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Physicians $2,699
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Advanced Microsurgery

Mentoring
53 Reviews
Microsurgery
New York, United States
5-day course
3 attendees per session
English

Course details

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.


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.

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

- 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)

Educational methods

Hands-on, Simulation

Who is this course for?

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.

Requirements

Basic Course and/or equivalent level of previous microsurgical training.

Faculty

Dr. Yelena Akelina Research Scientist

Latest Pubmed

Histological Changes in the Rat Femoral Artery Following the Use of the Empty-and-Refill Test.

Journal of reconstructive microsurgery, 2018

Read it here

A Comparison of the Minimal-Touch Technique and the Eversion Technique for Microvascular Anastomosis in a Rat Model.

Journal of reconstructive microsurgery, 2017

Read it here
View all Pubmed

Price categories

Category
Price
Residents/Fellows
$2,499
Physicians
$2,699

Medical devices

- Sharpoint Surgical Specialties

- ASSI

- MICRINS

- Carl Zeiss, Inc

Agenda

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

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

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



Pictures:


A PDF version of the syllabus can be found here.

Videos

Photos

Logistics

Getting there

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.

Where to stay

Accommodations

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.

Practical details

  • clean scrubs
  • comfortable shoes

Reviews

Global Review
4.8 /5
Pedagogy
4.8 /5
Hospitality
4.8 /5
Knowledge aquired
4.9 /5
Recommendation
4.8 /5
Jun 16, 2019
Dr. Janis L. Great course. Celine was fantastic and so helpful with all the techniques.
May 28, 2019
Dr. Abby Y. This course was fantastic - well worth making the trip from Australia for such high quality teaching. I never imagined my skills could develop quite so much in 5 days!
May 25, 2019
Dr. Christian Jose Y. Yelena was an amazing teacher! She could find the way to make it easier. Unfortunately we don’t have too much microscopes to work with so it became complicated at the beginning but at the end of the course, I was more secure working with it. Thanks for everything!

Location

New York Presbytarian Hospital at Columbia University

622 W 168th street

10032 New York New York, United States