Human placenta in vascular neurosurgery training: a comprehensive review of laboratory models, possible exercises, and assessments for skills improvement.

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY
Francesco Restelli, Elio Mazzapicchi, Jacopo Falco, Morgan Broggi, Ignazio G Vetrano, Paolo Ferroli, Francesco Acerbi
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引用次数: 0

Abstract

Introduction: Simulation is increasingly recognized as an important tool to enhance neurosurgical education. In this field, especially in neurovascular surgery, human placenta (hPl) is being recognized as a valuable training model because of its abundant availability, ethical acceptance, and analogous vasculature with other vessels of the human body. Nevertheless, although a rising body of literature is witnessing a renovated interest toward this "old" model, to date no comprehensive reviews on the topics are available. Main objective of this paper is to comprehensively review hPl use in neurovascular surgery training, focusing on model preparation, type of possible exercises along with assessment tools which can be used to check for trainees learning.

Evidence acquisition: A systematic review of the pertinent literature was performed, following PRISMA guidelines, searching the following key words in "title/abstract" fields in only English-written works: "placenta and neurosurgery." We focused on preclinical works concerning use of hPl models in neurovascular surgery training. We included studies published in the last 40 years, till December 31st, 2023.

Evidence synthesis: A total of 950 scientific publications were initially screened, and 23 papers met the inclusion and exclusion criteria. In summary, the chorionic surface of hPl may be used as a neurovascular gym where different exercises can be performed. Placenta models can be produced with or without the use of intravascular dyes and or/pumping systems to resemble a beating-heart vascular system. The three main neurovascular surgical fields where hPl is being considered to be highly simulative are: 1) Sylvian fissure dissection; 2) aneurysm dissection and clipping; 3) bypass training. Considering the simulative purpose, face, content and construct validify of hPl model have been tested and verified by many authors, although still few data are available regarding transfer/predictive validity.

Conclusions: This systematic review highlighted the easiness of preparation and availability along with the strong didactical meaning that the use of hPl-based models may have in the field of neurovascular surgery training. In view of current progressive lowering of surgical vascular cases and increasing technical demand related to their management, further studies aimed to assess if this simulator could be able to produce a learning effect and improve performance with continued use are strongly needed.

血管神经外科训练中的人胎盘:实验室模型的全面回顾,可能的练习,以及技能改进的评估。
简介:模拟越来越被认为是加强神经外科教育的重要工具。在这一领域,特别是在神经血管外科中,人胎盘(hPl)被认为是一种有价值的训练模型,因为它具有丰富的可用性、伦理上的可接受性以及与人体其他血管相似的血管系统。然而,尽管越来越多的文献见证了对这种“旧”模式的重新兴趣,但迄今为止还没有关于这些主题的全面评论。本文的主要目的是全面回顾hPl在神经血管外科训练中的应用,重点是模型准备,可能的练习类型以及可用于检查学员学习情况的评估工具。证据获取:根据PRISMA指南对相关文献进行系统回顾,仅在英文作品的“标题/摘要”字段中搜索以下关键词:“胎盘和神经外科”。我们着重于在神经血管外科训练中使用hPl模型的临床前工作。我们纳入了截至2023年12月31日的过去40年里发表的研究。证据综合:最初共筛选了950篇科学出版物,23篇论文符合纳入和排除标准。总之,hPl的绒毛膜表面可以用作神经血管健身房,在那里可以进行不同的运动。胎盘模型可以使用或不使用血管内染料和/ /泵送系统来模拟心脏血管系统的跳动。hPl被认为是高度模拟的三个主要神经血管外科领域是:1)Sylvian裂隙解剖;2)动脉瘤剥离和夹闭;3)旁路训练。考虑到模拟的目的,hPl模型的表面、内容和结构的有效性已经被许多作者测试和验证,但关于迁移/预测有效性的数据仍然很少。结论:本系统综述强调了在神经血管外科训练领域使用基于hpl的模型的易准备性和可获得性以及强大的教学意义。鉴于目前外科血管病例的逐渐减少和对其管理的技术需求的增加,迫切需要进一步的研究,以评估该模拟器是否能够产生学习效果,并在持续使用中提高性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of neurosurgical sciences
Journal of neurosurgical sciences CLINICAL NEUROLOGY-SURGERY
CiteScore
3.00
自引率
5.30%
发文量
202
审稿时长
>12 weeks
期刊介绍: The Journal of Neurosurgical Sciences publishes scientific papers on neurosurgery and related subjects (electroencephalography, neurophysiology, neurochemistry, neuropathology, stereotaxy, neuroanatomy, neuroradiology, etc.). Manuscripts may be submitted in the form of ditorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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