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Anatomi Eğitiminde Primer Eğitim Materyali Olan Kadavrada Tahnit Modelleri

Year 2025, Volume: 4 Issue: 1, 73 - 85, 28.03.2025
https://doi.org/10.59312/ebshealth.1638921

Abstract

Amaç: Kadavranın normal doku ve yapısını korumak amacıyla, uygun teknik ve yöntemle fiksatifler verilerek fikse edilmesi işlemine tahnit denilmektedir. Bu çalışma ile Anatomi eğitiminde tartışmasız bir yeri olan, primer eğitim materyali kadavrada farklı tahnit modellerini güncel olarak vurgulamaktır.
Yöntem: Formaldehit iyi bir fiksatiftir, yıllar boyunca ve günümüzde de yalnız veya değişik formülasyonlar içerisinde kullanılmaktır. Kadavra tahnitinde; Laskowski Cenevre tespit solüsyonu formülasyonu, Spence’in kadavra tespit sıvısı bileşimi, Norville’nin kadavra tespit sıvısı bileşimi, Erskine’in kadavra tespit sıvısı bileşimi, Kinnamon’un kadavra tespit sıvısı bileşimi ve saklama solüsyonu bileşimi, Larssen solüsyonu’nun orjinal kompozisyonu dahil olmak üzere birçok farklı teknikler/modeller yanında Modifiye edilmiş Larssen solüsyonu bileşimi, Doymuş Tuzlu su, Alkid reçine, Thiel solüsyonu, Logan solüsyonu, Modifiye Logan solüsyonu, Genelyn solüsyonu, Etanol-Gliserin Metodu gibi birçok farklı teknikler de kullanılmaktadır. Kadavra tahnit işleminde solüsyonlar genellikle a. femoralis ve a. carotis communis’ ten enjekte edilebilmekle birlikte başka arterlerden de yapılabilir. Tespiti yapılmış kadavra formol veya asit fenik (fenol) havuzlarında muhafaza edilebilmektedir. Ayrıca kadavradan standart plastinasyon yöntemiyle de plastinatlar elde edilebilmektedir.
Bulgular: Kadavra tahnit tekniğinde/modelinde Formaldehit, Fenol, Timol, Gliserin ve Etanol gibi farklı kimyasalların değişik formülasyonları kullanılmaya devam etmektedir. Bu formülasyonların yanı sıra günümüzde yaygın olarak Thiel, Larssen, Modifiye Larssen, Logan, Etanol-gliserin, Genelyn solüsyonu, Doymuş tuzlu su ile Alkid reçine metodu kadavra tespitinde kullanılmaktadır. Plastinasyon yönteminde plastine olan örneklerin şekillerini koruduğu ve bu yöntemde Ksilol de kullanılmışsa plastine örneklerin hafif ve esnek bir yapı kazandığı görülmüştür.
Sonuç: Kadavra tahnit tekniğinde/modelinde azalan oranlarda da olsa başta formaldehit olmak üzere birçok farklı kimyasalların yalnız ya da değişik kombinasyonları kullanılmaya devam etmektedir.

References

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  • Goodarzi, N., Akbari, G., ve Razeghi Tehrani, P. (2018). Zinc chloride, a new material for embalming and preservation of the anatomical specimens. Anatomical Sciences Journal, 15(1), 25-30.
  • Gueorguieva, M. J., Yeo, D. T., Eisma, R., ve Melzer, A. (2014). MRI of thiel‐embalmed human cadavers. Journal of Magnetic Resonance Imaging, 39(3), 576-583.
  • Haizuka, Y., Nagase, M., Takashino, S., Kobayashi, Y., Fujikura, Y., ve Matsumura, G. (2018). A new substitute for formalin: application to embalming cadavers. Clinical Anatomy, 31(1), 90-98.
  • Hammer, N., Loffler, S., Bechmann, I., Steinke, H., Hadrich, C., ve Feja, C. (2015). Comparison of modified Thiel embalming and ethanol-glycerin fixation in an anatomy environment: Potentials and limitations of two complementary techniques. Anat Sci Educ, 8(1), 74-85. https://doi.org/10.1002/ase.1450
  • Hayashi, S., Homma, H., Naito, M., Oda, J., Nishiyama, T., Kawamoto, A., Kawata, S., Sato, N., Fukuhara, T., ve Taguchi, H. (2014). Saturated salt solution method: a useful cadaver embalming for surgical skills training. Medicine, 93(27), e196.
  • Healy, S. E., Rai, B. P., Biyani, C. S., Eisma, R., Soames, R. W., ve Nabi, G. (2015). Thiel embalming method for cadaver preservation: a review of new training model for urologic skills training. Urology, 85(3), 499-504.
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  • Kalanjati, V. P., Prasetiowati, L., ve Alimsardjono, H. (2012). The use of lower formalin-containing embalming solution for anatomy cadaver preparation. Medical Journal of Indonesia, 21(4), 203-207.
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Cadaver Embalming Models as Primary Education Material in Anatomy Education

