Microsurgical vascular anastomosis in reconstructive surgery learning is usually based on rat dissection. But this technique does not allow dissection of the flap, preparing of the recipient vessels training, and suturing in conditions as realistic as possible of the surgery. The aim of this study was to describe a technique of surgical anatomy learning on human fresh cadavers, easy to perform and to evaluate its pedagogic interest. In the first part of the study, six fresh cadavers have been dissected simulating 6 forearm flaps with growing difficulty. In the second part of the study, 30 residents in surgery were evaluated on their ability to recognize main anatomic structures and to perform microsurgical anastomosis, of forearm flaps anastomosed on... |