• Sang-Bong Chung, Jiwook Ryu, Yeongu Chung, Sung Ho Lee, and Seok Keun Choi.
• Department of Neurosurgery, National Medical Center, Seoul, Korea.
• World Neurosurg. 2017 Sep 1; 105: 369-374.

ObjectiveTo provide detailed information about how to realize a self-training laboratory with cost-effective microsurgical instruments, especially pertinent for the novice trainee.MethodsOur training model is designed to allow the practice of the microsurgery skills in an efficient and cost-effective manner. A used stereoscopic microscope is prepared for microsurgical training. A sufficient working distance for microsurgical practice is obtained by attaching an auxiliary objective lens. The minimum instrument list includes 2 jeweler's forceps, iris scissors, and alligator clips. The iris scissors and alligator clip provide good alternatives to micro-scissors and microvascular clamp.ResultsThe short time needed to set up the microscope and suture the gauze with micro-forceps makes the training model suitable for daily practice. It takes about 15 minutes to suture 10 neighboring fibers of the gauze with 10-0 nylon; thus, training can be completed more quickly.ConclusionsWe have developed an inexpensive and efficient micro-anastomosis training system using a stereoscopic microscope and minimal micro-instruments. Especially useful for novice trainees, this system provides high accessibility for microsurgical training.Copyright © 2017 Elsevier Inc. All rights reserved.

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