Year 2025, Volume: 4 Issue: 1, 73 - 85, 28.03.2025
https://doi.org/10.59312/ebshealth.1638921

Abstract

Objective: The process of fixing the cadaver by giving fixatives with appropriate technique and method in order to preserve its normal tissue and structure is called embalming. This study aims to emphasize the different embalming models in cadavers, which have an indisputable place in anatomy education and are primary educational materials.
Methods: Formaldehyde is a good fixative, and has been used alone or in different formulations for years and today. In cadaver embalming; many different techniques/models including Laskowski Geneva fixation solution formulation, Spence's cadaver fixation fluid composition, Norville's cadaver fixation fluid composition, Erskine's cadaver fixation fluid composition, Kinnamon's cadaver fixation fluid composition and storage solution composition, original composition of Larssen solution, as well as many different techniques such as Modified Larssen solution composition, Saline, Alkyd Resin, Thiel solution, Logan solution, Modified Logan solution, Ethanol-Glycerin Method are also used. In cadaver embalming, solutions are generally injected from the femoral artery and common carotid artery, but can also be administered from other arteries. Fixed cadavers can be preserved in formalin or acid carotene (phenol) pools. Additionally, plastinates can be obtained from cadavers using the standard plastination method.
Results: Various formulations of different chemicals such as formaldehyde, phenol, thymol, glycerin and ethanol continue to be used in the cadaver embalming technique/model. In addition to these formulations, thiel, larssen, modified larssen, logan, ethanol-glycerin, saline or liquid soap solutions and alkyd resin method are widely used in cadaver detection. It has been observed that the plastinated samples in the plastination method retain their shape and if xylol is also used in this method, the plastinated samples gain a light and flexible structure.
Conclusion: It is considered that new studies are needed for cadaver embalming modeling as the primary educational material in anatomy education.

