Computer simulation
surgery (CSS) utilizes techniques of computer graphics to simulate
morphological changes which occur during surgery. The purpose of
this study is to use CSS as a teaching model to aid in the surgical
training of TRAM flap surgery. The patient model is created
using a layering technique of 75 photographs taken in the operating
room from a camera at a fixed distance from the patient. A light
pen is used to allow on screen manipulations there by eliminating
the traditional mouse-based graphic interface.
A bilateral TRAM
flap breast reconstruction was simulated using CSS. The important
anatomical landmarks for flap design, flap elevation,
and abdominal closure are demonstrated. A trainee can experience
the simulated surgery prior to performing the operation. Additional
applications include the use of CSS for international exchange of
information using on-line information such as the Internet.
The simulation
was demonstrated by Dr. Mark Codner with assistance from Jon Guffey
at the Southeastern Society of Plastic and Reconstructive
Surgeons Conference in Palm Beach, Fl. June 1-5, 1996 and at
the International Society of Plastic and Reconstructive Surgeons
Conference in Dallas, TX. Nov. 10-15, 1996. click on a thumnail below for a larger view (JPG: 640 x 480)
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Screenshot from the Breast Reconstruction Simulator
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