Deep Vascular Anastomosis: Photo Layout

"Deep Vascular Anastomosis Model 1 Model/2 Residents SUPPLIES NEEDED: MODEL: 1-Plastic gallon jug cut to be approx. 6" tall 1-Base (could be wood board, surgical tray, etc.-anything to give stabilize) 1-1/4" x 18" Penrose drain, cut in half 3-4 Towels for draping INSTRUMENTS: Castroviejo needle driver Potts scissor Pair of long Geralds or Debakey forceps SUTURE: 5-0 or 6-0 prolene OPTIONAL BUT HELPFUL: Personal loops Headlight (biking or camping headlight works!) INSTRUCTIONS TO BUILD: 1. Gather supplies 2. If making the ‘surgical bucket' for the first time, take an empty water or milk gallon jug and cut it in half, just below the handle 3. Using fine-tipped scissors (you don't want a large hole), place a hole on opposite sides of the jug, approximately 1.5" up from the base 4. String the ¼" Penrose drain through each hole, so the Penrose is pulled across, taut. 5. Fix gallon jug to tiles or a board-anything heavy to provide stability. Use Velcro, a hot glue gun-anything to fix it to a solid or heavier surface. 6. Place the second ¼" Penrose across the drape so that it hangs perpendicular to the Penrose drain at the base. 7. As you can see in the picture layout, we used a red piece of paper in the base of the jug to provide contrast and better visibility, but this is not necessary 8. See the Photo Layout for additional tips/suggestions"

DEEP VASCULAR ANASTOMOSIS UNIVERSITY OF UTAH SURGICAL SKILLS LAB Peter Bartline MD, Ruth Braga MSN, Jeffrey Campsen MD, William Peche MD, Daniel Vargo MD 1.Gather Supplies 2. Put Hole In Jug, Approximately 1.5 Inches From Base 3. ‘String' Penrose Through Hole (I Used A Hemostat!) 4. Repeat Steps 2&3 So Penrose Is Pulled Across Jug University of Utah Surgical Skills Lab-Deep Vascular Anastomosis Model 5. Drape Jug and Lay 2nd Penrose Perpendicular To Penrose In The Base 6. Dr. Bartline & Dr. Peche Working On Model Additional Tips: 1. We put a piece of red paper in the base of the gallon jug to provide contrast, but this is not necessary 2. Instead of using an expensive headlight, purchase bike or camping headlights (Dr. Peche is wearing one!) 3. To adjust the working height (for ANY of these models), you don't need an expensive adjustable table. We use discarded trays from the OR and stack however many the resident needs to make the model high enough for them to work comfortably! University of Utah Surgical Skills Lab-Hand Sewn Bowel Anastomosis Model