Evidence map›Paper›PMID 41509558›Full record

ArticleBrain & spine2026

Basic microsurgical skills can be taught to novices with video material only - a prospective multicenter laboratory study.

Andrei Schildt, Anni Pohjola, Ville Vasankari, Jenni Määttä, Anna Seidlová, Martin Májovský, Norbert Svoboda, David Netuka, Ahmad Hafez, Martin Lehecka

Abstract read
In one paragraph

Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Andrei SchildtDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.
Anni PohjolaDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.
Ville VasankariDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.
Jenni MäättäDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.
Anna SeidlováDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Martin MájovskýDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Norbert SvobodaDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
David NetukaDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Ahmad HafezDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.
Martin LeheckaDepartment of Neurosurgery, Helsinki University Hospital, P.O. Box 266, FI-00029, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The increasing use of educational video materials has provided an alternative to traditional apprenticeship-models in surgical education. We aim to evaluate if video materials are as effective as hands-on tutoring in teaching basic microsuturing skills. Additionally, we want to see if the magnification device (microscope vs. exoscope) affects learning outcomes. Research question: Is video-based instruction an effective alternative to hands-on tutoring in teaching basic microsuturing skills to novices? Materials and methods: We designed an 8-h training program with videos to teach basic microsuturing skills to novices. Thirty medical students from two large medical universities in Europe (Helsinki and Prague) were randomised to receive either video instructions only (n = 20) or hands-on tutoring and video instruction (n = 10). Participants were further assigned to using either an exoscope (n = 15) or a microscope (n = 15) in their training. We assessed skill acquisition using a standardized microsuturing test task. All tasks were recorded and scored based task speed, quality of the suturing and the number of errors. Results: All groups demonstrated significant improvement in suturing speed, qualitative assessment, and fewer errors. Video instructions only produced non-inferior results to hands-on tutoring in the improvement in speed, error count and quality of sutures. No significant differences were found when comparing microscope and exoscope users. Discussion and conclusion: Video-based instruction and hands-on tutoring seem equally effective in teaching basic microsuturing to surgical novices, irrespective of the magnification device used. Video-materials can be utilized in microsurgical laboratory training of novices as a more resource-efficient teaching method compared to hands-on tutoring.

Indexed as

ExoscopeNeurosurgerySurgical trainingVideo education

Identifiers

PMID41509558
PMCPMC12775985

What OpenQuestion holds

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Registered trials

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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.