論文

査読有り
2022年7月

Efficacy of urea solution reperfusion to a formalin-embalmed cadaver for surgical skills training.

Anatomical science international
  • Shun Otsuka
  • ,
  • Shinichi Kawata
  • ,
  • Eri Nanizawa
  • ,
  • Naoyuki Hatayama
  • ,
  • Shogo Hayashi
  • ,
  • Masahiro Itoh
  • ,
  • Shuichi Hirai
  • ,
  • Munekazu Naito

97
3
開始ページ
264
終了ページ
272
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s12565-022-00653-y
出版者・発行元
Springer Science and Business Media LLC

Formaldehyde has been traditionally used for embalming human cadavers for gross anatomy education and surgical skills training. However, exposure to formaldehyde negatively affects human health. This study aimed to assess the efficacy of reperfusing urea solution to a formalin-embalmed cadaver for surgical skills training and then investigate the cadaver's tissue elasticity alteration after being soaked into the urea solution. Twelve surgeons evaluated the similarity of tissue characteristics between the cadaver (embalmed by formalin solution and reperfused by urea solution) and a living human body. Furthermore, the tissue formaldehyde content and mechanical properties of the formalin-fixated femoral skin and artery specimens with or without soaking into urea solution were measured. Results showed that the tactile assessment, skin incision, vessel ligation and suture, and decollement were better and more useful in the cadaver reperfused by urea solution than in the cadaver merely fixated by formalin solution. In the urea-reperfused cadaver, the volatilized, or tissue formaldehyde levels declined. The stiffness and Young's modulus of the femoral skin and artery were also lower in the specimen than in the mere formalin-fixated specimen. In conclusion, reperfusion of urea solution to the formalin-fixated cadaver makes anatomical education and surgical skills training more efficient with fewer requirements for cadaver management.

リンク情報
DOI
https://doi.org/10.1007/s12565-022-00653-y
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35239164
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000763905000001&DestApp=WOS_CPL
URL
https://link.springer.com/content/pdf/10.1007/s12565-022-00653-y.pdf
URL
https://link.springer.com/article/10.1007/s12565-022-00653-y/fulltext.html
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85125590236&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85125590236&origin=inward
ID情報
  • DOI : 10.1007/s12565-022-00653-y
  • ISSN : 1447-6959
  • eISSN : 1447-073X
  • ORCIDのPut Code : 109413949
  • PubMed ID : 35239164
  • SCOPUS ID : 85125590236
  • Web of Science ID : WOS:000763905000001

エクスポート
BibTeX RIS