An Experimental Model for Training in Renal Transplantation Surgery With Human Cadavers Preserved Using W. Thiel’s Embalming Technique

Benavente, R. Cabello; González, Carmen; Quicios, C.; Bueno, Gonzalo; Garcia, Juliana; Arribas, Ana; Clascá, Francisco

doi:10.1016/j.jsurg.2014.10.002

Cited by 33 publications

(31 citation statements)

References 24 publications

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“…In this regard, since the appearance of the Thiel method in 1992, many authors have reproduced the original technique (Groscurth et al, 2001;Wolff etal., 2008;Hölzle et al, 2012;Hunter et al, 2014;Cabello et al, 2015;Willaert et al, 2016) and in more recent studies, they have made modifications to the technique: in compound concentrations, in their combination and in the creation of solutions (Kerckaert et al, 2008;Bertone et al;Eisma et al, 2013b;Hayashi et al, 2014;Hammer et al, 2015a) (Tables III and IV). The cadavers are perfused using the internal saphenous vein (Thiel, 1992;Groscurth et al) and in case of difficulty finding it, the femoral or the common carotid artery can be used (Bertone et al;Hammer et al, 2015a).…”

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

“…Thiel also describes another series of solutions to inject into the body: intrathecal, intratracheal and intrarectal (Thiel, 1992(Thiel, , 2002Groscurth;Wolff et al, 2008;Hunter et al;Cabello et al). Nevertheless, not many authors have used them (Bertone et al;Hammer et al, 2015a).…”

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

“…Morphol., 34(4):1442-1454. Hölzle et al; Eisma et al, 2013b;Hayashi et al, 2014;Hammer et al, 2015a;Healey et al, 2015;Hunter et al;Cabello et al;Willaert et al, 2016). Sodium sulfate and formalin are added just prior to perfusion.…”

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

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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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Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

Section: Description Of the Thiel Methods And Its Variantsmentioning

confidence: 99%

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

et al. 2016

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“…With this model, the feasibility of a new technique can be explored in the realistic anatomic structure of the human body. [15][16][17][18] Thus, the feasibility and safety of the procedure can be assessed by the investigators before its application in clinical practice. Our previous experience demonstrated that the establishment of a novel technique using the cadaveric model facilitated safe transition of a novel technique from the laboratory to the clinic.…”

Section: Discussionmentioning

confidence: 99%

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Mou

Roo

et al. 2017

Exp Clin Transplant

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Objectives: There are increased reports that kidney transplant can be performed by laparoscopic surgery. The further development of this technique could revolutionize human kidney transplant surgery. However, laparoscopic kidney transplant demands a high level of skill for vascular anastomoses. The emerging technology of the three-dimensional, highdefinition laparoscopic system may facilitate the application of this technique. Therefore, in this study, we evaluated this system in performing kidney transplant surgery versus the two-dimensional laparoscopic system. Materials and Methods: Four fresh-frozen human cadavers were used in this study, with 2 for the 3-dimensional and 2 for the 2-dimensional system. Kidneys were retrieved by using the retroperitoneoscopic technique for living donor nephrectomy from the same cadaver. The kidney graft was transplanted at the right iliac fossa using a laparo scopic technique by extraperitoneal approach. The procedure was recorded, and the vessel anastomotic time was analyzed. Results: Kidney transplant procedures were conducted successfully in the 3-dimensional, high-definition and the 2-dimensional groups. We recorded no significant differences in terms of vessel anastomotic time between the 2 groups. The total surgery time was shorter in the 3-dimensional, high-definition group than in the 2-dimensional group (P = .02). Conclusions:This pilot study reinforces that kidney transplant with either the 3-dimensional, highdefinition or 2-dimensional laparoscopy is feasible in a human cadaveric model. The operation was the same as open kidney transplant, but the procedure was performed by a laparoscopic approach with a smaller incision.

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“…With regards to kidney transplant specifically, a limited number of non-validated simulation options have been described for educational purposes. Individual transplant centers have developed local pig or deceased human body wet labs for residents to learn kidney transplant [3,13,14]. Experimental three-dimensionally (3D)-printed designs of a recipient iliac fossa and kidney transplant allograft with synthetic or donor-derived iliac vessels have also been created for practicing vascular anastomosis steps of open or robotic kidney transplants [15,16].…”

Section: Introductionmentioning

confidence: 99%

The Creation of a Novel Low-Cost Bench-Top Kidney Transplant Surgery Simulator and a Survey on Its Fidelity and Educational Utility

Melkonian

Huy

Varma

et al. 2020

Cureus

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An Experimental Model for Training in Renal Transplantation Surgery With Human Cadavers Preserved Using W. Thiel’s Embalming Technique

Cited by 33 publications

References 24 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

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The Creation of a Novel Low-Cost Bench-Top Kidney Transplant Surgery Simulator and a Survey on Its Fidelity and Educational Utility

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