Thiel Embalming Method for Cadaver Preservation: A Review of New Training Model for Urologic Skills Training

Healy, Samuel E.; Prasad, Bhavan; Biyani, Chandra Shekhar; Eisma, Roos; Soames, Roger; Nabi, Ghulam

doi:10.1016/j.urology.2014.11.009

Cited by 51 publications

(49 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In Thiel's original technique (1992), the immersion time is six months. However, Bertone et al kept the body submerged for one month; Hammer et al (2015a) and Eisma et al (2013b) for two months; Healy et al (2015) for two to three months; and Kerckaert et al described the immersion of cadavers between four and six weeks.…”

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

et al. 2016

View full text Add to dashboard Cite

's embalming method. Review of solutions and applications in different fields of biomedical research. Int. J. Morphol., 34(4):1442Morphol., 34(4): -1454Morphol., 34(4): , 2016. SUMMARY:Walter Thiel developed the method that enables preservation of the body with natural colors in 1992. It consists in the application of an intravascular injection formula, and maintaining the corps submerged for a determinate period of time in the immersion solution in the pool. After immersion, it is possible to maintain the corps in a hermetically sealed container, thus avoiding dehydration outside the pool. The aim of this work was to review the Thiel method, searching all scientific articles describing this technique from its development point of view, and application in anatomy and morphology teaching, as well as in clinical and surgical practice. Most of these studies were carried out in Europe. We used PubMed, Ebsco and Embase databases with the terms "Thiel cadaver", "Thiel embalming", "Thiel embalming method" and we searched for papers that cited Thiel`s work. In comparison with methods commonly used with high concentrations of formaldehyde, this method lacks the emanation of noxious or irritating gases; gives the corps important passive joint mobility without stiffness; maintaining color, flexibility and tissue plasticity at a level equivalent to that of a living body. Furthermore, it allows vascular repletion at the capillary level. All this makes for great advantage over the formalinfixed and fresh material. Its multiple uses are applicable in anatomy teaching and research; teaching for undergraduates (prosection and dissection) and for training in surgical techniques for graduates and specialists (laparoscopies, arthroscopies, endoscopies).

show abstract

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

et al. 2016

View full text Add to dashboard Cite

show abstract

“…4 Prasad Rai et al described the use of Thiel cadavers in an advanced renal laparoscopic course, with excellent tissue characteristics reported by the participants. 21 In addition, Thiel cadavers have been employed for training in cystoscopy, transurethral resection of the prostate and retrograde ureteropyelography.…”

Section: Discussionmentioning

confidence: 99%

“…The implementation of novel technologies and techniques, the increasing demands of service provision, coupled with a reduced exposure to practical anatomy in undergraduate education lends further impetus to efforts to improve the efficiency of training and reduce the learning curve. 3,4 These factors have promoted the development of procedure-specific training models for use in Urological training, with a range of computerbased and animal model simulators described. 5 The first ureterorenoscopy simulators incorporated x-ray imaging, detailed anatomy of upper urinary tract in order to mimic a sensation of interaction with tissue.…”

Section: Introductionmentioning

confidence: 99%

“…8 Thiel's method on embalming has been previously described and our centre was the first in the United Kingdom to convert to this technique. 4 Thiel cadavers have been used in a formal laparoscopic nephrectomy training course accredited by the British Association of Urological Surgeons, with participants reporting very high correlation between the cadaveric experience and live procedures. 4 Moreover, a human cadaver embalmed by Thiel's method was described as a training model for cystoscopy and transurethral resection of the prostate, as well as other, non-urological procedures.…”

Section: Introductionmentioning

confidence: 99%

“…4 Thiel cadavers have been used in a formal laparoscopic nephrectomy training course accredited by the British Association of Urological Surgeons, with participants reporting very high correlation between the cadaveric experience and live procedures. 4 Moreover, a human cadaver embalmed by Thiel's method was described as a training model for cystoscopy and transurethral resection of the prostate, as well as other, non-urological procedures. [9][10][11] Several advantages of the Thiel embalming technique have been reported.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ureterorenoscopy Training on Cadavers Embalmed by Thiel's Method: Simulation or a Further Step Towards Reality? Initial Report

2016

CEJU

View full text Add to dashboard Cite

Abstract:Objective: The technique of ureterorenoscopy has a significant learning curve. Cadavers embalmed by the Thiel method have been successfully used in simulation training for a number of surgical specialties, including urology. Here we present the first report to assess the plausibility of using Thiel cadavers in ureterorenoscopy simulation. Materials and methods:The two day inaugural 'Masterclass in Flexible Ureterorenoscopy' was run with 6 participants performing semi-rigid and flexible ureterorenoscopy on three Thiel cadavers under the guidance of three experienced endourologists. A qualitative questionnaire was delivered to the participants and faculty. Three key domains were assessed, namely tissue characteristics (colour, consistency, vulnerability) of the cadaveric bladder, ureter and pelvicalyceal system, anatomical features and procedural aspects (quality of vision, irrigation, scope navigation). A five-point Likert score was used to assess responses.Data regarding the level of training and experience in endourology were also collected. Video recordings of the procedures were made. Results: 8 questionnaires were collected (5 delegates, 3 faculty). All participants completed cadaveric ureterorenoscopy using semi-rigid and flexible ureteroscopes.75% reported the overall quality of tissue in the cadaveric bladder, ureters and pelvicalyceal system as high or excellent. 50% reported the cadaveric bladder as being softer than in a live patient whilst five out of eight thought that the cadaveric ureter was softer and more prone to trauma. The same number also reported that the intramural ureter was somewhat stiffer than in live patients and that ureteric anatomical narrowings were preserved in the cadavers. Overall , the tissues were reported as being paler than in live patients. Four out of eight strongly agreed with overall quality of the cadaveric model, three agreed and one respondent remained neutral. The quality of vision and irrigation in the upper urinary tracts was reported as high. Conclusions:Thiel cadavers have been shown to have excellent tissue characteristics, as well as being durable and reusable, thereby improving their cost-effectiveness. We have described the first use of Thiel cadavers in a designated ureterorenoscopy course, with high levels of delegate satisfaction. Further work is required to develop the role of Thiel cadavers as part of integrated, modular urology training.

show abstract

Novel Deceased Donor Perfusion Model for High-Fidelity Simulation in Vascular Surgery

2017

View full text Add to dashboard Cite

Thiel Embalming Method for Cadaver Preservation: A Review of New Training Model for Urologic Skills Training

Cited by 51 publications

References 41 publications

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

Ureterorenoscopy Training on Cadavers Embalmed by Thiel's Method: Simulation or a Further Step Towards Reality? Initial Report

Novel Deceased Donor Perfusion Model for High-Fidelity Simulation in Vascular Surgery

Contact Info

Product

Resources

About