Nuevas tecnologías de magnificación de la imagen en el entrenamiento microquirúrgico validadas con escalas de evaluación de habilidades (EEH). Revisión de alcance
Thesis
Background: Surgical techniques have evolved over time, along with the development of new technologies, allowing procedures that were once unthinkable to be performed. All of these advancements are limited by the lack of training options for medical staff interested in developing microsurgical abilities. Objective: To describe new image magnification technologies, different from the traditional magnification elements, in microsurgical training that are validated with SAT Methodology: This is a scoping review carried out using the databases of PubMed, BVS, OVID and gray literature, in which all the available evidence of the elements of new technologies in image magnification used during microsurgery training was included until November 2021. The characteristics of these technologies validated with SAT were identified. Results: A total of 10035 articles were obtained, evidencing, with the search carried out, a significant increase in the number of articles published since the year 2000. Finally, 10 publications were included. Image magnification devices were divided into high-cost (Da Vinci surgical system, high-definition 3D exoscope (VITOM®)) and low-cost (digital microscope, trinocular microscope, stereomicroscope, smartphones, digital tablets). Regarding the SAT, the VITOM and SARMS scales were used for high-cost devices. On the other hand, the SMaRT, SAMS, UWOMSA, OSATS, NOMAT, microsurgery score sheet, modified OSATS, and OSATS global scale were implemented in low-cost devices, describing the advantages and disadvantages of the devices used and demonstrating their usefulness and proper development of microsurgical skills. Conclusion: Emerging technologies applied in microsurgical training have generated greater interest in the medical community, which has favored the increase of multiple publications in recent years. However, the vast majority of publications found do not have SAT, impacting the reliability and validity of the articles. In the future, it is important to have cost-effective, easily accessible, reliable, validated devices that can be widely implemented.
