Appropriate Concentration of Glycerin Solution for the Preservation of Fresh Cadaveric Vessels to be Used in Surgical Training: A Preliminary Study
Keywords:
Concentration glycerin, Preservation, Fresh cadaver, vesselsAbstract
Background: Training neurosurgeons on cadaveric blood vessels poses challenges in maintaining lifelike tissue properties for realistic surgical practice. This study aimed to determine the optimal glycerin concentration for preserving fresh cadaveric arteries while retaining flexibility, consistency, color, and fragility resembling living vessels.
Methods: Arterial vessels from two human placentas were harvested, trimmed to ≥5 cm lengths, and divided into five groups of three arteries each. The groups were embalmed in glycerin solutions of 3%, 10%, 20%, 40%, and 60% concentrations, respectively. After two years frozen at -20˚C and two days at 5˚C for slow thawing, the preserved arteries were evaluated by seven neurosurgeons. They performed cutting, suturing, and repair procedures, then rated satisfaction levels across tissue elasticity, handling, consistency, smell, color, fragility, realism, and overall quality.
Results: The arteries embalmed in 40% glycerin solution received the highest overall satisfaction ratings from surgeons.
Conclusions: A 40% glycerin solution proved most appropriate for preserving placental arteries to achieve lifelike characteristics for neurosurgical training purposes. Further studies using human cadaveric arteries and varying storage durations are warranted.
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Shotelersuk V, Limwongse C, Mahasirimongkol S. Genetics and genomics in Thailand: challenges and opportunities. Mol Genet Genomic Med. 2014;2(3):210-6. Available from: http://dx.doi.org/10.1002/mgg3.83
Lawton MT, Hamilton MG, Morcos JJ, Spetzler RF. Revascularization and aneurysm surgery: current techniques, indications, and outcome. Neurosurgery. 1996;38(1):83-94.
Shah TA, Mauriello CT, Hair PS, Sandhu A, Stolz MP, Bass WT, et al. Clinical hypothermia temperatures increase complement activation and cell destruction via the classical pathway. J Transl Med. 2014; 12:181.
Zhang B, Zhou J, Li X, Ye L, Jia D, Gan B, et al. Temperature affects substrate-associated bacterial composition during Ganoderma lucidum hyphal growth. Can J Microbiol. 2021;67(4):281-9.
Oldenhof H, Friedel K, Sieme H, Glasmacher B, Wolkers WF. Membrane permeability parameters for freezing of stallion sperm as determined by Fourier transform infrared spectroscopy. Cryobiology. 2010;61(1):115-22.
Petersen A, Schneider H, Rau G, Glasmacher B. A new approach for freezing of aqueous solutions under active control of the nucleation temperature. Cryobiology. 2006;53(2):248-57.
McNichols B, Spratt JR, George J, Rizzi S, Manning EW, Park K. Coronary Artery Bypass: Review of Surgical Techniques and Impact on Long-Term Revascularization Outcomes. Cardiol Ther. 2021;10(1):89-109.
Krähenbühl SM, Čvančara P, Stieglitz T, Bonvin R, Michetti M, Flahaut M, et al. Return of the cadaver: Key role of anatomic dissection for plastic surgery resident training. Medicine (Baltimore). 2017;96(29):E7528.
Cullinane DP, Barry DS. Dyad pedagogy in practical anatomy: A description of the implementation and student perceptions of an adaptive approach to cadaveric teaching. Anat Sci Educ. 2023;16(1):99-115.
McKechnie T, Springer JE, Doumouras AG, Schroeder T, Eskicioglu C, Reid S. Influence of undergraduate medical education exposure to cadaveric dissection on choice of surgical specialty: a national survey of Canadian surgical residents. Can J Surg. 2021;64(2):E183-E90.
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