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A comparison of embalming fluids for use in surgical workshops.

机译:外科车间使用的防腐液的比较。

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摘要

There is a growing need to learn surgical skills without risk to patients. One of the major determining factors on the suitability of specimens for surgical workshops is the fluid used for embalming. This study sought to compare three different arterial embalming preparations to a single fresh cadaver. Eleven cadavers embalmed using Graz (single cadaver), Dodge (four cadavers) and Genelyn (five cadavers) preparations were compared using four criteria; joint flexibility measured with a goniometer, tissue pliability rated on standardized videos of instrument handling, tissue color analyzed on standardized photographs and resistance to fungal growth identified by inoculation and observation of tissue blocks. The cadaver embalmed according to the Graz method had joint flexibility comparable to fresh tissue while the Dodge and Genelyn cadavers were less flexible. Tissue pliability was significantly affected by the Dodge and Genelyn methods while the Graz method tissue remained most like fresh tissue. The Graz method cadaver had color that was most akin to fresh tissue and the Dodge method cadavers were relatively more like fresh than the Genelyn. The Dodge and Genelyn method had quite similar fungicidal properties (3/11 Dodge and 2/9 Genelyn embalmed cadavers susceptible) while the Graz method cadaver did not grow mould. Variation exists between cadavers; however, the Graz method produced a cadaver with more flexible joints, better tissue quality and muscle color closest to the fresh specimen. The Dodge and Genelyn methods are similar with the exception of tissue color where the Dodge method was more similar to fresh tissue.
机译:在不给患者带来风险的情况下,越来越需要学习外科技能。影响手术室标本适用性的主要决定因素之一是用于防腐处理的液体。本研究试图将三种不同的动脉防腐剂与单个新鲜尸体进行比较。使用四个标准对使用Graz(单个尸体),Dodge(四个尸体)和Genelyn(五个尸体)制备物防腐的11个尸体进行了比较。用测角仪测量关节的柔韧性,在仪器操作的标准视频上对组织的柔韧性进行评级,在标准照片上分析组织的颜色,并通过接种和观察组织块来鉴定对真菌生长的抵抗力。根据格拉茨方法进行防腐处理的尸体的关节柔韧性可与新鲜组织媲美,而道奇和吉林的尸体的柔韧性较小。组织柔韧性受到Dodge和Genelyn方法的显着影响,而Graz方法组织则最像新鲜组织。格拉茨方法的尸体的颜色最类似于新鲜组织,而道奇方法的尸体则比Genelyn相对更新鲜。道奇(Dodge)和吉林(Genelyn)方法具有相当相似的杀真菌特性(3/11道奇(Dodge)和2/9吉林(Genelyn)防腐的尸体易感),而格拉茨(Graz)方法的尸体没有霉菌。尸体之间存在差异。然而,格拉茨方法产生的尸体具有更灵活的关节,更好的组织质量和最接近新鲜标本的肌肉颜色。道奇(Dodge)和吉林(Genelyn)方法相似,但组织颜色不同,其中道奇(Dodge)方法与新鲜组织更相似。

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