Our Summary

This research paper is about a new method to prepare cadavers (dead bodies) for surgical training, especially for brain-related surgeries. Usually, a technique called Thiel’s embalming is used to keep the cadaver in a good condition for training, but it has a downside - it causes the brain to become soft, which makes it difficult to use for brain surgery training.

To solve this problem, the researchers tried out three ways of preparing the cadavers - one with a method called formalin fixation, one with Thiel’s embalming, and one with Thiel’s embalming but also injecting formalin into the brain. They also tested these methods on rat models.

The researchers found that Thiel’s embalming combined with injecting formalin into the brain gave the best results. This method kept the brain elastic, which is ideal for surgical training. Additionally, it didn’t release harmful formaldehyde.

The study is the first to show that this combined method can be used to prepare cadavers for surgical training involving the brain. The researchers conclude that this method may improve the quality of such training and can be done in a safe and easy way.

FAQs

  1. What is the problem with using Thiel’s embalming technique for brain surgery training?
  2. What were the three methods of preparing cadavers tested by the researchers?
  3. What are the benefits of the combined method of Thiel’s embalming and injecting formalin into the brain?

Doctor’s Tip

If you are undergoing brain surgery, it is important to follow your doctor’s instructions for pre-surgery preparation, such as fasting before the procedure and avoiding certain medications. It is also important to follow post-surgery care instructions, including taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities until cleared by your doctor. Additionally, make sure to communicate any concerns or changes in symptoms to your medical team.

Suitable For

Patients who are typically recommended for brain surgery include those with conditions such as brain tumors, aneurysms, epilepsy, Parkinson’s disease, and traumatic brain injuries. These patients may experience symptoms such as seizures, headaches, cognitive changes, movement disorders, and other neurological deficits that can significantly impact their quality of life. Brain surgery is often recommended when other treatments have not been effective or when the condition is life-threatening. It is important for patients to undergo a thorough evaluation by a neurosurgeon to determine if they are suitable candidates for brain surgery and to discuss the potential risks and benefits of the procedure.

Timeline

Before brain surgery, a patient typically undergoes various diagnostic tests such as MRI or CT scans to determine the location and nature of the brain abnormality. They may also meet with a neurosurgeon to discuss the procedure and potential risks and benefits.

On the day of the surgery, the patient is usually admitted to the hospital and undergoes pre-operative preparations such as anesthesia administration and positioning on the operating table. The surgical team then performs the brain surgery, which can vary in length and complexity depending on the specific procedure being done.

After the surgery, the patient is typically monitored closely in the recovery room for any signs of complications. They may need to stay in the hospital for a few days for further observation and recovery. During this time, they may receive pain medication, physical therapy, and other supportive care.

Once discharged from the hospital, the patient will continue to recover at home, following any specific instructions provided by their healthcare team. This may include taking medications, attending follow-up appointments, and gradually resuming normal activities. It can take weeks to months for a patient to fully recover from brain surgery, depending on the complexity of the procedure and individual factors.

What to Ask Your Doctor

  1. Can you explain the different methods of preparing cadavers for surgical training, specifically for brain-related surgeries?
  2. What are the potential drawbacks of using Thiel’s embalming for brain surgery training?
  3. How does injecting formalin into the brain help maintain the elasticity of the brain for surgical training?
  4. Are there any risks or side effects associated with using the combined method of Thiel’s embalming and injecting formalin into the brain?
  5. How do the results of this study impact the quality of surgical training for brain-related procedures?
  6. Is this combined method widely used in medical education and surgical training programs?
  7. Are there any other alternative methods for preparing cadavers for brain surgery training that have been explored or considered?
  8. What are the implications of this research for the future of surgical training in neurosurgery and other brain-related specialties?
  9. How can patients benefit from surgeons who have trained using cadavers prepared with this combined method?
  10. Are there any ongoing studies or research projects related to improving cadaver preparation for surgical training in the field of neurosurgery?

Reference

Authors: Miyake S, Suenaga J, Miyazaki R, Sasame J, Akimoto T, Tanaka T, Ohtake M, Takase H, Tateishi K, Shimizu N, Murata H, Funakoshi K, Yamamoto T. Journal: Anat Sci Int. 2020 Sep;95(4):564-570. doi: 10.1007/s12565-020-00545-z. Epub 2020 Apr 27. PMID: 32342440