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。

IF 1.6 4区 医学 Q3 SURGERY
Joseph K Abraham, Anne D Souza, Anil K Bhat, Joseph Thomas, Carlsen Bernard Pereira, Subramania Iyer, Minnie Pillay
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引用次数: 0

摘要

背景:基于尸体的学习仍然是解剖学和外科训练的基石,特别是在整形外科中,组织保真度和柔韧性是至关重要的。虽然以甲醛为基础的防腐剂被广泛使用,但它存在健康风险并损害组织质量。像Thiel和饱和盐溶液这样的替代品提供了改进,但在热带气候下可能效果不佳。目的:评价一种新型软防腐液作为一种更安全、更现实的替代甲醛和Thiel方法在整形外科教育中保存尸体的可行性和有效性。方法:将用该溶液进行防腐处理的尸体与用甲醛和Thiel法进行防腐处理的尸体进行比较。包括研究生、住院医师和专家讲师在内的整形外科培训课程进行了评估,以评估尸体的组织颜色、质地、柔韧性、皮肤完整性和手术手术的整体适用性。结果:根据住院医师的意见,新型软防腐溶液在解剖真实性、组织灵活性、气味控制和整形外科训练的可行性方面表现出优于甲醛的性能,特别是在需要详细的神经血管解剖和皮瓣提升的过程中。虽然其性能主要与Thiel方法相当,但这种新方法具有更好的皮肤完整性和减少真菌生长等优点,在远端组织保存和关节灵活性方面存在轻微限制。结论:这种新颖的软防腐解决方案提供了一种可行的、更安全的、适应气候变化的替代传统方法。其增强的真实感和降低的毒性使其特别适用于整形外科训练,并可显著提高解剖学和医学教育中的外科技能发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
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.
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