Evidence map›Paper›PMID 34760840›Full record

ArticlePlastic surgery (Oakville, Ont.)2021

Microsurgical Anastomosis Rating Scale (MARS10): A Final Product Scoring System for Initial Microsurgical Training.

Piotr Stogowski, Filip Fliciński, Jan Białek, Filip Dąbrowski, Maciej Piotrowski, Tomasz Mazurek

Open access · greenAbstract read
In one paragraph

Article in Plastic surgery (Oakville, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Video-based microlearning improves vascular surgery resident proficiency in end-to-side anastomosis.Journal of vascular surgery cases and innovative techniques · 2025
    Article
  8. Article
  9. Eklavya-Do-It-Yourself Model: A Rolled Latex Sheet Conduit for Microsurgical Training.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2025
    Article
  10. Relaxation and Performance During Microsurgical Learning.Plastic surgery (Oakville, Ont.) · 2025
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Piotr StogowskiDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.ORCID https://orcid.org/0000-0002-1302-6619
Filip FlicińskiDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.
Jan BiałekDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.
Filip DąbrowskiDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.
Maciej PiotrowskiDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.
Tomasz MazurekDepartment of Orthopaedics and Traumatology Medical University of Gdansk, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh cost and ethical controversy of using living models in microsurgical training made non-living models more popular. However, non-living models don't provide appropriate feedback of microsurgical performance. Currently existing Global Rating Scales used for advanced microsurgical skills validation are difficult to apply on non-living model. This study presents a simple instrument for basic assessment of microsurgical anastomosis on non-living model.

methodsSeventy medical students were divided into 2 groups depending on their prior microsurgical experience. Each participant performed 3 end-to-end anastomoses on chicken femoral artery model. Anastomoses were reviewed by 3 blinded experts and then photographed. Evaluation included a patency tests, longitudinal cut of anastomosis, and the newly proposed tool 10 Point Microsurgical Anastomosis Rating Scale (MARS10). Presented scale consists of 5 factors important for anastomosis closure (anastomosis closure, suture spacing, bites size, knot tying, and cut ends length), graded on 3 point scale (0-2 points). Results were analyzed with analysis of variance, Spearman correlation, and

resultsAnastomoses evaluated by experts as patent significantly correlated with a high summary score in MARS10 scale

conclusions10 Point Microsurgical Anastomosis Rating Scale is a quick, valid, and reliable tool to assess microsurgical end-to-end arterial anastomoses on non-living model.

Indexed as

anastomosisGlobal Rating Scalemicrosurgerytraining

Identifiers

PMID34760840
PMCPMC8573647
OpenAlexW3103224093

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.