Table 2: Tools for microvascular anastomosis performance assessment.

AuthorAssessment ToolComments

Martin et al., 1997 [13]Objective structured assessment of technical skillsEstablished validity for general surgery and microsurgery, this is one of the first and most reliable assessment tools

Grober et al., 2003 [14]Imperial College surgical assessment deviceMotion tracking device attached to the surgeon’s hands for objective assessment of the motions during surgical training

Moulton et al., 2006 [15]Modified objective structured assessment of technical skillsA video based modified version of the objective structured assessment of technical skills

Chan et al., 2010 [16]Structured assessment of microsurgery skillsValidated tool for microanastomosis assessment validated in clinical setting

Temple and Ross, 2011 [17]University of Western Ontario microsurgical skills acquisition/assessment instrumentValidated tool for microvascular performance assessment

Ghanem et al., 2013 [18]Anastomotic patency assessment toolThis tool uses qualitative photogrammetry for the assessment of anastomosis quality with a special attention to the intimal surface

Alrasheed et al., 2014 [12]Structured assessment of robotic microsurgical skillsTool was developed to assess microsurgical skills using the Da-Vinci surgical robot while performing a 3-mm vessel diameter microanastomosis

Satterwhite et al., 2014 [19]The Stanford microsurgery and resident training scaleThis tool was validated on latex and chicken vessels

Aoun et al., 2015 [20]Northwestern objective microanastomosis assessment toolFace and construct validity has been established for this tool

Harada et al., 2015 [21]Instrument motion trackingInfrared motion tracking camera has been use for objective measurement of the instrument movements in experienced and novice surgeons during microanastomosis training

Ghanem et al., 2016 [22]Anastomosis lapse indexA list of possible errors could be used for quantitative assessment

Belykh et al., 2017 [23]Objective structured assessment of aneurysm clipping skillsTool was validated on the human placenta aneurysm models