AIIMS Brachial Plexus Observership Program

The types of surgeries performed include- Supra and infraclavicular exploration of brachial plexus, Phrenic nerve to Suprascapular nerve anastomosis, Spinal accessory to Suprascapular nerve anastomosis, Oberlin procedure, Somsak procedure, Intercostal, to Musculocutaneous nerve anastomosis, posterior approach to the brachial plexus exploration

The training includes the preoperative work up of the patients to be operated the next day, preoperative planning of the patient and postoperative care

Day Lectures Hands-On Cadaver dissection Nerve Micro-anastomosis Operative procedure
1-4 Anatomy of brachial plexus- with clinical emphasis Supra and infraclavicular exploration of brachial plexus 1 hr each on hand glove under microscopic magnification Supra and infraclavicular exploration of brachial plexus
5-8 Clinical assessment of brachial plexus injuries Phrenic nerve to Suprascapular nerve anastomosis   Phrenic nerve to Suprascapular nerve anastomosis
9-12 Clinical assessment of lumbosacral plexus injuries Spinal accessory to Suprascapular nerve anastomosis   Spinal accessory to Suprascapular nerve anastomosis
13-17 Management strategies in adult BPI Oberlin procedure   Oberlin procedure
18-21 Management strategies in Obstetric BPI Somsak procedure   Somsak procedure
22-25 Basic principles of neuromonitoring and electromyography in brachial plexus injuries Intercostal to Musculocutaneous nerve anastomosis   Intercostal, to Musculocutaneous nerve anastomosis
26-30 Radiology diagnosis in brachial plexus injuries Posterior approach to the brachial plexus exploration   Posterior approach to the brachial plexus exploration

The candidates are expected to perform Hands on training on the cadavers with dissection and performing common above-mentioned brachial plexus surgeries, in the Cadaver research and training facility at JPNA Trauma Center, AIIMS