Plastic and reconstructive surgery. Global open · 2026
Improving Microsurgery Foundational Skills Acquisition Through Short Simulation Courses in Rwanda.
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Mukamitari Victoire, Rochlin Danielle H, Bassiri Gharb Bahar, Coriddi Michelle, Sassu Paolo, Poore Samuel, Pusic Andrea, Ntirenganya Faustin
Аннотация
BACKGROUND: Microsurgery is increasingly becoming the cornerstone of reconstructive surgical practice, yet training opportunities remain scarce in sub-Saharan Africa. To address this gap, a 2-day simulation-based microsurgery course was held in Kigali as part of the preconference activities of the Pan-African Conference in February 2025. This study aims to demonstrate the feasibility of short-term microsurgery training and evaluate the preliminary impact of the course on participants' microsurgical skills.
METHODS: Pre- and posttraining surveys were administered to course participants, assessing comfort and confidence across 6 core skill domains: microscope handling, instrument manipulation, needle control, vessel preparation, end-to-end anastomosis, and judging the patency of an anastomosis as well as anxiety related to performing microsurgery. Responses were recorded on a Likert-type scale using a 0-100 format. Paired analysis was performed using Wilcoxon rank sum tests. Qualitative feedback was also collected to assess the perceived value and suggested improvements for future sessions.
RESULTS: Eighteen participants completed pre- and/or posttraining surveys (14 completed both). Statistically meaningful improvements were observed in participants' comfort and confidence across all skill domains (P < 0.05). Participants reported a significant decrease in anxiety (P < 0.02). Qualitative responses emphasized high satisfaction with the course, with many requesting more frequent sessions and earlier integration of microsurgical skills into training.
CONCLUSIONS: Short-duration, simulation-based microsurgery training had a positive, measurable impact on technical confidence and psychological readiness among surgical trainees in Rwanda. These findings highlight the feasibility and importance of expanding access to structured microsurgical education across sub-Saharan Africa and support efforts to integrate such training into national surgical training frameworks.
METHODS: Pre- and posttraining surveys were administered to course participants, assessing comfort and confidence across 6 core skill domains: microscope handling, instrument manipulation, needle control, vessel preparation, end-to-end anastomosis, and judging the patency of an anastomosis as well as anxiety related to performing microsurgery. Responses were recorded on a Likert-type scale using a 0-100 format. Paired analysis was performed using Wilcoxon rank sum tests. Qualitative feedback was also collected to assess the perceived value and suggested improvements for future sessions.
RESULTS: Eighteen participants completed pre- and/or posttraining surveys (14 completed both). Statistically meaningful improvements were observed in participants' comfort and confidence across all skill domains (P < 0.05). Participants reported a significant decrease in anxiety (P < 0.02). Qualitative responses emphasized high satisfaction with the course, with many requesting more frequent sessions and earlier integration of microsurgical skills into training.
CONCLUSIONS: Short-duration, simulation-based microsurgery training had a positive, measurable impact on technical confidence and psychological readiness among surgical trainees in Rwanda. These findings highlight the feasibility and importance of expanding access to structured microsurgical education across sub-Saharan Africa and support efforts to integrate such training into national surgical training frameworks.