Advanced Microsurgery
Columbia Orthopedics Microsurgery Research & Training Laboratory
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Détails de la formation
The Advanced/Super Microsurgery course involves 40 hours of one-on-one, individualized training of microsurgical and supermicrosurgical techniques in a small class environment where students can learn at their own pace.
In this course, students will brush up on the microsurgical skills they have learned in the Basic Microsurgery course, and then perform procedures incorporating the femoral and epigastric vessels (0.3-1.0 mm diameter), carotid vessels, and various free tissue transfers.
For students who are interested in more technical exercises or practice more complex procedures such as lymphatic vessels anastomoses or surgeries that pertain to their specialties, can choose to do so during last two days of the course by choosing different exercises.
***NEW***
A Neurosurgical focus is now available
Qu'allez-vous apprendre ?
- Brushing up on basic microsurgery procedures
- Performing carotid end-to-end and end-to-side bypass anastomoses
- Performing an interpositional vein graft using the epigastric vein for the graft (1 mm diameter)
- Performing a groin cutaneous free tissue flap using the femoral vessels as the pedicle
- Performing a groin cutaneous free tissue flap using the epigastric vessels as the pedicle with 11-0 nylon (supermicrosurgery)
- Performing an exercise that's tailored to the student's specialty, such as a vasovasostomy, vasoepididymostomy, a Fallopian Tube repair, a serratus anterior muscle flap, or a renal transplant
- Interpositional SIEV graft between SIEA
- SIEA bypass
- End-to-end anastomosis of the Superficial Inferior Epigastric Artery (SIEA) and Vein (SIEV)
- End-to-side anastomosis of the SIEA to SIEV (AV fistula)
Méthodes pédagogiques
Cas pratique, Simulation
Avantages de la formation
This course is an invaluable learning tool to surgeons, because of the degree of customization possible to tailor their curriculum for specialty specific training. Building off the skills learned in the Basic Microsurgery course, students will now be able to finesse their self-control, patience, handling of fragile tissues, attention to detail, manual dexterity, efficiency in completion of an anastomosis, and brain-hand-eye-foot coordination. Because these skills are transferable to other clinical professions, this course is a valuable learning experience for surgeons, clinicians, and researchers alike. Students who successfully complete the curriculum will receive an Advanced Microsurgery Certificate of Training.
Public cible
This course is for people who have previously completed the basic course and/or have previous microsurgical training who are looking to further finesse their skills in more difficult exercises.
Prérequis
Basic Course and/or equivalent level of previous microsurgical training.
Programme
Day 1 (9:30 AM to 5:30 PM):
Videos (click links below to view videos by the Faculty of Columbia Orthopedics):
- “Two-stay Interrupted End-to-End Anastomosis"
- “Rat Femoral Vein Anastomosis”
- “End-to-side anastomosis“
Practicum:
- Practice end-to-end arterial anastomosis using interrupted suturing.
- Practice end-to-end venous anastomosis using interrupted suturing.
- Practice end-to-side anastomosis using femoral artery to the side of femoral vein.
- Practice end-to-side anastomosis using femoral vein to the side of femoral artery.
Pictures:
Day 2 (9:00 AM to 5:00 PM):
Videos (click links below to view videos by the Faculty of Columbia Orthopedics):
Practicum:
- Practice end-to-end carotid artery anastomosis.
- Practice carotid end-to-side bypass using arterial graft (femoral artery).
- Practice interpositional vein graft using epigastric vein and femoral artery.
Pictures:
Day 3 (9:00 AM to 5:00 PM):
Practicum:
- Groin free tissue flap using femoral vessels as a pedicle.
Pictures:
Day 4 (9:00 AM to 5:00 PM):
Practicum:
- Groin free tissue flap using interior superficial epigastric artery and vein and 11-0 nylon.
Pictures:
Day 5 (9:00 AM to 5:00 PM):
Depending on the specialty of the student, the following exercises could be performed:
- Vasovasostomy and vasoepididymostomy
- Fallopian Tube repair
- Serratus anterior muscle flap to femoral vessels
- Renal transplant using continuous suturing
Supermicrosurgery Alternative Day 4/5:
Depending on the preference of the student, the following exercises could be performed:
- End-to-end anastomosis of the Superficial Inferior Epigastric Artery (SIEA) and Vein (SIEV)
- End-to-side anastomosis of the SIEA to SIEV (AV fistula)
- Interpositional SIEV graft between SIEA
- SIEA bypass
Catégories de prix
Dispositifs médicaux
- - Sharpoint Surgical Specialties
- - ASSI
- - MICRINS
- - Carl Zeiss, Inc
Vidéos
Documents
Données logistiques
Se rendre sur place
Directions to the Columbia University Medical Center
The Center is located at the corner of Broadway and 168 Street NY 10032
By subway:
Take the 1, A, or C train to the 168th Street station. From midtown Manhattan, the A train provides express service.
By bus:
A number of city buses serve the medical center: M-2, 3, 4, 5, and 100. For additional bus and subway information, call the Transit Authority at 718-330-1234.
By automobile:
The fastest and most convenient way to reach the medical center by automobile is to follow directions to the George Washington Bridge and exit onto Riverside Drive. From there, proceed south and turn left onto West 165th Street (the first left), and then right onto Fort Washington Avenue to the medical center parking facility.
- From upstate New York and New Jersey: after crossing the George Washington Bridge, follow signs to the Henry Hudson (also called the West Side Highway), and then to Riverside Drive.
- From Riverdale and Westchester: via the Saw Mill River Parkway, exit the Henry Hudson Parkway at the Riverside Drive exit, which is immediately past the George Washington Bridge.
- From Westchester, Connecticut, or the East Side of Manhattan: via the Major Deegan, Cross-Bronx Expressway, or Harlem River Drive approaching the George Washington Bridge, take the Henry Hudson Parkway, stay to the left, and follow signs to Riverside Drive.
- From the West Side of Manhattan: take the Henry Hudson Parkway to Exit 15-Riverside Drive South.
Où loger ?
Accommodations
For guest housing: https://www.tc.columbia.edu/housing/guest--conference-housing/guest-housing/
Edge hotel across the street: https://www.edgehotelnyc.com/
Additional Resources
Columbia Visitors & Personal Travel Portal
The NYC Tourism website offers a wealth of information on the city and its attractions.
Détails pratiques
Please wear comfortable clothes and shoes - or bring scrubs.
Lieu
Microsurgery Training and Research Lab
622 W 168 Street, PH bldg., 11 floor Orthopedic Surgery, room 1158
10032 New York, États-Unis