Microsurgical training through laboratory experience: A step-by-step practical guideline

Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, and symptomatic ischemic cerebrovascular diseases. We show the techniques, materials, and experience performed in a microsurgical laboratory of a neurosurgical referral center in Mexico City. We describe the materials, non-specimen suture practices, specimen manipulation, and finally all the individual procedures we are capable to perform on live specimens. The microsurgical laboratory is an indispensable tool for the acquisition of the so needed microsurgical skills in neurosurgery, having a very special emphasis in vascular neurosurgery.