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Low-fidelity simulation model to microvascular surgery for military surgical residents
  1. Ammar Ghabi1,
  2. B de Geofroy2,
  3. A Sabaté Ferris3,
  4. G Pfister3,
  5. M-P Chapon4,
  6. J Legagneux5,
  7. M Harion6 and
  8. L Mathieu3
  1. 1 Departement of Orthopaedic and Trauma Surgery, Laveran Military Hospital, Marseille, France
  2. 2 Department of Orthopaedic and Trauma Surgery, Laveran Military Hospital, Marseille, France
  3. 3 Department of Orthopaedic, Trauma and Reconstructive Surgery, Percy Military Hospital, Clamart, France
  4. 4 Department of Orthopaedic and Trauma Surgery, Bégin Military Hospital, Saint-Mandé, France
  5. 5 Microsurgery Laboratory, Surgical School, Agence Générale des Equipements et Produits de Santé Assistance Publique-Hôpitaux de Paris, Paris, France
  6. 6 Bibliothéque Universitaire Kremlin-Bicêtre, Université Paris-Saclay, Le Kremlin-Bicêtre, France
  1. Correspondence to Ammar Ghabi, Department of orthopaedics, Laveran Military Hospital, Marseille 13998, France; ammar.ghabi{at}hotmail.fr

https://doi.org/10.1136/bmjmilitary-2022-002095

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    Although battlefield medical support is dedicated providing life and limb-saving care, microsurgery is occasionally performed to manage wartime hand injuries in French forward surgical units. Field microsurgical procedures are mostly completed by orthopaedic surgeons using ×3.5 magnification loupes and limited equipment.1 There is in fact no available microscope in the current French role 2 facilities deployed in Sahel. However, a surgical microscope was available in our former role 3 deployed in Afghanistan. This unusual practice permitted to save fingers and to repair nerve injuries.1 To make it possible, the validation of a university degree in microsurgery is part of the initial training of orthopaedic residents in the French Army Health Service (FAHS). However, most of them will have no regular microsurgical practice …

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    Footnotes

    • Contributors Manuscript writing: AG, MH, LM. Data collection: AG, BdG, ASF, M-PC, GP. Study supervision: JL, LM. All authors have validated the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.