{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:52:00Z","timestamp":1753861920608,"version":"3.41.2"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":315,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine & Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>To develop a trauma surgery training program using porcine organs and evaluate its usefulness. This program allows participants to experience the tactile sensation of organs and bleeding, which are impossible in trauma surgery training using a cadaver.<\/jats:p><\/jats:sec>Methods<\/jats:title>Resected organs (heart, lung, liver, spleen, kidney, small intestine, bladder, and external carotid artery) from slaughtered pigs for medical research were perfused with saline solution, flash\u2010frozen in a deep freezer, and thawed naturally on the morning of training. The training program consisted of half\u2010day practical training in suture repair of artificially created damage to the parenchymal organs and suture or anastomotic repair of damage to the luminal organs. We injected the parenchymal organs' arteries with porcine blood and the renal ureters with saline solution to create models of organ hemorrhage and urinary leakage. The training's usefulness was evaluated using a participant questionnaire that included an 11\u2010point self\u2010assessment of confidence level (SACL) form.<\/jats:p><\/jats:sec>Results<\/jats:title>Nine training seminars were conducted from September 2018 to February 2023, attended by 67 participants who were in their 1st to 20th post\u2010graduate year. The mean SACL significantly increased immediately after the seminar but decreased half\u2010year thereafter. However, it was maintained for those with surgical residency. It was also maintained for those with no surgical residency through seminar repetition.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Training in trauma surgical techniques using porcine organs is beneficial regardless of whether the participant has prior surgical residency.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.70018","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T12:55:52Z","timestamp":1731329752000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Training in trauma surgical techniques using cryopreserved porcine organs"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8304-5121","authenticated-orcid":false,"given":"Tsubasa","family":"Fujikawa","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0886-9435","authenticated-orcid":false,"given":"Hiroshi","family":"Homma","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuri","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Tanino","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Ishigami","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidefumi","family":"Sano","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Tsurukiri","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.230"},{"key":"e_1_2_11_3_1","first-page":"70","article-title":"The trauma operation skill study seminar with frozen pig organs","volume":"3","author":"Homma H","year":"2013","journal-title":"Jpn J Acute Care Surg"},{"key":"e_1_2_11_4_1","first-page":"115","article-title":"The effectiveness of the cadaver\u2010based educational seminar for trauma surgery (C\u2010BEST) for residents","volume":"18","author":"Homma H","year":"2022","journal-title":"Signa Vitae"},{"key":"e_1_2_11_5_1","unstructured":"American College of Surgeons: Advanced Trauma Operative Management. June 8 2024.https:\/\/www.facs.org\/quality\u2010programs\/trauma\/education\/advanced\u2010trauma\u2010operative\u2010management\/."},{"key":"e_1_2_11_6_1","unstructured":"International Association for Trauma Surgery and Intensive Care: Definitive Surgical Trauma Care (DSTC\u2122) Courses. June 8 2024.https:\/\/iatsic.org\/DSTC\/."},{"key":"e_1_2_11_7_1","first-page":"135","article-title":"Animal cadaveric models for advanced trauma life support training","volume":"72","author":"Eaton BD","year":"1990","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_11_8_1","first-page":"1","article-title":"Ex\u2010vivo porcine organs with a circulation pump are effective for teaching hemostatic skills","volume":"9","author":"Izawa Y","year":"2012","journal-title":"World J Emerg Surg"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bc77ba"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjan.2019.02.002"},{"key":"e_1_2_11_11_1","first-page":"88","article-title":"Repeated participation in the cadaver\u2010based educational seminar for trauma surgery (C\u2010BEST) could maintain training effects: skill retention at a 2\u2010year follow\u2010up","volume":"18","author":"Homma H","year":"2022","journal-title":"Signa Vitae"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2981-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2019.00045"}],"container-title":["Acute Medicine & Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T10:45:35Z","timestamp":1735555535000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.70018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ams2.70018"],"URL":"https:\/\/doi.org\/10.1002\/ams2.70018","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"type":"print","value":"2052-8817"},{"type":"electronic","value":"2052-8817"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2024-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70018"}}