Speed in surgery: 10 quick tips to increase confidence and manual training on the young plastic surgeon

The purpose of this article is to show 10 quick tips that aim to aid in the development of confidence, improvement of manual skill, and surgical planning in the daily training routine of the young plastic surgeon; skills capable of reducing overall surgical time without compromising the meticulousness of the movements performed.

Keywords:
Teaching hospitals; Plastic surgery; General surgery; Motor dexterity; Learning curve.

Authorship

GIBRAN BUSATTO CHEDID ^**Corresponding author: Gibran Busatto Chedid Rua Mostardeiro, 157, Sala 606, Porto Alegre, RS, Brazil. Zip Code: 90430-001, E-mail: gichedid@hotmail.com

Sociedade Brasileira de Cirurgia Plástica, Porto Alegre, RS, BrazilSociedade Brasileira de Cirurgia PlásticaBrazilPorto Alegre, RS, BrazilSociedade Brasileira de Cirurgia Plástica, Porto Alegre, RS, Brazil

http://orcid.org/0000-0001-8197-9342

PAULA GIRELLI

Ernesto Dornelles Hospital, Residency in General Surgery, Porto Alegre, RS, BrazilErnesto Dornelles HospitalBrazilPorto Alegre, RS, BrazilErnesto Dornelles Hospital, Residency in General Surgery, Porto Alegre, RS, Brazil

http://orcid.org/0000-0002-0689-4768

CARLOS OSCAR UEBEL

São Lucas Hospital, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, BrazilPontifícia Universidade Católica do Rio Grande do SulBrazilPorto Alegre, RS, BrazilSão Lucas Hospital, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil

http://orcid.org/0000-0002-1914-0877

Conflicts of interest: none

*Corresponding author: Gibran Busatto Chedid Rua Mostardeiro, 157, Sala 606, Porto Alegre, RS, Brazil. Zip Code: 90430-001, E-mail: gichedid@hotmail.com

SCIMAGO INSTITUTIONS RANKINGS

Figures | Tables

Figures (4)
Tables (2)

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Figure 1
The scalpel handle is held between the first, second and third fingers, using the fifth finger extended to form a support angle with the incised surface. A useful guide for stabilization and depth of movement.

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Figure 2
Forceps held between the first and second fingers, using the third finger to support the dissected tissue, generating a gentle protrusion of the tissue, performed with the internal rotation of the wrist.

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Figure 3
Needle holder impaled with the upper ring touching the thenar eminence of the hand and the fourth finger resting on the lower ring. A small medial movement is performed with the region of the thenar and lateral eminence with the fourth finger, generating friction of the upper ring of the needle holder in the thenar eminence and opening it.

Thumbnail

Figure 4
Opposite forces generating the shear cut.

Thumbnail

GBC Concepção e desenho do estudo, Redação - Revisão e Edição, Validação PG Aprovação final do manuscrito, Conceitualização, Redação - Revisão e Edição, Validação COU Gerenciamento do Projeto, Supervisão

Thumbnail

GBC Conception and design study, Validation, Writing - Review & Editing PG Conceptualization, Final manuscript approval, Validation, Writing - Review & Editing COU Project Administration, Supervision

Figure 1 The scalpel handle is held between the first, second and third fingers, using the fifth finger extended to form a support angle with the incised surface. A useful guide for stabilization and depth of movement.

Figure 2 Forceps held between the first and second fingers, using the third finger to support the dissected tissue, generating a gentle protrusion of the tissue, performed with the internal rotation of the wrist.

Figure 3 Needle holder impaled with the upper ring touching the thenar eminence of the hand and the fourth finger resting on the lower ring. A small medial movement is performed with the region of the thenar and lateral eminence with the fourth finger, generating friction of the upper ring of the needle holder in the thenar eminence and opening it.

Figure 4 Opposite forces generating the shear cut.

GBC	Conception and design study, Validation, Writing - Review & Editing
PG	Conceptualization, Final manuscript approval, Validation, Writing - Review & Editing
COU	Project Administration, Supervision

GBC	Concepção e desenho do estudo, Redação - Revisão e Edição, Validação
PG	Aprovação final do manuscrito, Conceitualização, Redação - Revisão e Edição, Validação
COU	Gerenciamento do Projeto, Supervisão

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Sociedade Brasileira de Cirurgia Plástica Rua Funchal, 129 - 2º Andar / cep: 04551-060, São Paulo - SP / Brasil, Tel: +55 (11) 3044-0000 - São Paulo - SP - Brazil
E-mail: rbcp@cirurgiaplastica.org.br

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Speed in surgery: 10 quick tips to increase confidence and manual training on the young plastic surgeon

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[1] Conflicts of interest: none