Case Reports in Surgery and Invasive Procedures

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Mini Review - Case Reports in Surgery and Invasive Procedures (2022) Volume 6, Issue 4

History and role of surgical simulation in neurosurgery.

Vivian Geroge*

Department of Medicine, University of Messina, Messina, Italy

*Corresponding Author:
Vivian Geroge
Department of Medicine
University of Messina, Messina, Italy

Received: 02-Jul-2022, Manuscript No. AACRSIP-22-69491; Editor assigned: 06-Jul-2022, PreQC No. AACRSIP-22-69491(PQ); Reviewed: 20-Jul-2022, QC No. AACRSIP-22-69491; Revised: 22-Jul-2022, Manuscript No. AACRSIP-22-69491(R); Published: 29-Jul-2022, DOI: 10.35841/aacrsip-6.4.117

Citation: Geroge V. History and role of surgical simulation in neurosurgery. Case Rep Surg Invasive Proced. 2022;6(4):117

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Neurosurgery is one of the most technically demanding medical professions that warrant a high level of expertise. In the present context of competitive medical practice, high societal expectations regarding quality of patient care and medico legal and financial constraints, there are fewer opportunities for a trainee to achieve competency in standard neurosurgical, microsurgical, and operative techniques. Practice on simulation models like cadavers has been a trend since antiquity; however, recent development of newer models with their strategic modifications has given simulation education a new dimension. It has allowed trainees to acquire and improve surgical skills and knowledge in specifically fabricated and controlled settings with no risk to real patients


Neurosurgery, Three-dimensional printing technology, Dimensions.


Simulation also offers the opportunity for deliberate practice and repetition unlimited number of times so that psychomotor skills can be automated. There is ever-growing evidence showing the positive impact of simulation on resident training in various areas of health care [1]. Advances in computer technology and imaging, development of sophisticated virtual reality simulators with haptic feedback and the recent addition of three-dimensional printing technology, have opened a wide arena for the development of high-fidelity patientspecific models to complement current neurosurgical training. Simulation training in neurosurgery in India is still elementary since its inception at the All India Institute of Medical Sciences, New Delhi. A structured modular training program has been developed which is yet to be implemented at a multiinstitutional level. Stringent efforts are needed to establish a uniform resident training curriculum where simulators can be used to complement current neurosurgical training [2].

A test system is a gadget or model utilized for preparing people by mimicking circumstances they will experience, in actuality. Careful test systems, for example, human corpses, live creatures, seat top models and Augmented Reality (VR) frameworks reproduce careful circumstances for students to practice and level up their abilities. While working with test systems, learners can over and over training procedures and oversee complexities until they accomplish aptitude in playing out the re-enacted activity. Thus, careful recreations help in the advancement of basic psychomotor, specialized and decision making abilities. Critically, careful reproduction advances rehashed practice in a setting that excuses disappointment, and hence gives the potential chance to gain from one's mistakes without really hurting major.

The ramification is that tedious utilization of careful recreations will diminish usable times, lower entanglement rates and work on tolerant results. As of late, an enormous number of careful test systems have arisen that are extraordinary to various careful strengths, strategies and procedural varieties. For instance, unique seat top and VR test systems exist for the act of endoscopic unfamiliar body expulsion, laparoscopic normal bile conduit investigation, congenital fissure fix and digestive anastomosis among numerous others.

Explicit test systems likewise exist for interesting confusions of a particular medical procedure, for example, an as of late evolved sheep-based test system for overseeing vascular crises during skull base a medical procedure. At long last, with the capacity to rehearse medical procedures on human bodies and creature models, almost any medical procedure can be recreated beyond the working room. In this audit, we will examine the historical backdrop of careful reproduction, the sorts and advantages of test systems as of now accessible to careful teachers, lastly the growing job of careful test systems in the future. Surgical recreation models can be lowor high-devotion, mirroring the closeness of the model to the real world. Low-constancy models just permit practice of individual abilities or methods as opposed to a whole effort, while high-loyalty models can reproduce a whole medical procedure with a serious level of authenticity. Albeit highconstancy models are attractive for intently imitating the working room climate, low-loyalty models are less expensive and permit fast and dreary reproduction of a particular expertise to empower dominance of individual procedures [3].

Significantly, the degree of constancy ought to be fitting to the kind of undertaking and preparing stage: a low-devotion test system is more qualified for fledgling rehearsing essential careful abilities, for example, dexterity and bunch tying, while a higher-loyalty framework that incorporates a wide assortment of abilities better serves progressed specialists. Inside a solitary classification of test systems, both low-and high-loyalty models exist. Coming up next is a rundown of probably the most well-known sorts of careful test systems being used today. Traditional careful recreations have involved rehearsing normal methods and errands that are probably going to be experienced in the working room. Test systems that train basic dexterity abilities, hitch tying and stitching have wide utility on the grounds that these activities are oftentimes performed. In any case, present day propels in innovation have empowered the improvement of careful test systems that duplicate complex medical procedures extraordinary to the physical varieties and illness conditions of real patients. These patient-explicit careful test systems accomplish the most significant level of constancy by permitting specialists to rehearse the particular case they will perform on models that precisely address their patient. Furthermore, expanded reality joined with remote innovations is making tele surgery a genuine device for master specialists to help fledgling specialists in complex tasks. In this way, late advancements in careful reproduction are centred around working on careful results, either by expanding the working mastery of the working specialist (quick prototyping and patient-explicit VR) or expanding admittance to master specialists [4].

The upheaval in careful preparation, achieved by impediments in work hours and worries for patient wellbeing, has brought about exceptional developments in recreation. Notwithstanding, it has likewise gotten on new changes careful preparation. Responsibility for the viability of careful preparation has expected instructors to be deliberate about checking that standard preparation is powerful, and that reenactment can really work on students' capacities to really focus on patients. Whether careful re-enactment is really working on the proficiency of abilities obtaining is genuinely obscure; more dependable strategies for estimating expertise securing will be expected for this interaction [5].


As of now, teachers will be tested by how, where, when, which, and how frequently reproductions ought to be utilized in clinical preparation. As the test systems improve, and the estimation of abilities securing improves, we will probably figure out how to expand expertise obtaining for doctors in preparing. This will ideally diminish the expense of doctor preparing while at the same time expanding doctor quality later on.


  1. Mashreky SR, Rahman A, Chowdhury SM, et al. Consequences of childhood burn: findings from the largest community-based injury survey in Bangladesh. Burns. 2008;34(7):912-18.
  2. Indexed at, Google Scholar, Cross Ref

  3. Bailey ME, Sagiraju HK, Mashreky SR, et al. Epidemiology and outcomes of burn injuries at a tertiary burn care center in Bangladesh. Burns. 2019;45(4):957-63.
  4. Indexed at, Google Scholar, Cross Ref

  5. Biswas A, Abdullah AS, Dalal K, et al. Exploring perceptions of common practices immediately following burn injuries in rural communities of Bangladesh. BMC Health Serv Res. 2018;18(1):1-6.
  6. Indexed at, Google Scholar, Cross Ref

  7. Rahman MS, Islam R, Rana MM, et al. Characterization of burn wound healing gel prepared from human amniotic membrane and Aloe vera extract. BMC Complement Altern Med. 2019;19(1):1-5.
  8. Indexed at, Google Scholar, Cross Ref

  9. Adams P. In Bangladesh, funds dry up for arsenic mitigation research. Lancet. 2013;23(9906):1693-94.
  10. Indexed at, Google Scholar, Cross Ref

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