A pilot study comparing the use of Thiel‐ and formalin‐embalmed cadavers in the teaching of human anatomy

Balta, Joy Y.; Lamb, Clare; Soames, Roger

doi:10.1002/ase.1470

Cited by 47 publications

(57 citation statements)

References 36 publications

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“…There are accounts of Thiel‐embalmed cadavers being used for teaching of surgical skills, urologic skills and microvascular anastomosis, as well as in human anatomy teaching . In this last study, a third of undergraduate medical students expressed the view that Thiel‐embalmed cadavers made them feel more uncomfortable because of their life‐like appearance …”

Section: Discussionmentioning

confidence: 97%

Do dental undergraduates think that Thiel‐embalmed cadavers are a more realistic model for teaching exodontia?

Hanson

Wilkinson

Macluskey

2016

Eur J Dental Education

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Introduction Teaching exodontia to novice undergraduates requires a realistic model. Thiel‐embalmed cadavers retain the flexibility of the soft tissues and could be used to teach exodontia. Objective The objective was to determine whether Thiel‐embalmed cadavers were perceived to be a more realistic model by undergraduates in comparison with mannequins. Materials and Methods Over a period of 4 years (2011‐2014), students were randomly assigned into two groups: those taught exodontia on mannequins only (NT) and those who also experienced cadaveric teaching (T). This was followed by an assessment. Results There were 174 students in the T group and 108 in the NT group. Sixty‐five per cent of the T group and 69% of the NT group provided feedback. Ninety‐eight per cent (98%) felt that they had been advantaged by being included in the group compared with 95% in the NT who felt disadvantaged. The majority (98%) thought that using the cadavers was advantageous and gave a realistic feel for soft tissue management (89%) and that it was similar to managing a patient (81%). Self‐reported confidence in undertaking an extraction was not different between the two groups (P=.078), and performance in the extraction assessment was not significantly different between the two groups over the 4 years (P=.8). Conclusion The Thiel‐embalmed cadavers were well received by the students who found it a more realistic model for exodontia than a mannequin, even though this did not impact on their performance in a following assessment. Future work on these cadavers may be expanded to include surgical procedures.

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Section: Discussionmentioning

confidence: 97%

Do dental undergraduates think that Thiel‐embalmed cadavers are a more realistic model for teaching exodontia?

Hanson

Wilkinson

Macluskey

2016

Eur J Dental Education

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“…After that, the cadavers are kept in zipper polyethylene bags. The cadavers can be used for months or years (Thiel, 1992(Thiel, , 2002Balta et al, 2015b). The formalin content of the fixative is drastically reduced, with a final concentration of 0.8 % of the total formula, and thus the odor is reduced (Balta et al, 2015b).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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'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).

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“…Thiel is a Bre-usable^cadav-eric model presumed to provide Blife-like^tissue texture and colour, which trainees can use to perform several procedures [4,[23][24][25][26][27]. Thus, Thiel may be more cost-effective than fresh or fresh frozen in the long run.…”

Section: Discussionmentioning

confidence: 99%

Cadaveric simulation: a review of reviews

et al. 2017

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Background Traditional surgical training, largely based on the Halstedian model Bsee one, do one, teach one^is not as effective in the era of working time restrictions and elaborate shiftpatterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education. Methods All the Evidence-Based Medicine databases were searched for relevant reviews. The resulting studies were assessed for inclusion to this review, according to predetermined criteria. Data extraction was performed using a custom-made spreadsheet, and the quality of included reviews was assessed using a validated scoring system (AMSTAR). Results The literature review yielded 33 systematic reviews; five of which matched the inclusion criteria and were included in this review of reviews. Cadaveric simulation was found to have good face (subjective assessment of usefulness) and content validity (whether a specific element adds or retracts to the educational value) while trainees improved their surgical skills after practicing on cadavers. However, concerns have been raised about ethical issues, high cost and availability. Conclusion Cadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings.

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A pilot study comparing the use of Thiel‐ and formalin‐embalmed cadavers in the teaching of human anatomy

Cited by 47 publications

References 36 publications

Do dental undergraduates think that Thiel‐embalmed cadavers are a more realistic model for teaching exodontia?

Do dental undergraduates think that Thiel‐embalmed cadavers are a more realistic model for teaching exodontia?

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

Cadaveric simulation: a review of reviews

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