ESSHM Academy · Microsurgery

Microsurgery Training Spine

A competency-based progression from microscope ergonomics to microvascular reconstruction — designed to make training visible, repeatable and easier to standardise across centres.

Stage 01Microscope & Instrument ControlErgonomics, focus, field setup, instrument handling and atraumatic tissue manipulation.

Stage 02Microsuture FundamentalsNeedle handling, bite geometry, knot control and consistent suture spacing.

Stage 03End-to-End AnastomosisArterial and venous anastomosis, lumen control, wall alignment and patency assessment.

Stage 04Advanced AnastomosisEnd-to-side technique, size mismatch, vessel grafting and difficult orientation.

Stage 05Reconstructive ApplicationFlap planning, replantation sequence, venous strategy, monitoring and salvage principles.

Stage 06Clinical TranslationSimulation-to-theatre transition under supervised practice, documented by case exposure and feedback.

Build your current training plan

Tick the competencies you can perform reproducibly under appropriate supervision. The tool will show the next gaps in sequence.

Set up microscope position, working distance and ergonomics independently.
Handle microforceps and needle holder without unnecessary tissue trauma.
Place evenly spaced microsutures with controlled bite depth and knot tension.
Complete a leak-free end-to-end arterial anastomosis in a training model.
Complete a venous anastomosis while minimising back-wall capture and twist.
Perform end-to-side anastomosis in a training model.
Manage size mismatch or interposition grafting in simulation.
Plan inflow, outflow and sequence for a simulated free flap or replantation case.

MENA training spine

A common language for microsurgical progression.

The strategic goal is not one annual course. It is a repeatable competency structure that can connect Egyptian and regional laboratories, faculty, visiting opportunities and future video-based assessment.

Microsurgery Training Spine

Build your current training plan

A common language for microsurgical progression.

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