Neurocircle microsurgery model: Description of simulation-based training and exoscope.

Surgical neurology international Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.25259/SNI_767_2024
Christian Alexander Yataco-Wilcas, Luis Alberto Lengua-Vega, Yosimar Salomon Coasaca-Tito, Bruno Eduardo Diaz-Llanes, Cristian Eugenio Salazar-Campos
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Abstract

Background: Microsurgery is crucial in neurosurgery, requiring precise skills for interventions on delicate structures. Effective training is essential for developing these skills. In Peru and Latin America, however, there is a notable shortage of specialized training centers and high costs associated with foreign simulators, hindering the development of neurosurgical skills. To address this issue, the NeuroZone3D Research Center has initiated a project to create a national dataset on Peruvian craniometry and develop locally adapted training models.

Methods: The "NeuroCircle Microsurgery Model" was created through a multi-phase process. Phase 1 involved designing a simulation platform using a 3D printer. Phase 2 focused on creating a realistic biomodel with polyurethane and advanced modeling techniques. In Phase 3, the biomodel was assembled and integrated into the platform. Phase 4 included using a wooden module, a cost-effective exoscope simulation, and surgical instruments to provide a realistic training environment.

Results: The "NeuroCircle Microsurgery Model" provided a stable and effective training environment. Feedback from training sessions with neurosurgery residents and medical students indicated significant improvements in microsurgical skills. Participants valued the model's realism and its role in enhancing their surgical proficiency.

Conclusion: The "NeuroCircle Microsurgery Model" is a significant advancement in microsurgery training for Peru and Latin America. Its development provides a valuable, locally adaptable tool for improving surgical skills and addresses the critical training gaps in the region.

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神经圈显微外科模型:基于模拟训练和外窥镜的描述。
背景:显微外科在神经外科中是至关重要的,需要精确的技术来干预脆弱的结构。有效的培训对发展这些技能至关重要。然而,在秘鲁和拉丁美洲,明显缺乏专门的培训中心和与外国模拟器有关的高昂费用,阻碍了神经外科技能的发展。为了解决这一问题,NeuroZone3D研究中心启动了一个项目,创建秘鲁颅骨测量的国家数据集,并开发适合当地的培训模型。方法:采用多阶段工艺建立“神经圈显微外科模型”。第一阶段包括使用3D打印机设计一个模拟平台。第二阶段的重点是用聚氨酯和先进的建模技术创建一个逼真的生物模型。在第三阶段,将生物模型组装并集成到平台中。第四阶段包括使用木制模块、经济高效的外窥镜模拟和手术器械来提供真实的训练环境。结果:“神经圈显微外科模型”提供了稳定有效的训练环境。来自神经外科住院医师和医学生培训课程的反馈表明,显微外科技能有了显著提高。参与者重视模型的真实性及其在提高手术熟练程度方面的作用。结论:“神经圈显微外科模式”是秘鲁和拉丁美洲显微外科培训的重大进步。它的发展为提高外科技能提供了一种有价值的、适合当地的工具,并解决了该地区的关键培训差距。
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