Joseph K Abraham, Anne D Souza, Anil K Bhat, Joseph Thomas, Carlsen Bernard Pereira, Subramania Iyer, Minnie Pillay
{"title":"加强整形外科住院医师尸体软组织解剖训练:一种新型软防腐溶液与甲醛和Thiel方法的可行性研究。","authors":"Joseph K Abraham, Anne D Souza, Anil K Bhat, Joseph Thomas, Carlsen Bernard Pereira, Subramania Iyer, Minnie Pillay","doi":"10.1097/SAP.0000000000004461","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cadaver-based learning remains a cornerstone of anatomic and surgical training, particularly in plastic surgery, where tissue fidelity and pliability are crucial. Although formaldehyde-based embalming is widely used, it presents health risks and compromises tissue quality. Alternatives like Thiel and saturated salt solutions offer improvements but may not perform optimally in tropical climates.</p><p><strong>Objective: </strong>This study evaluated the feasibility and effectiveness of a novel soft-embalming solution as a safer, more realistic alternative to formaldehyde and Thiel methods for cadaver preservation in plastic surgery education.</p><p><strong>Methods: </strong>Cadavers embalmed with the novel solution were compared to those preserved using formaldehyde and Thiel technique. Plastic surgery training sessions involving postgraduate students, residents, and expert instructors were conducted to assess tissue color, texture, pliability, skin integrity, and overall suitability of cadavers for surgical procedures.</p><p><strong>Results: </strong>The novel soft-embalming solution demonstrated superior performance over formaldehyde in anatomical realism, tissue flexibility, odor control, and feasibility for plastic surgical training, particularly in procedures requiring detailed neurovascular dissection and flap elevation, as opined by the residents. Although its performance was comparable primarily to Thiel method, the novel solution offered advantages such as better skin integrity and reduced fungal growth, with minor limitations noted in distal tissue preservation and joint flexibility.</p><p><strong>Conclusions: </strong>This novel soft-embalming solution presents a viable, safer, and climate-adapted alternative to traditional methods. Its enhanced realism and reduced toxicity make it particularly suited for plastic surgery training and may significantly improve surgical skills development in anatomy and medical education.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"95 3S Suppl 1","pages":"S42-S48"},"PeriodicalIF":1.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing Cadaveric Soft-Tissue Dissection Training for Plastic Surgery Residents: A Feasibility Study of a Novel Soft-Embalming Solution Versus Formaldehyde and Thiel Methods.\",\"authors\":\"Joseph K Abraham, Anne D Souza, Anil K Bhat, Joseph Thomas, Carlsen Bernard Pereira, Subramania Iyer, Minnie Pillay\",\"doi\":\"10.1097/SAP.0000000000004461\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cadaver-based learning remains a cornerstone of anatomic and surgical training, particularly in plastic surgery, where tissue fidelity and pliability are crucial. Although formaldehyde-based embalming is widely used, it presents health risks and compromises tissue quality. Alternatives like Thiel and saturated salt solutions offer improvements but may not perform optimally in tropical climates.</p><p><strong>Objective: </strong>This study evaluated the feasibility and effectiveness of a novel soft-embalming solution as a safer, more realistic alternative to formaldehyde and Thiel methods for cadaver preservation in plastic surgery education.</p><p><strong>Methods: </strong>Cadavers embalmed with the novel solution were compared to those preserved using formaldehyde and Thiel technique. Plastic surgery training sessions involving postgraduate students, residents, and expert instructors were conducted to assess tissue color, texture, pliability, skin integrity, and overall suitability of cadavers for surgical procedures.</p><p><strong>Results: </strong>The novel soft-embalming solution demonstrated superior performance over formaldehyde in anatomical realism, tissue flexibility, odor control, and feasibility for plastic surgical training, particularly in procedures requiring detailed neurovascular dissection and flap elevation, as opined by the residents. Although its performance was comparable primarily to Thiel method, the novel solution offered advantages such as better skin integrity and reduced fungal growth, with minor limitations noted in distal tissue preservation and joint flexibility.</p><p><strong>Conclusions: </strong>This novel soft-embalming solution presents a viable, safer, and climate-adapted alternative to traditional methods. Its enhanced realism and reduced toxicity make it particularly suited for plastic surgery training and may significantly improve surgical skills development in anatomy and medical education.</p>\",\"PeriodicalId\":8060,\"journal\":{\"name\":\"Annals of Plastic Surgery\",\"volume\":\"95 3S Suppl 1\",\"pages\":\"S42-S48\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/SAP.0000000000004461\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SAP.0000000000004461","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Enhancing Cadaveric Soft-Tissue Dissection Training for Plastic Surgery Residents: A Feasibility Study of a Novel Soft-Embalming Solution Versus Formaldehyde and Thiel Methods.
Background: Cadaver-based learning remains a cornerstone of anatomic and surgical training, particularly in plastic surgery, where tissue fidelity and pliability are crucial. Although formaldehyde-based embalming is widely used, it presents health risks and compromises tissue quality. Alternatives like Thiel and saturated salt solutions offer improvements but may not perform optimally in tropical climates.
Objective: This study evaluated the feasibility and effectiveness of a novel soft-embalming solution as a safer, more realistic alternative to formaldehyde and Thiel methods for cadaver preservation in plastic surgery education.
Methods: Cadavers embalmed with the novel solution were compared to those preserved using formaldehyde and Thiel technique. Plastic surgery training sessions involving postgraduate students, residents, and expert instructors were conducted to assess tissue color, texture, pliability, skin integrity, and overall suitability of cadavers for surgical procedures.
Results: The novel soft-embalming solution demonstrated superior performance over formaldehyde in anatomical realism, tissue flexibility, odor control, and feasibility for plastic surgical training, particularly in procedures requiring detailed neurovascular dissection and flap elevation, as opined by the residents. Although its performance was comparable primarily to Thiel method, the novel solution offered advantages such as better skin integrity and reduced fungal growth, with minor limitations noted in distal tissue preservation and joint flexibility.
Conclusions: This novel soft-embalming solution presents a viable, safer, and climate-adapted alternative to traditional methods. Its enhanced realism and reduced toxicity make it particularly suited for plastic surgery training and may significantly improve surgical skills development in anatomy and medical education.
期刊介绍:
The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.