nova metodologia para ensino e ensaio de técnicas operatórias em cirurgia cardíaca a new methodology for teaching and rehearsing of operative tecniques in cardiac surgery
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ID: 186283
1994
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Abstract
Utilizando-se os equipamentos e reproduzindo-se as instalações de um centro operatório, simulam-se todas as condições para operações com circulação extracorpórea (CEC). Estas são realizadas num manequim que tem peças anatômicas humanas frescas fixadas em suporte especialmente desenvolvido e colocado dentro da sua cavidade torácica. Os procedimentos são gravados em vídeo e projetados em telão para o auditório, que mantém intercomunicação com a equipe cirúrgica. O sistema foi utilizado no XI Simpósio Internacional Unicór em julho de 1993, no 3º Congresso da SCICVESP em novembro de 1993 e no 21º Congresso Nacional de Cirurgia Cardíaca em março de 1994, com os seguintes procedimentos: Operação de Senning, Anastomose cavo-pulmonar, Operação de Jatene, Operação de Konno, Operação de Monaghian, Cardioplegia retrógrada, Ampliação do anel aórtico com retroplegia sanguínea normotérmica contínua, Ampliação simétrica do anel aórtico (Nova proposição técnica), Plastia da valva mitral, Substituição da valva mitral, Operação do labirinto, Desfibrilador implantável e Transplante cardíaco. O método, recebido com entusiasmo pela coletividade médico-cirúrgica, mostrou ser uma eficiente técnica de ensino e de ensaio de cirurgia cardíaca, permitindo: 1) perfeita reprodução de atos operatórios em ambientes coletivos; 2) excelente imagem dos procedimentos através da projeção de vídeo (telão); 3) melhora na capacidade de transmissão dos ensinamentos pela clareza do campo operatório e descontração da equipe cirúrgica; 4) interrupção da "operação", sem o risco das cirurgias habituais e à qualquer momento para esclarecimentos técnicos ou táticos; 5) formação de material didático de uso permanente (videoteca) de excelente qualidade; 6) realização das "operações" em cardiopatias congênitas ou adquiridas, através da criação de um arquivo de peças anatômicas congênitas ou adquiridas, congeladas; 7) antevisão da extensão desse procedimento a outras especialidades.
Utilizing equipment and conditions similar to the operating room we have reproduced all that it is necessary for simulating cardiac surgery with extracorporeal circulation. Surgeries are performed in a dummy who has a freshly fixed human anatomic piece firmly attached to a device specially developed and which is placed inside the thorax of the dummy. The procedures performed are videotaped and are also displayed simultaneously in a large screen situated in an auditorium with free communication with the surgical team. The system was utilized in July 1993 - XI Unicor International Symposium, and in November 1993 - 3rd SCICVESP Congress and in March 1994 - 21th Brazilian Congress of Cardiac Surgery with the following procedures being perfomed: Senning, Jatene, cavo-pulmonary anastomosis, Konno, Monaghian, mitral valve replacement, labyrinth surgery, retrograde cardioplegy, implantable defibrillator and orthotopic heart transplantation.The method was received enthusiastically by our colleagues and proved to be an efficient teaching technique as well as an excellent rehearsal tool due to its: 1) perfect reproducibility of the surgical conditions; 2) excellent image of the procedures as viewed in the large screen at the auditorium; 3) improvement in the way surgery is learned and taught due to the fact that the surgical field is clear cut and the surgical team is relaxed; 4) interruption of the surgical act without the complications that could develop during a "real" surgery; "surgery" can be interrupted at any time; 5) obtaining a video library with high quality definition images of different procedures; 6) we can foresee a frozen archive of hearts with congenital or acquired heart defects prepared to undergo surgical correction and 7) the future utilization of this technique in other surgical specialties.
Utilizing equipment and conditions similar to the operating room we have reproduced all that it is necessary for simulating cardiac surgery with extracorporeal circulation. Surgeries are performed in a dummy who has a freshly fixed human anatomic piece firmly attached to a device specially developed and which is placed inside the thorax of the dummy. The procedures performed are videotaped and are also displayed simultaneously in a large screen situated in an auditorium with free communication with the surgical team. The system was utilized in July 1993 - XI Unicor International Symposium, and in November 1993 - 3rd SCICVESP Congress and in March 1994 - 21th Brazilian Congress of Cardiac Surgery with the following procedures being perfomed: Senning, Jatene, cavo-pulmonary anastomosis, Konno, Monaghian, mitral valve replacement, labyrinth surgery, retrograde cardioplegy, implantable defibrillator and orthotopic heart transplantation.The method was received enthusiastically by our colleagues and proved to be an efficient teaching technique as well as an excellent rehearsal tool due to its: 1) perfect reproducibility of the surgical conditions; 2) excellent image of the procedures as viewed in the large screen at the auditorium; 3) improvement in the way surgery is learned and taught due to the fact that the surgical field is clear cut and the surgical team is relaxed; 4) interruption of the surgical act without the complications that could develop during a "real" surgery; "surgery" can be interrupted at any time; 5) obtaining a video library with high quality definition images of different procedures; 6) we can foresee a frozen archive of hearts with congenital or acquired heart defects prepared to undergo surgical correction and 7) the future utilization of this technique in other surgical specialties.
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| Authors | ;José Carlos Silva de Andrade |
| Journal | 2017 international conference on information technology systems and innovation, icitsi 2017 - proceedings |
| Year | 1994 |
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