Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 우경제 | * |
dc.contributor.author | 박진우 | * |
dc.date.accessioned | 2020-12-03T16:30:21Z | - |
dc.date.available | 2020-12-03T16:30:21Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 1748-6815 | * |
dc.identifier.other | OAK-28205 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/255585 | - |
dc.description.abstract | Background: Few studies have evaluated clinical outcomes of novice surgeons trained in a microsurgical training program. Herein, we describe successful free flap reconstructions performed by trainees who completed a structured microsurgical training program. Methods: The Microsurgical Skills Training Course, a laboratory-based structured microsurgical training program, was developed and used for microsurgical training. Three trainees (postgraduate years 6 and 7) who completed the training course during residency were assigned to perform free flap reconstructions between March 2015 and February 2019. Clinical outcomes of free flap reconstruction were assessed. A retrospective propensity-score-matched analysis was performed between the trainee and expert microsurgeon groups. Results: A total of 161 patients were included. Of them, 67 (25 of the trainee group and 42 of the expert group) were propensity score-matched. No flap failure developed in either matched group (p>0.999). Rates of overall complications, partial flap loss, and emergent reoperation due to vascular compromise were not significantly different between the two groups (p=0.384, p=0.525, and p=0.322, respectively), whereas those of donor complications and overall operation time were significantly higher in the trainee group than the expert group (p=0.002 and p<0.001, respectively). Conclusion: The use of a structured microvascular training program in qualified teaching hospitals may help trainees achieve independence as microsurgeons and favorable clinical outcomes. © 2020 Elsevier Ltd | * |
dc.language | English | * |
dc.publisher | Churchill Livingstone | * |
dc.subject | Complication | * |
dc.subject | Education | * |
dc.subject | Free flap | * |
dc.subject | Free tissue transfer | * |
dc.subject | Learning curve | * |
dc.subject | Microsurgery | * |
dc.subject | Training | * |
dc.title | Comparison of surgical outcomes of free flap reconstructions performed by expert microsurgeons and trainees who completed a structured microsurgical training program in a teaching hospital | * |
dc.type | Article | * |
dc.relation.issue | 10 | * |
dc.relation.volume | 73 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1834 | * |
dc.relation.lastpage | 1844 | * |
dc.relation.journaltitle | Journal of Plastic, Reconstructive and Aesthetic Surgery | * |
dc.identifier.doi | 10.1016/j.bjps.2020.05.036 | * |
dc.identifier.wosid | WOS:000582354500008 | * |
dc.identifier.scopusid | 2-s2.0-85086403407 | * |
dc.author.google | Park J.-W. | * |
dc.author.google | Moon J. | * |
dc.author.google | Lee K.-T. | * |
dc.author.google | Woo K.-J. | * |
dc.author.google | Oh H. | * |
dc.author.google | Jeon B.-J. | * |
dc.author.google | Lim S.Y. | * |
dc.author.google | Pyon J.-K. | * |
dc.author.google | Mun G.-H. | * |
dc.contributor.scopusid | 우경제(35319271600) | * |
dc.contributor.scopusid | 박진우(57191595200) | * |
dc.date.modifydate | 20240315113708 | * |