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Advanced Microsurgery
Course overview
Price categories
Medical Devices
$2,200 - $2,400
What will you learn?
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
Educational methods
Hands on, Simulation
Course overview

The Advanced Microsurgery course involves 40 hours of one-on-one, individualized training of microsurgical and supermicrosurgical techniques in a small class environment where every student can learn at their own pace.


In this course, students will finesse the microsurgical skills they have learned in the Basic Microsurgery course and perform end-to-end, end-to-side, and end-to-side bypass anastomoses, interpositional vein grafts, and groin cutaneous free tissue flaps on live rat models. Students will also learn supermicrosurgical skills by using 11-0 nylon on procedures such as the groin cutaneous free tissue flap using the interior superficial epigastric artery and vein as the pedicle (<1 mm in diameter). At the end of the course, students can choose to practice on exercises that pertain to their specialties, such as performing a vasovasostomy, a vasoepididymostomy, a Fallopian Tube repair, a serratus anterior muscle flap to the femoral vessels, or a renal transplant using continuous suturing.


Building off of 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.

Price categories
Residents/Fellows 2200
Physicians 2400
View more
Medical Devices
Carl Zeiss, Inc Sharpoint Surgical Specialties ASSI MICRINS

Day 1 (9:30 AM to 5:30 PM):

Videos (click links below to view videos by the Faculty of Columbia Orthopedics):


  • 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.


Day 2 (9:00 AM to 5:00 PM):

Videos (click links below to view videos by the Faculty of Columbia Orthopedics):


  • 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.


Day 3 (9:00 AM to 5:00 PM):


  • Groin free tissue flap using femoral vessels as a pedicle.


Day 4 (9:00 AM to 5:00 PM):


  • Groin free tissue flap using interior superficial epigastric artery and vein and 11-0 nylon.


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

A PDF version of the syllabus can be found here.


Directions to the Columbia University Medical Center

The Center is located at West 168th Street and Broadway, immediately southeast of the George Washington Bridge, in the Heights/Inwood section of northern Manhattan. 

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.


Columbia has negotiated rates with 11 preferred hotels in New York City. Click here for more information on hotels, rates, and reservations.

Special option for Columbia Microsurgery Lab Students:

Maison le Grange - Microsurgery Special

Additional Resources

Columbia University Travel Portal

Columbia University Housing: Off-Campus Accommodations

The NYC Tourism website offers a wealth of information on the city and its attractions.

New York Presbytarian Hospital at Columbia University, 622 W 168th street, 10032 New York, New York, United States
Global Review
5 /5
Knowledge aquired
5 /5
Dec 9, 2018

<p>very useful course in technique and ability to practice with immediate feedback. Would recommend to anyone interested in hand surgery; especially for upper-level residents and hand surgery fellows. Yelena and her interns are readily available for teaching and improving technique throughout the course.</p>

Dec 9, 2018
Dr. Andrew M.

<p>Thanks for a great week!</p> <p>The only downside to this course is the cost :)</p>

Dec 2, 2018
Dr. David K.

<p>Yelena and her team were very patient with me and allowed me to tailor the course to my clinical needs.  It's the hardest thing I have ever done but I definitely improved throughout the week.  I do recommend the course for all levels of experience. </p>

Dec 1, 2018
Dr. Abedin S.

Nov 24, 2018
Dr. Henrik B.

Nov 24, 2018
Dr. Timothy S.

<p>Excellent course, all the staff knew what they were doing, were helpful and constructive and I felt I got a lot out of the course</p>

Nov 18, 2018
Dr. Nana O. S.

Oct 29, 2018
Dr. Rehan Z.

Oct 21, 2018
Dr. Ryan C.

Oct 14, 2018
Dr. Joshua J.

<p>Excellent instructions</p>

Oct 6, 2018
Dr. James M.

Sep 19, 2018
Dr. Guillermo E.

Sep 17, 2018
Dr. Joanna B.

I really enjoyed this course and my confidence in microsurgery bloomed! The facilities are second to none and for my level of expriece (CT2/ST3 transtion in UK system) I can think of no better way to learn, lots of time to go at my own pace and space to make mistakes and correct them with excellent feedback from Yelena, our trainer. A superb course, I will be reccomending it to all my plastic surgery colleauges.

Sep 14, 2018
Dr. Alan S.

Sep 2, 2018
Dr. Aileen E.

Great introductory course

Aug 18, 2018
Dr. Chia W.

Aug 17, 2018
Dr. Aldo L.

Aug 3, 2018
Dr. Nader H.

Jul 28, 2018
Dr. Yaroslav B.

Jul 14, 2018
Dr. Fatine E.

I highly recommend this course to anyone interested in microsurgery, or who wants to horn in on this difficult skill. It's a very informative course with complete hands on experience. No more than 3 students per week so the attention is really one on one and Dr Yelena is the BEST !

Jul 13, 2018
Dr. John S.

Excellent course!

Jul 7, 2018
Dr. Bryan B.

Jun 25, 2018
Dr. Andres L.

Jun 22, 2018
Dr. Moayad A.

Best course I've ever attended, the faculty were extremely organized and were able to tailor the experiences for each one of us, small grouping "3" made it possible for the faculty to monitor our progression and ensuring that we get the maximum out of these 5 days. Having zero experience in Microsurgery at day one, and being able to perform vein grafts by the end of the course can tell how useful it was. EXTREMELY RECOMMENDED.

Jun 16, 2018
Dr. Ahmed D.

Jun 15, 2018
Dr. Christopher S.

The knowledge and experience of Yelena, assistance from the highly trained and capable interns such as Amro, and small group setting of the course (maximum of three) make this probably one of the best microsurgery courses in the world. I would highly recommend it if you'd like to learn micro from scratch or brush up and develop your existing skills. Many thanks!

Jun 11, 2018
Dr. Boris A.

The course and personel overpassed my expectations. Academic level and Hospitality were the Highest features I ever seen in an International trainning. I recommend it doubtlessly.

Jun 2, 2018
Dr. Sayid Z.

Jun 2, 2018
Dr. Gerrit D.

<p>Great Course, learnt a lot.</p> <p> </p>

May 26, 2018
Dr. Ariane B.

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