Magnification permits precise perception of operative anatomy and positioning of instrumentation, which can improve outcomes and facilitate procedures that would be impossible to undertake without assisted vision. No published information exists regarding the extent of magnification use by surgical residents. The objective of this study is to survey the use of intraoperative magnification equipment by surgical residents for microsurgery. A questionnaire was given to a random selection of surgical residents at six international congresses. A response from 297 residents from 31 countries was obtained. Eighty-five percent used loupe magnification at least monthly. Forty percent of residents used microscopes while operating at least monthly. For intraoperative magnification (operating microscope versus loupes), 99% would use an operating microscope for free flaps (latissimus dorsi/radial forearm), 51% for a transected single forearm artery (ulnar/radial artery) repair, 79% for a single digital artery repair, 100% for digital replantation, 67% for a transected forearm nerve repair (ulnar/median), 3% for digital nerve repair, and 6% for vascular access surgery. There is substantial variation in utilisation and types of intraoperative magnification between residents. It is proposed that the operating microscope should be used by surgical residents for surgery on tubular structures that are 4 mm or less in diameter.
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2011
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