2019
DOI: 10.1002/ca.23354
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Breathing Life into the Cadaver: Introducing Air Dissection As a New Teaching and Dissecting Method for the Venous System

Abstract: Air insufflation has been used for various surgical procedures such as during laparoscopy. We hypothesized that the use of pressurized air might enable cadaveric dissection to differentiate smaller veins better than traditional dissection techniques. In three fresh-frozen cadavers, the inferior vena cava (IVC) and right or left femoral veins were exposed just distal to the inguinal ligament and a needle placed into one of them. Pressurized air was then placed into the cannulated femoral vein using an air compr… Show more

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Cited by 3 publications
(3 citation statements)
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“…In cases of IVC obstruction, the body uses collateral venous systems in order to return blood back to the heart. The superficial collateral system, consisting of the anastomosis of the external iliac vein and inferior epigastric vein, connects the drainage of the abdomen to the superior vena cava (SVC), bypassing the IVC altogether [13]. If however, an anatomical variant is present in a patient with this pre-existing condition, this collateral system is compromised and further intervention could be required.…”
Section: Discussionmentioning
confidence: 99%
“…In cases of IVC obstruction, the body uses collateral venous systems in order to return blood back to the heart. The superficial collateral system, consisting of the anastomosis of the external iliac vein and inferior epigastric vein, connects the drainage of the abdomen to the superior vena cava (SVC), bypassing the IVC altogether [13]. If however, an anatomical variant is present in a patient with this pre-existing condition, this collateral system is compromised and further intervention could be required.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, surgically, such an anatomical variation, as demonstrated in the present case, could result in catastrophic hemorrhage if not recognized either with preoperative imaging or during surgical approaches. Therefore, a thorough knowledge of their potential variations can improve patient care [13][14][15].…”
Section: Clinical Significancementioning
confidence: 99%
“…Recently, we used a novel method for dissecting and potentially teaching the venous system in cadavers using compressed air (Iwanaga et al ). This new dissection technique allowed the collapsed inferior vena cava to be well visualized, including its small tributaries.…”
Section: Introductionmentioning
confidence: 99%