DOI: 10.36347/sasjs.2024.v10i01.008

Pages: 28-37

Introduction: The proficient execution of local flaps poses a challenge for surgical residents. This study aimed to assess a training model for local flaps using fresh human skin excised during tummy tuck procedures. Methods: A questionnaire and a surgical skills evaluation, examining theoretical and procedural knowledge of local flaps, were administered before and after the training. All surgical procedures were performed on a simulation model utilizing freshly excised human skin. Skills were evaluated using a modified version of the Objective Structured Assessment of Technical Skills Score. SPSS version 21 was employed for comparing pre- and post-training results. Results: In the pretraining assessment, residents faced difficulties in flap design accuracy and wound coverage adequacy, indicating a need for surgical training beyond the operating theater. Post-training, there was a significant improvement in procedural skills, as reflected in the modified Objective Structured Assessment of Technical Skills score. The mean cumulative pretraining score was 26.81 ± 5.41, while the posttraining score was 43.59 ± 5.72 (P = 0.008). Theoretical knowledge also significantly improved in the posttraining evaluation, except for the indication of a Z-plasty (P = 0.257). The training model received positive feedback and was deemed highly useful and recommendable. Discussion: The presented model demonstrated improved surgical handling and understanding of tissue rotation under realistic conditions. The simulation model, using fresh human skin, is cost-effective and versatile for a broad range of flap procedures, advocating for its further adoption. Conclusions: The training model significantly enhanced surgical handling and comprehension of tissue rotation, replicating realistic conditions. The cost-effective simulation model, based on fresh human skin, offers versatility for various flap procedures, emphasizing the need for its wider implementation.