References

  • Ackermann, J., Wedel, T., Hagedorn, H., Maass, N., Mettler, L., Heinze, T., ve Alkatout, I. (2021). Establishment and evaluation of a training course in advanced laparoscopic surgery based on human body donors embalmed by ethanol-glycerol-lysoformin fixation. Surgical Endoscopy, 35, 1385-1394.
  • Aziz, M. A., Mckenzie, J. C., Wilson, J. S., Cowie, R. J., Ayeni, S. A., ve Dunn, B. K. (2002). The human cadaver in the age of biomedical informatics. The Anatomical Record: An Official Publication of the American Association of Anatomists, 269(1), 20-32.
  • Balta, J. Y., Cronin, M., Cryan, J. F., ve O'Mahony, S. M. (2015). Human preservation techniques in anatomy: A 21st century medical education perspective. Clin Anat, 28(6), 725-734. https://doi.org/10.1002/ca.22585
  • Balta, J. Y., Cryan, J. F., ve O'Mahony, S. M. (2019). The antimicrobial capacity of embalming solutions: a comparative study. Journal of applied microbiology, 126(3), 764-770.
  • Balta, J. Y., Twomey, M., Moloney, F., Duggan, O., Murphy, K. P., O’Connor, O. J., Cronin, M., Cryan, J. F., Maher, M. M., ve O’Mahony, S. M. (2019). A comparison of embalming fluids on the structures and properties of tissue in human cadavers. Anatomia, histologia, embryologia, 48(1), 64-73.
  • Beger, O., Karagul, M. I., Koc, T., Kayan, G., Cengiz, A., Yilmaz, S. N., ve Olgunus, Z. K. (2020). Effects of different cadaver preservation methods on muscles and tendons: a morphometric, biomechanical and histological study. Anat Sci Int, 95(2), 174-189. https://doi.org/10.1007/s12565-019-00508-z
  • Bilge, O., ve Celik, S. (2017). Cadaver embalming fluid for surgical training courses: modified Larssen solution. Surgical and Radiologic Anatomy, 39, 1263-1272.
  • Bilge, O., Çelik, S., ve Boduç, E. (2014). Uzun yıllar önce tespiti yapılmış lokomotor sistem örneklerinin plastinasyonu ve eğitimde kullanımı. Ege Tıp Dergisi, 53(2), 84-87.
  • Brenner, E. (2014). Human body preservation - old and new techniques. J Anat, 224(3), 316-344. https://doi.org/10.1111/joa.12160
  • Burns, D. M., Bell, I., Katchky, R., Dwyer, T., Toor, J., Whyne, C. M., ve Safir, O. (2018). Saturated Salt Solution Cadaver-Embalming Method Improves Orthopaedic Surgical Skills Training. J Bone Joint Surg Am, 100(15), e104. https://doi.org/10.2106/JBJS.17.01256
  • Canbolat, M., ve ŞEnol, D. (2019). Anatomi̇de Tahni̇t ve Di̇seksi̇yon Eği̇ti̇mi̇ İçi̇n Olası Bi̇r Kaynak: Sağlık Turizmi*. Tıp Eğitimi Dünyası, 18(54), 88-91. https://doi.org/10.25282/ted.460566 Celik, S., Bilge, O., Ozdemir, M., Dionigi, G., Anuwong, A., ve Makay, O. (2022). Modified Larssen solution (MLS)-fixed cadaver model for transoral endoscopic thyroidectomy vestibular approach (TOETVA) education: a feasibility study. Surgical Endoscopy, 36(7), 5518-5530.
  • Coleman, R., ve Kogan, I. (1998). An improved low-formaldehyde embalming fluid to preserve cadavers for anatomy teaching. The Journal of Anatomy, 192(3), 443-446.
  • Crosado, B., Loffler, S., Ondruschka, B., Zhang, M., Zwirner, J., ve Hammer, N. (2020). Phenoxyethanol-Based Embalming for Anatomy Teaching: An 18 Years' Experience with Crosado Embalming at the University of Otago in New Zealand. Anat Sci Educ, 13(6), 778-793. https://doi.org/10.1002/ase.1933
  • Domagala, Z. A., Drazyk, M., Pioterek, O., Kozlowski, O., Lubieniecki, P., Sroczynski, M., Dudek, A., Wozniak, S., Tarkowski, V., ve Mazurek, M. (2024). Precision in Preservation: Mastering Cadaver Embalming with the Femoral Artery Approach - a technical note. Folia Morphol (Warsz). https://doi.org/10.5603/fm.99260
  • Ekiz, R., ve Demiraslan, Y. (2018). Kadavra Hazırlamada Kullanılan Solüsyonlar ve Güncel Yaklaşımlar. Dicle Üniversitesi Veteriner Fakültesi Dergisi, 11(2), 105-108.
  • Erbay, H., Bilir, A., Gönül, Y., Turamanlar, O., ve Songur, A. (2015). Tıp fakültesi öğrencilerinin kadavra algısı ve eğitimde kadavra kullanımına yönelik yaklaşımları.
