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 INDIAN PERSPECTIVE
Year : 2020  |  Volume : 68  |  Issue : 6  |  Page : 1418--1422

An Affordable Neurosurgical Training System for Neurosurgical Residents; The Indian Perspective


1 Department of Neurosurgery, Yenepoya Medical College, Mangalore, Karnataka, India
2 Institute of Neurosurgery, Rajiv Gandhi Government General Hospital, Madras Medical College, Park Town, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Krishna M. D. Narayanan
24 JTK 3rd Phase, KHB Layout, Kuvempunagar, Mysore - 570 023, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.304122

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Context: Neurosurgical training in India. Aims: To establish a sustainable, functional, and relatively inexpensive neurosurgical training system. Methods and Materials: The training system involved using a relatively inexpensive stereoscopic microscope and ophthalmological microinstruments , including two jewellers' forceps and a microscissors. Training modules were designed using commonly available materials such as gauze, latex gloves, and chicken wings. Statistical Analysis Used: None. Results: The system proved to be easy to construct, easy-to-use, and highly compact. This system allowed for residents to practice microsuturing and vessel anastomosis and allows the resident to be familiarized with operating under the microscope. Thereby , developing the hand–eye coordination and precise motor control required for neurosurgery as well as the art of appropriate tissue handling. Conclusions: The inexpensive nature of this training system and its inherent simplicity allows for a larger portion of neurosurgical residents in India, without access to sophisticated skills labs, to practice their skills in a controlled environment, without compromising on their ward duties.






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