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The model is inexpensive and is the first to simulate tracheal anastomosis." /> <link rel="canonical" href="https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/" /> <meta property="og:locale" content="en_US" /> <meta property="og:type" content="article" /> <meta property="og:title" content="Take-Home Surgical Simulation Model to Practice Airway Anastomosis" /> <meta property="og:description" content="Researchers at Brigham and Women's Hospital and the University of Toronto have developed and validated a portable model that helps trainees perfect complex vascular surgery and airway anastomosis techniques. The model is inexpensive and is the first to simulate tracheal anastomosis." /> <meta property="og:url" content="https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/" /> <meta property="og:site_name" content="Brigham On a Mission" /> <meta property="article:publisher" content="https://www.facebook.com/BrighamandWomensHospital" /> <meta property="article:published_time" content="2024-01-31T05:00:29+00:00" /> <meta property="og:image" content="https://www.brighamhealthonamission.org/wp-content/uploads/2024/01/3d-rendered-medically-ac.jpg" /> <meta property="og:image:width" content="300" /> <meta property="og:image:height" content="225" /> <meta property="og:image:type" content="image/jpeg" /> <meta name="author" content="Faith Reidenbach" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:creator" content="@BrighamWomens" /> <meta name="twitter:site" content="@BrighamWomens" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Faith Reidenbach" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="2 minutes" /> <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"Article","@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/#article","isPartOf":{"@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/"},"author":{"name":"Faith Reidenbach","@id":"https://www.brighamhealthonamission.org/#/schema/person/4b9967d6f8b443d2bfc1f5771e91574c"},"headline":"Take-Home Surgical Simulation Model Allows Senior Trainees to Practice Airway Anastomosis","datePublished":"2024-01-31T05:00:29+00:00","dateModified":"2024-01-31T05:00:29+00:00","mainEntityOfPage":{"@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/"},"wordCount":493,"commentCount":0,"publisher":{"@id":"https://www.brighamhealthonamission.org/#organization"},"image":{"@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/#primaryimage"},"thumbnailUrl":"https://www.brighamhealthonamission.org/wp-content/uploads/2024/01/3d-rendered-medically-ac.jpg","articleSection":["Pulmonology"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/#respond"]}]},{"@type":"WebPage","@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/","url":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/","name":"Take-Home Surgical Simulation Model to Practice Airway Anastomosis","isPartOf":{"@id":"https://www.brighamhealthonamission.org/#website"},"primaryImageOfPage":{"@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/#primaryimage"},"image":{"@id":"https://www.brighamhealthonamission.org/2024/01/31/take-home-surgical-simulation-model-allows-senior-trainees-to-practice-airway-anastomosis/#primaryimage"},"thumbnailUrl":"https://www.brighamhealthonamission.org/wp-content/uploads/2024/01/3d-rendered-medically-ac.jpg","datePublished":"2024-01-31T05:00:29+00:00","dateModified":"2024-01-31T05:00:29+00:00","description":"Researchers at Brigham and Women's Hospital and the University of Toronto have developed and validated a portable model that helps trainees perfect complex vascular surgery and airway anastomosis techniques. 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<header class="entry-header"> <h1 class="entry-title textcenter-xs">Take-Home Surgical Simulation Model Allows Senior Trainees to Practice Airway Anastomosis</h1> <div class="entry-thumbnail"> <img width="300" height="225" src="https://www.brighamhealthonamission.org/wp-content/uploads/2024/01/3d-rendered-medically-ac.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" fetchpriority="high" /> </div> </header> <div class="entry-content"> <p>The education of very senior surgical trainees receives much less attention than the training of junior learners. Senior residents and fellows generally have a high level of anatomical understanding and competence, but their surgical schedules can make it difficult to attend scheduled laboratory sessions. Tools for at-home practice would allow them to improve their skills even more.</p> <p>M. Blair Marshall, MD, formerly the associate chief for quality and safety in the <a href="https://www.brighamandwomens.org/surgery/thoracic-surgery" target="_blank" rel="noreferrer noopener" title="The Brigham Division of Thoracic Surgery">Division of Thoracic Surgery</a> at Brigham and Women’s Hospital, <a href="https://connects.catalyst.harvard.edu/Profiles/display/Person/170801" target="_blank" rel="noopener noreferrer" title="Sue X. Wang, MD, Profile">Sue X. Wang, MD</a>, a clinical fellow in the Division, Kate Kazlovich, MSc, of the Institute of Biomedical Engineering at the University of Toronto, and colleagues have developed and validated a portable model that helps trainees perfect complex vascular surgery and airway anastomosis techniques.</p> <p>In the <em><a href="https://www.sciencedirect.com/science/article/abs/pii/S1931720423000648" target="_blank" rel="noreferrer noopener" title="Rapid Prototyping Techniques for the Development of a Take-Home Surgical Anastomosis Simulation Model">Journal of Surgical Education</a>,</em> the authors explain the model is inexpensive, has reusable and replaceable components, simulates procedures of increasing difficulty, and has higher fidelity to real tissues than earlier, more rudimentary bronchial models. It is the first model to simulate tracheal anastomosis.</p> <h2>Description of the Prototype</h2> <p>After several years of testing and innovation, the research group arrived at a simulation model consisting of:</p> <ul> <li>A plastic mounting box</li> <li>Four 3D-printed plastic supports are attached to suction cups so the model is stable during use</li> <li>Nine commercially available Penrose drain tubes (three sets of three standard sizes) were used to simulate the pulmonary artery</li> <li>Two silicone-molded tubes with rigid rings were used to simulate the trachea</li> <li>12 mounting pegs of three different sizes to accommodate the different sizes of Penrose tubes and silicone components, including a set of pegs with a channel for performing a water tightness test on the vessel anastomosis</li> </ul> <h2>Validation Study Methods</h2> <p>10 senior thoracic surgery residents and fellows were asked to use the simulation box and complete an assessment questionnaire. After being instructed on end-to-end vascular anastomosis and bronchial anastomosis by an experienced lung transplant surgeon, they practiced for 20 minutes on a porcine model. They then practiced on the simulation box, receiving feedback from the expert surgeon throughout.</p> <h2>Validation Study Results</h2> <p>The trainees agreed the model was suitable for teaching advanced anastomosis techniques, expressed interest in using it for further practice, and said they would recommend it to colleagues. However, the Penrose material was not felt to be as similar to real tissue as desired; sutures had to be coated in mineral oil to ensure uninhibited suturing technique.</p> <p>The silicone bronchus, conversely, proved to be remarkably like real tissue. The research group also found it was robust enough to be reused multiple times.</p> <h2>Next Steps</h2> <p>The team believes senior trainees need a higher-fidelity model, and they plan to find a different material for the simulated pulmonary artery and modify the simulated trachea manufacturing process. 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