Issues and Developments in Medicine and Medical Research Vol. 8

Abstract

Objectives: Recently, a world-renowned neurosurgeon admitted at a world congress that the mortality rate of the most difficult tumour was 18% when he began operating, but it dropped to less than 5% in the next five years. We don't want to talk about it. It's the shadow side of science. How can we avoid these complications? The phrase "learning curve" is "politically correct," but at what cost? There is a lot of pain, death, and complications behind it. Do we need to hone our abilities with living patients? Is it moral? How many complex operations do we need to perform per year to keep our skills at a high level? Is there a sufficient number of training laboratories in hospitals?It is not available in thousands of mid centers. We would like to offer a vey simle method.

Methods: We have gradually introduced daily fresh cadaver dissections into our practise in three mid centres over the last 15 years. We look at the challenges that had to be overcome in centres that did not have an anatomy lab.

Results: The ethical and practical difficulties were negotiable, but the organization were not easy. Discussion: We should change of the postgraduate training methodology in intra and extracranial micro and endoscipic and endovascular surgery return to daily training like in sport. Fresh cadavers are available in every hospital. This would be the main tenet of the "nil nocere" surgical principle.