High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training
In the first half of the third century B.C., Herophilus and Erasistratus performed the first systematic dissection of the human body. For subsequent centuries, these cadaveric dissections were key to the advancement of anatomical knowledge and surgical techniques. To this day, despite various instru...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2023-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771272 |
| _version_ | 1797383082305650688 |
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| author | Allen Wei Jiat Wong Yee Onn Kok Khong Yik Chew Bien Keem Tan |
| author_facet | Allen Wei Jiat Wong Yee Onn Kok Khong Yik Chew Bien Keem Tan |
| author_sort | Allen Wei Jiat Wong |
| collection | DOAJ |
| description | In the first half of the third century B.C., Herophilus and Erasistratus performed the first systematic dissection of the human body. For subsequent centuries, these cadaveric dissections were key to the advancement of anatomical knowledge and surgical techniques. To this day, despite various instructional methods, cadaver dissection remained the best way for surgical training. To improve the quality of education and research through cadaveric dissection, our institution has developed a unique method of perforator-preserving cadaver injection, allowing us to achieve high-fidelity perforator visualization for dissection studies, at low cost and high efficacy. Ten full body cadavers were sectioned through the base of neck, bilateral shoulder, and hip joints. The key was to dissect multiple perfusing arteries and draining veins for each section, to increase “capture” of vascular territories. The vessels were carefully flushed, insufflated, and then filled with latex dye. Our injection dye comprised of liquid latex, formalin, and acrylic paint in the ratio of 1:2:1. Different endpoints were used to assess adequacy of injection, such as reconstitution of eyeball volume, skin turgor, visible dye in subcutaneous veins, and seepage of dye through stab incisions in digital pulps. Dissections demonstrated the effectiveness of the dye, outlining even the small osseous perforators of the medial femoral condyle flap and subconjunctival plexuses. Our technique emphasized atraumatic preparation, recreation of luminal space through insufflation, and finally careful injection of latex dye with adequate curing. This has allowed high-fidelity perforator visualization for dissection studies. |
| first_indexed | 2024-03-08T21:15:34Z |
| format | Article |
| id | doaj.art-c0feaeb0b4ce49e0845dc422872bdc45 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-08T21:15:34Z |
| publishDate | 2023-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-c0feaeb0b4ce49e0845dc422872bdc452023-12-21T23:52:44ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-11-01500662162610.1055/s-0043-1771272High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical TrainingAllen Wei Jiat Wong0https://orcid.org/0000-0001-7924-5155Yee Onn Kok1https://orcid.org/0000-0001-8917-440XKhong Yik Chew2https://orcid.org/0000-0002-1050-1613Bien Keem Tan3https://orcid.org/0000-0002-7347-8713Plastic Reconstructive and Aesthetic Surgery Service, Sengkang General Hospital, Singapore, SingaporePlastic Reconstructive and Aesthetic Surgery Service, Sengkang General Hospital, Singapore, SingaporeDepartment of Plastic Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore, SingaporeDepartment of Plastic Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore, SingaporeIn the first half of the third century B.C., Herophilus and Erasistratus performed the first systematic dissection of the human body. For subsequent centuries, these cadaveric dissections were key to the advancement of anatomical knowledge and surgical techniques. To this day, despite various instructional methods, cadaver dissection remained the best way for surgical training. To improve the quality of education and research through cadaveric dissection, our institution has developed a unique method of perforator-preserving cadaver injection, allowing us to achieve high-fidelity perforator visualization for dissection studies, at low cost and high efficacy. Ten full body cadavers were sectioned through the base of neck, bilateral shoulder, and hip joints. The key was to dissect multiple perfusing arteries and draining veins for each section, to increase “capture” of vascular territories. The vessels were carefully flushed, insufflated, and then filled with latex dye. Our injection dye comprised of liquid latex, formalin, and acrylic paint in the ratio of 1:2:1. Different endpoints were used to assess adequacy of injection, such as reconstitution of eyeball volume, skin turgor, visible dye in subcutaneous veins, and seepage of dye through stab incisions in digital pulps. Dissections demonstrated the effectiveness of the dye, outlining even the small osseous perforators of the medial femoral condyle flap and subconjunctival plexuses. Our technique emphasized atraumatic preparation, recreation of luminal space through insufflation, and finally careful injection of latex dye with adequate curing. This has allowed high-fidelity perforator visualization for dissection studies.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771272cadaverhigh fidelitydissectionperforator |
| spellingShingle | Allen Wei Jiat Wong Yee Onn Kok Khong Yik Chew Bien Keem Tan High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training Archives of Plastic Surgery cadaver high fidelity dissection perforator |
| title | High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training |
| title_full | High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training |
| title_fullStr | High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training |
| title_full_unstemmed | High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training |
| title_short | High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training |
| title_sort | high fidelity perforator visualization for cadaver dissection in surgical training |
| topic | cadaver high fidelity dissection perforator |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771272 |
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