Effects of fatigue and sleep deprivation on microvascular anastomoses

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dc.contributor.authorBaşaran, Karaca
dc.contributor.authorSen Mercan, Ebru
dc.contributor.authorAygit, Ahmet Cemal
dc.date.accessioned2021-05-15T12:37:46Z
dc.date.available2021-05-15T12:37:46Z
dc.date.issued2015
dc.departmentTıp Fakültesien_US
dc.description.abstractPrevious studies have investigated the effects of various human-based factors, such as tremor, exercise, and posture, on microsurgical performance. In this study, the authors investigated the effects of sleep deprivation and fatigue on microsurgery. A total of 48 Wistar Hannover rats were divided into 3 groups (16 anastomoses in each group) to be operated on at 3 different times: in the morning at 08:00 hours (group I), at night on the same day (01:00 h, group II), and the next morning at 09:00 hours (group III) following a night with no sleep. The blindly evaluated parameters were anastomotic times, error score (ES), global rating scale (GRS), autopsy scores (ASs), and patency. There was progressive decrease in the anastomosis times between the groups (P > 0.05). The patency rates were 93% in group I, 81% in group II, and 81% in group III (P > 0.05). The ES (P < 0.01), AS (P < 0.001), and GRS (P < 0.001) revealed significant results. Comparison between the groups showed that other than the anastomosis time, the night group (group II) showed a significant drop when compared with the preceding morning group (group I) (ES P < 0.01, AS P <. 001, and GRS P < 0.001). In most of the parameters, the errors occurred with fatigue after the day and reached a maximum at the end of the day (group II). This study provides valuable data that might have significant medicolegal implications for controversial issues. More studies, however, including multiple surgeons with different experience levels, might be required to fully elucidate the overall effects of fatigue and sleep deprivation on microsurgery.en_US
dc.identifier.doi10.1097/SCS.0000000000001719
dc.identifier.endpage1347en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue4en_US
dc.identifier.pmid26080191
dc.identifier.scopus2-s2.0-84986537087
dc.identifier.scopusqualityQ3
dc.identifier.startpage1342en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000001719
dc.identifier.urihttps://hdl.handle.net/20.500.12939/583
dc.identifier.volume26en_US
dc.identifier.wosWOS:000357569600130
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBaşaran, Karaca
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFatigueen_US
dc.subjectMicrosurgeryen_US
dc.subjectSleep Deprivationen_US
dc.titleEffects of fatigue and sleep deprivation on microvascular anastomoses
dc.typeArticle

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