Comparison between formaldehyde and salt solutions for preservation of human liver and brain slices

Authors

  • Arnon Jumlongkul Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • Pongpon Traithepchanapai Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Keywords:

Salt solution, preservation techniques, formaldehyde, ormalin, colorimeter, decomposition

Abstract

Background : Formaldehyde exposure leads to increased risk of cancer. Recent studies reveal that salt solution can preserve human and animal tissues for analysis with high quality equal to formaldehyde.

Objective : To compare the effectiveness of formaldehyde and sodium chloride salt solutions in various concentrations for preservation by quantitative measurement of tissue discoloration, volume and weight of human liver and brain slices.

Methods : Sections of liver and brain were obtained from ten deceased subjects, and preserved in 10%, 20%, 26% sodium chloride salt solution (weight/ weight) and 10% formaldehyde (volume/volume). The discoloration, volume and weight of each sample were quantitatively measured by colorimeter on the 1st day (before the preservation process), 3rd, 7th, 14th, 28th, and 56th day of the embalming.

Results : All the brain samples which were preserved in 10% sodium chloride salt solution, decomposed and only 4 samples in the 20% sodium chloride salt solution sample group survived until the 56th day of preservation. There was no statistically significant difference on the 56th and the 1st day of preservation between 26% sodium chloride salt solution and formaldehyde. The liver samples which were preserved in 10% and 20% sodium chloride salt solutions tended to decompose. There was a statistically significant difference between 26% sodium chloride salt solution and formaldehyde in A (red-green) and L (lightness) color (P - value < 0.001). This means the liver slices preserved in 26% sodium chloride salt solution showed less discoloration than those in formaldehyde.

Conclusions : It is shown that 26% sodium chloride salt solution is an appropriate alternative choice for human liver and brain slice preservation, since it is a non-carcinogenic substance and shows less discoloration than formaldehyde.

Downloads

Download data is not yet available.

References

Coleman R, Kogan I. An improved lowformaldehyde embalming fluid to preserve cadavers for anatomy teaching. J Anat 1998; 192:443-6. https://doi.org/10.1046/j.1469-7580.1998.19230443.x

Al-hayani AA, Hamdy RM, El-Aziz GSA, Badawoud MH, Aldaqal S, Bedir Y, et al. Shellac: A non-toxic preservative for human embalming techniques. J Anim Vet Adv 2011;10:1561-7.

https://doi.org/10.3923/javaa.2011.1561.1567

National Institue of Health. U.S. National Library of Medicine National Center for Biotehnology Information. Formaldehyde [online]. 2016 [cited 2016 Jan 15]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/712#section=Top

Janczyk P, Weigner J, Luebke-Becker A, Kaessmeyer S, Plendl J. Nitrite pickling salt as an alternative to formaldehyde for embalming in veterinary anatomy-A study based on histo- and microbiological analyses. Ann Anat 2011;193:71-5. https://doi.org/10.1016/j.aanat.2010.08.003

Hauptmann M, Lubin JH, Stewart PA, Hayes RB, Blair A. Mortality from solid cancers among workers in formaldehyde industries. Am J Epidemiol 2004;159:1117-30. https://doi.org/10.1093/aje/kwh174

The European Parliament and The Councill of the European Union. Directive 98/8/EC of the European Parliament and of the council of 16 February 1998 concerning the placing of biocidal products on the market. Official Journal L 123, 24/04/1998 P. 0001 - 0063.

Hayashi S, Homma H, Naito M, Oda J, Nishiyama T, Kawamoto A, et al. Saturated salt solution method: a useful cadaver embalming for surgical skills training. Medicine (Baltimore) 2014;93:e196.

https://doi.org/10.1097/MD.0000000000000196

Hayashi S, Naito M, Kawata S, Qu N, Hatayama N, Hirai S, et al. History and future of human cadaver preservation for surgical training: from formalin to saturated salt solution method. Anat Sci Int 2016;91:1-7. https://doi.org/10.1007/s12565-015-0299-5

Spitz DJ. Investigation of bodies in water. In: Spitz WU, Spitz DJ, eds. Medicolegal Investigation of Death. 4th ed. Illinois: Charles C Thomas, 2004:846-81.

Al-Saraj A. Use of saturated sodium chloride solution as a tissue fixative. Iraqi J Vet Sci 2010;24:53-8.

https://doi.org/10.33899/ijvs.2010.5582

Brenner E. Human body preservation - old and new techniques. J Anat 2014;224:316-44.

https://doi.org/10.1111/joa.12160

Holda MK, Klimek-Piotrowska W, Koziej M, Piatek K, Holda J. Influence of different fixation protocols on the preservation and dimensions of cardiac tissue. J Anat 2016;229:334-40.

https://doi.org/10.1111/joa.12469

Shenzhen 3nh Technology Co., Ltd. NR20XE Precision Colorimeter Operation Manual. Shenzhen, Guangdong, China: Shenzhen, 2000-2016.

EnviSense. Colorimeters (9) [online]. 2016 [cited 2016 Jan 18]. Available from: http://www.envisense.eu/en/our-offer/colorimeterscolor-measurement-spectrophotometers/

Henney JE, Taylor CL, Boon CS. Strategies to Reduce Sodium Intake in the United states [online]. Washington, DC: National Academies Press (US), 2010 [cited 2016 Jan 16]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK50936/

Vanezis P, Trujillo O. Evaluation of hypostasis using a colorimeter measuring system and its application to assessment of the postmortem interval (time of death). Forensic Sci Int 1996;78:19-28.

https://doi.org/10.1016/0379-0738(95)01845-X

Schä fer T, Klintschar M, Lichtinghagen R, Plagemann I, Smith A, Budde E, et al. Xanthochromia of the skull bone associated with HbA1c. Forensic Sci Int 2016;260: 54-8.

https://doi.org/10.1016/j.forsciint.2015.12.030

Downloads

Published

2023-08-21

How to Cite

1.
Jumlongkul A, Traithepchanapai P. Comparison between formaldehyde and salt solutions for preservation of human liver and brain slices. Chula Med J [Internet]. 2023 Aug. 21 [cited 2024 Dec. 23];61(1). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/412