  • Ernesto Ottone, N., Vargas, C. A., Fuentes, R., ve del Sol, M. (2016). Walter Thiel's Embalming Method. Review of Solutions and Applications in Different Fields of Biomedical Research. International Journal of Morphology, 34(4).
  • Ezugworie, J., Anibeze, C., Ozoemena, F., Ezugworie, J., ve Anibeze, C. (2009). Trends in the development of embalming methods. Internet J Altern Med, 7.
  • Fessel, G., Frey, K., Schweizer, A., Calcagni, M., Ullrich, O., ve Snedeker, J. G. (2011). Suitability of Thiel embalmed tendons for biomechanical investigation. Annals of Anatomy-Anatomischer Anzeiger, 193(3), 237-241.
  • Frølich, K. W., Andersen, L. M., Knutsen, A., ve Flood, P. R. (1984). Phenoxyethanol as a nontoxic substitute for formaldehyde in long‐term preservation of human anatomical specimens for dissection and demonstration purposes. The Anatomical Record, 208(2), 271-278.
  • Goodarzi, N., Akbari, G., ve Razeghi Tehrani, P. (2018). Zinc chloride, a new material for embalming and preservation of the anatomical specimens. Anatomical Sciences Journal, 15(1), 25-30.
  • Gueorguieva, M. J., Yeo, D. T., Eisma, R., ve Melzer, A. (2014). MRI of thiel‐embalmed human cadavers. Journal of Magnetic Resonance Imaging, 39(3), 576-583.
  • Haizuka, Y., Nagase, M., Takashino, S., Kobayashi, Y., Fujikura, Y., ve Matsumura, G. (2018). A new substitute for formalin: application to embalming cadavers. Clinical Anatomy, 31(1), 90-98.
  • Hammer, N., Loffler, S., Bechmann, I., Steinke, H., Hadrich, C., ve Feja, C. (2015). Comparison of modified Thiel embalming and ethanol-glycerin fixation in an anatomy environment: Potentials and limitations of two complementary techniques. Anat Sci Educ, 8(1), 74-85. https://doi.org/10.1002/ase.1450
  • Hayashi, S., Homma, H., Naito, M., Oda, J., Nishiyama, T., Kawamoto, A., Kawata, S., Sato, N., Fukuhara, T., ve Taguchi, H. (2014). Saturated salt solution method: a useful cadaver embalming for surgical skills training. Medicine, 93(27), e196.
  • Healy, S. E., Rai, B. P., Biyani, C. S., Eisma, R., Soames, R. W., ve Nabi, G. (2015). Thiel embalming method for cadaver preservation: a review of new training model for urologic skills training. Urology, 85(3), 499-504.
  • Hubmer, M. G., Fasching, T., Haas, F., Koch, H., Schwarzl, F., Weiglein, A., ve Scharnagl, E. (2004). The posterior interosseous artery in the distal part of the forearm. Is the term ‘recurrent branch of the anterior interosseous artery’justified? British journal of plastic surgery, 57(7), 638-644.
  • Kalanjati, V. P., Prasetiowati, L., ve Alimsardjono, H. (2012). The use of lower formalin-containing embalming solution for anatomy cadaver preparation. Medical Journal of Indonesia, 21(4), 203-207.
  • Kaliappan, A., Motwani, R., Gupta, T., ve Chandrupatla, M. (2023). Innovative cadaver preservation techniques: a systematic review. Maedica, 18(1), 127.
  • Kara, A., Ögenler, O., ve Elvan, Ö. (2012). Anatomi Anıları. Journal of Inonu University Medical Faculty, 19(1), 54-56. https://doi.org/10.7247/jiumf.19.1.54_56
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  • Kathapillai, M. (2019). Modified saturated salt solution (MSSS) method for embalming. Indian Journal of Clinical Anatomy and Physiology, 6(3), 260-263.
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There are 50 citations in total.

Details

Primary Language Turkish
Subjects Medical Education
Journal Section Reviews
Authors

Nuri Fidan 0000-0002-2970-8681

Aymelek Çetin 0000-0002-4645-2059

Publication Date March 28, 2025
Submission Date February 12, 2025
Acceptance Date March 15, 2025
Published in Issue Year 2025 Volume: 4 Issue: 1

Cite

APA Fidan, N., & Çetin, A. (2025). Anatomi Eğitiminde Primer Eğitim Materyali Olan Kadavrada Tahnit Modelleri. Doğu Karadeniz Sağlık Bilimleri Dergisi, 4(1), 73-85. https://doi.org/10.59312/ebshealth.1638921

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