Virtual Reality has become a common tool in surgical simulation and training. Its application in microsurgery presents opportunities for immersive learning and skill refinement, as these non-biological simulators can significantly aid in teaching intricate microsurgical techniques.
This chapter presents a case for using VR in microsurgical training, spotlighting its application in managing ring avulsion injuries and facilitating adept replantation procedures. Ring avulsion injuries frequently necessitate microsurgical measures for effective replantation. Tracing back to the traditional Halsted residency model of “see one, do one, teach one”, this chapter explores the shift towards a competency-based training approach. Simulation, in this context, has emerged as a pivotal tool, enabling safe and repetitive training for surgical residents. A description of the development and evaluative analysis of a VR-based simulator designed for mastering microsurgical digit revascularization and replantation is offered. The virtual reality simulator was tested using Oculus Quest 2 by seven participants to assess the face and content validity of the surgical simulator. The participants were surgeons, doctors, and other medical professionals, and experts in surgical simulation training. Feedback was gathered using a Likert-Scale, and suggestions were implemented in an updated version. This innovative tool, which offers a 3D immersive surgical environment, not only serves as a comprehensive guide through the stages of digit replantation but also demonstrates VR’s potential in microsurgical education and refresher training in under-served hospitals. Through the proposed VR's immersive experience, even medical professionals in lesser-equipped hospitals can gain access to standardized training on finger revascularization and replantation.

• https://radar.gsa.ac.uk/9693/