-reported evaluation of synthetic, biological, and living platforms

Authors : Serkan Civlan, Mehmet Sabri Gürbüz, Nevzat Doğukan Erbek, Burak Karaaslan, Batuhan Bakırarar, Çağrı Elbir, Göktuğ Ülkü, Mustafa Arıcı, Erhan Türkoğlu, Mehmet Erdal Coşkun, Fatih Yakar

Pages : 465-471

Doi:10.29058/mjwbs.1828399

View : 37 | Download : 64

Publication Date : 2025-12-31

Article Type : Research Paper

Abstract :Aim: This study evaluates the perceived educational value of four microanastomosis training models: the silicone tube model, the chicken wing brachial artery model, the UpSurgeOn Mycro simulator, and the Wistar Albino rat model, used within a structured microsurgical training program delivered during a national neurovascular symposium. Material and Methods: Sixteen participants completed a two-day, sixteen-hour microsurgical course that followed a stepwise training sequence. Pre-training and post-training surveys were administered for each modality using five-point Likert scales evaluating realism, technical difficulty, confidence, and overall suitability for microvascular skill development. Results: All modalities were perceived as educationally beneficial and contributed to microanastomosis skill development at different stages. The silicone tube model was viewed as highly effective for early-stage skill acquisition and basic instrument coordination. The chicken wing brachial artery model was appreciated for reproducing key biological characteristics while avoiding the logistical and ethical constraints. The Wistar Albino rat model was consistently rated as the most realistic and educationally valuable component of the training program, providing the closest approximation to operative conditions. The UpSurgeOn Mycro simulator did not meet participants expectations but served as a useful bridge between synthetic and biologic models. Conclusion: This multimodal stepwise approach to microanastomosis training was perceived as educationally valuable, with each model contributing at different stages of skill development. Based on these observations, incorporating structured simulation-based microanastomosis training into national neurosurgical education programs may help support preparedness for clinical practice.
Keywords : Mikrocerrahi, cerrahi anostomoz, vasküler cerrahi girişimler, simülasyon eğitimi, hayvan modelleri

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