3rd International Congress on Surgery and Anesthesia
September 02 | Virtual Event
Krish Kondisetti
Tower Health Reading Hospital USA, USA
Abstract:
Introduction: Common fibular nerve (CFN) entrapment can be a significant source of pain
and/or lower extremity weakness. While decompression of this nerve has been shown to improve
patient symptoms, access to surgical care is often limited due to lack of surgeons with
adequate training in nerve decompressions in the lower extremity. One of the main causes
of insufficient training experience is lack of hands-on dissection, which can be bridged with
cadaver training sessions. However, cadaver lab experiences are often limited due to high
costs to training programs.
Materials & Methods: At a multisystem teaching hospital, a collaboration was created between
the Departments of Podiatry, Plastic Surgery, and Pathology to sequester above-theknee
amputations to provide dissection experiences for trainees prior to being incinerated.
This program was provided at zero cost to trainees and held for 3 hours on a monthly basis.
During these sessions, a surgeon trained in decompression of the CFN led a 2-hour, hands-on
workshop for residents. Trainees completed surveys before and after the dissection of the CFN
to evaluate their knowledge, interest, and comfort with CFN decompression.
Results: The average participating trainees were PGY-3 residents. After a single 2-hour cadaver
lab, surveys from trainees indicated significant increases in interest in learning CFN
decompression and confidence with performing the procedure, although statistically significant
(P >0.05). Statistically significant improvements were observed with trainees’ familiarity
with anatomy of CFN and readiness to perform CFN decompression procedure independently
(P<0.05 for both).
Conclusion: A multidisciplinary collaboration can provide a hands-on cadaver-based method
for teaching CFN decompression for surgical trainees at zero-cost to the training programs
by preserving above-the-knee amputation specimens for dissection labs prior to disposing
of the specimens. Significant gains in trainees’ confidence, knowledge and interest in CFN
decompression are achieved when measured by pre- and post- intervention surveys. Additional
gains in interest and confidence in performing the procedure could be achieved after
additional training sessions.
Biography
Krish Kondisetti is a current medical student at Philadelphia College of Osteopathic Medicine. He completed
his BS in Neuroscience and a minor in Chemistry at the University of Pittsburgh. He served as a chief legislative
correspondent for Senator Toomey in the US Senate prior to medical school.