Advanced Microsurgery

The Advanced 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.

The purpose of microsurgical training is to develop specialized surgical skills to facilitate the repair of small vessels and nerves. Advanced courses are tailored to more experienced surgeons who successfully competed the basic course.

Training is conducted as a three-part process: reading the textbook, viewing the training videotapes and practicing surgical skills.

 Registration fees include a copy of the textbook: Y Akelina,, A Ballestin : “Microsurgery 101: Tips and Tricks for Microvascular and Peripheral Nerve Repair”

Please wear comfortable clothes and shoes - or bring scrubs.

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“
• Video-lectures from the textbook

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):

• "Interpositional Vein Graft"
• Video-lectures from the textbook

Practicum:

• Practice interpositional vein graft using epigastric vein and femoral artery.
• Practice end-to-end arterial anastomosis using interrupted technique on carotid artery. 
• Practice end-to-side arterial bypass anastomosis using carotid and femoral artery

Pictures:

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

Video-lecture from the textbook

Practicum:

• Practice groin cutaneous free tissue flap using femoral vessels pedicle.

Pictures:

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

Video-lectures from the textbook

Practicum:

• Practice side-to-side anastomosis using femoral vessels.
• Practice side-to-side anastomosis using carotid vessels.

Pictures:

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

Practice specialty-related procedures.

• Vasovasostomy and Vasoepididymostomy
• Fallopian Tubes repairs
• Serratus anterior muscle flap to femoral vessels
• Organ (renal) transplant utilizing continuous suturing
• Carotid artery work
• Super microsurgery