GMMA MICROSURGICAL TRAINING AND EDUCATION CENTER

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GMMA MICROSURGICAL TRAINING AND EDUCATION CENTER

• Erdener TIMURKAYNAK, MD
• Head of Dept. of Neurosurgery

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GMMA Microsurgical training and education
laboratory was established in 1985 by Erdener
Timurkaynak, MD. Over 900 civilian and military
surgeons were educated. Many important
microsurgical studies have been performed in this
laboratory.
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Programme

• History of Microsurgery
• Presentation of operation microscope and
  microsurgical instruments
• Microsurgical dissection and microvascular
  anastomosis on the Rats.

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Programme

• Cervical microsurgical dissections of the ratss
  carotid arteires.
• End to End and End to Sideanastomosis on the
  rats carotid arteries.
• Artificial aneurysm studies using jugular vein in
  rats.

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Theoric studies in the laboratory
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Training in the laboratory
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Microsurgical training desk, microsurgical
instruments, microscope and experiment animal
ready for training.
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Microsurgical Instruments

• Operation Microscope
• Jewellery forceps
• Microscissors
• No traumatic temporary microvascular clips
• Bipolar and microbipolar forceps
• Suction tube and microsuction
• Microdissector

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Microsurgical Instruments
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Trachea, Carotid artery and N. Vagus under
magnification
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Carotid artery is seen under magnification
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Clipping of the carotid artery before cutting
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Carotid artery is ready for anastomosis. (x 25
magnification)
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Distal and Proximal parts of Carotid artery
before anastomosis.
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Suturation of the Carotid Artery (Diameter 1mm)
with 10/0 silk under operation microscope. (x 25
magnification)
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Carotid artery after microvascular anastomosis
(x 25 magnification)
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Anastomosis of Carotid artery, after opening of
proximal and distal clips.
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End to Side anastomosis
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Microvascular anastomosis with Fish Mouth
technique
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End to Side microvascular anastomosis,
Cavalrys Saddle technique, is named by Erdener
Timurkaynak, MD. (1983)
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End to Side anastomosis Cavalrys Saddle
technique. (before opening of clips)
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End to Side anastomosis Cavalrys Saddle
technique. (after opening of clips)
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Gazi Yasargil, MD, selected by The Congress of
Neurological Surgeons as Neurosurgeon of The
Century in 2000, visited our Microsurgery
laboratory in 1992. He said that I never seen as
much as perfect microsurgery laboratory like this
in Europe, including mine.
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Result
Since 1985, over 900 military and civilian
surgeons were trained and educated here. Many
microsurgical researches have been performed in
this lab and a lot of scientific papers were
published.