Dissection of soft-preserved cadavers in the training of gynaecological oncologists: Report of the first UK workshop

Barton, Desmond P.J.; Davies, D. A. L.; Mahadevan, Vishy; Dennis, L.; Adib, T.; Mudan, Satvinder; Sohaib, Aslam; Ellis, Harold

doi:10.1016/j.ygyno.2009.02.012

Cited by 61 publications

(55 citation statements)

References 31 publications

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“…This work extends from that of previous investigations using fresh cadavers in that we have focused on only complex vascular anatomy and have reported our results in a quantitative fashion using preintervention and postintervention assessments of vascular exposures prospectively identified as conceptually troubling to surgical trainees. 12,17 Setting this work in the context of educational theory, it is based on the concepts of transformative learning and threshold concepts. [18][19][20] Threshold concepts, described by Meyer and Land, 18 are those concepts difficult to conceptualize but once understood are transformative and not forgotten.…”

Section: Discussionmentioning

confidence: 99%

A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

Mitchell

Sevdalis

Arora

et al. 2012

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

Mitchell

Sevdalis

Arora

et al. 2012

Journal of Vascular Surgery

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“…26 In 2004, Taylor and Hammond advocated the use of freshly killed pigs to aid surgical training and Barton et al, in 2009, advocated the use of soft-preserved cadavers. 27,28 Eisenkop and Spirtos first proposed the introduction of post-fellowship training following a survey of candidate and full members of the Society of Gynecologic Oncologists. 29,30 Three hundred and seventeen (83.9%) of 378 respondents favoured development of post-fellowship training and this was particularly among recently graduated fellows (P = 0.01).…”

Section: Discussionmentioning

confidence: 99%

Surgical training in gastrointestinal procedures within a UK gynaecological oncology subspecialty programme

Naik

Galaal

Alagoda

et al. 2009

BJOG

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Objective An analysis of surgical experience in gastrointestinal procedures within a UK-based gynaecological oncology centre to which subspecialty fellows within the subject are exposed.Design Retrospective study.Setting Northern Gynaecological Oncology Centre, Gateshead, UK.Population All women undergoing bowel surgery over a six-year period, 1 January 2000 to 31 December 2005.Methods Cases were analysed by specialty and grade of surgeon performing the procedure.Main outcome measure Proportion of cases to which subspecialty fellows were exposed.Results Two hundred and sixty-two women (11.5%) underwent bowel surgery out of 2280 women undergoing major surgery for gynaecological cancer. This included ovarian/primary peritoneal cancer in 186 women (71%). Of these 262 cases, 238 operations (91%) were performed by a gynaecological oncologist, 20 (7.5%) were performed jointly with the gastrointestinal surgeons and four (1.5%) were performed solely by the gastrointestinal surgeons. A gynaecological oncology subspecialty fellow performed 21 (8%) and assisted in an additional 204 operations (78%). Perioperative morbidity and mortality statistics in addition to overall survival outcomes were comparable to the published literature.Conclusions A significant proportion of major surgical operations performed within a gynaecological oncology centre require gastrointestinal procedures. The majority of these procedures can be performed by gynaecological oncologists with an acceptable perioperative morbidity and mortality rate. Subspecialty training has the potential to allow trainees significant exposure to these procedures. An accredited post-Fellowship Training Programme can provide the opportunity for hands-on experience to allow gynaecological oncologists the confidence and credibility to perform these procedures independently.

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“…[20] However, keeping water content low helped preventing fungal growth but on the expense of resilience. Barton et al [25] used constituents similar to our solution except formalin and mixed with high amount of water but their objective was to get soft preservation for short period for a hand on workshops for surgical trainees.…”

Section: Preservation Of Histological Architecturementioning

confidence: 99%

“…Sharquie and Najim [24] used honey to embalm cadavers and Janczyk et al [16] introduced nitrite pickling salt-ethanol-glycol based embalming fluid. More recently, Barton et al [25] suggested a formulation comprising of phenol, glycerol, methylated spirit and diluted it with 18 L of water. Gayori0-O'Neilet al [26] used diethylene glycol to preserve cadavers and found preservation of gross features for a year.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Long Term Preservation of Human Cadaveric Tissue

Amin¹

2017

WJPR

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Objectives: To study the effect of long term preservation of the gross and microscopic features of cadaveric tissue using different embalming techniques. Methodology: Eight human cadavers were randomly received and embalmed in Anatomy Laboratory. Cadavers were divided into four groups. In experiment I, cadavers were embalmed with traditional gravity fed embalming technique, without pre injection, using 5 lit fluid consisting of formaldehyde, phenol, water, spirit and glycerin amounting 1 litre each. In experiment II and III cadavers were embalmed using modern electric embalming machine to introduce same embalming fluid without and with the use of pre-injection respectively. In experiment IV cadavers were embalmed using high spirit, reduced formalin and low phenol combination along with pre-injection. Gross and microscopic examination was performed at the beginning and end of 2 years period for histological examination. Results: Preservation of the gross and microscopic features of human tissues was better in experiment III in which arterial injection was given with mechanical pump method along with pre-injection. In gravity fed method, hardening, browning and fragility was maximum and histological structure of skeletal muscle and neurovascular structures was of poor quality. Conclusion:The long term preservation of human cadaveric tissue at gross and microscopic level for academic purposes can be achieved with the use of arterial injection through mechanical pump along with pre-injection using 5-7 l of embalming fluid. Increasing water or spirit content improves resilience, decrease hardening but promotes fungal growth.

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Dissection of soft-preserved cadavers in the training of gynaecological oncologists: Report of the first UK workshop

Cited by 61 publications

References 31 publications

A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery

Surgical training in gastrointestinal procedures within a UK gynaecological oncology subspecialty programme

Comparative Study of Long Term Preservation of Human Cadaveric Tissue

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