Reporting ChAracteristics of cadaver training and sUrgical studies: The CACTUS guidelines

Mantica, Guglielmo; Leonardi, Rosario; Díaz, Raquel; Malinaric, Rafaela; Parodi, Stefano; Tappero, Stefano; Paraboschi, Irene; Álvarez‐Maestro, Mario; Teoh, Jeremy Yuen‐Chun; Garriboli, Massimo; Polledo, Luis Enrique Ortega; Soriero, Domenico; Pertile, Davide; Marchi, Davide De; Pini, Giovanna Lberto; Rigatti, Lorenzo; Ghosh, Sanjib Kumar; Onigbinde, Oluwanisola Akanji; Tafuri, Alessandro; Carrión, D.M.; Nikles, Sven; Antoni, Anna; Fransvea, Pietro; Esperto, Francesco; Herbella, Fernando A. M.; Rocha, Andréa Oxley da; Vanaclocha, Vicente; Sánchez‐Guillén, Luis; Wainman, Bruce; Quiroga‐Garza, Alejandro; Fregatti, Piero; Murelli, Federica; Merwe, André van der; Rivas, Juan Gómez; Terrone, Carlo

doi:10.1016/j.ijsu.2022.106619

Cited by 11 publications

(4 citation statements)

References 13 publications

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“…We designed a prospective observational case control study using a cadaveric training model using the STROBE guideline 14 . The CACTUS guideline was used to ensure proper reporting of cadaver characteristics 15 . Participants were allocated to an open surgical cut-down approach or a percutaneous ultrasound-guided approach to place the REBOA catheter on a 1:1 ratio.…”

Section: Methodsmentioning

confidence: 99%

Percutaneous ultrasound-guided versus open cut-down access to femoral vessels for the placement of a REBOA catheter

Grechenig,

Hallmann,

Eibinger

et al. 2024

Sci Rep

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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may be useful in treating exsanguinating trauma patients. This study seeks to compare rates of success, complications and time required for vascular access between ultrasound-guidance and surgical cut-down for femoral sheath insertion as a prospective observational case control study. Participating clinicians from either trauma surgery or anesthesiology were allocated to surgical cut-down or percutaneous ultrasound-guided puncture on a 1:1 ratio. Time spans to vessel identification, successful puncture, and balloon inflation were recorded. 80 study participants were recruited and allocated to 40 open cut-down approaches and 40 percutaneous ultrasound-guided approaches. REBOA catheter placement was successful in 18/40 cases (45%) using a percutaneous ultrasound guided technique and 33/40 times (83%) using the open cut-down approach (p < 0.001). Median times [in seconds] compared between percutaneous ultrasound-guided puncture and surgical cut-down were 36 (18–73) versus 117(56–213) for vessel visualization (p < 0.001), 136 (97–175) versus 183 (156–219) for vessel puncture (p < 0.001), and 375 (240–600) versus 288 (244–379) for balloon inflation (p = 0.08) overall. Access to femoral vessels for REBOA catheter placement is safer when performed by cut-down and direct visualization but can be performed faster by an ultrasound-guided technique when vessels can be identified clearly and rapidly.

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Section: Methodsmentioning

confidence: 99%

Percutaneous ultrasound-guided versus open cut-down access to femoral vessels for the placement of a REBOA catheter

Grechenig,

Hallmann,

Eibinger

et al. 2024

Sci Rep

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“…The format of the informed consent form was in line with the guidelines of the China Organ Donation Administrative Center. Furthermore, this anatomical study followed the CACTUS guidelines [ 16 ]. The inclusion criteria are male adult cadavers, no abdominopelvic injury, deformity, or surgery, and no organ deficiencies.…”

Section: Methodsmentioning

confidence: 99%

The characteristics of the urogenital fascia in the retrorectal space based on male cadaveric dissection and its clinical application

Xiao

et al. 2023

BMC Surg

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Background The architecture of retrorectal fasciae is complex, as determined by different anatomical concepts. The aim of this study was to examine the anatomical characteristics of the inferomedial extension of the urogenital fascia (UGF) involving the pelvis to explore its relationship with the adjacent fasciae. Furthermore, we have expounded on the clinical application of UGF. Method For our study, we examined 20 adult male pelvic specimens fixed in formalin, including 2 entire pelvic specimens and 18 semipelvic specimens. Our department has performed 466 laparoscopic rectal cancer procedures since January 2020. We reviewed the surgical videos involving UGF preservation and analyzed the anatomy of the UGF. Results The bilateral hypogastric nerves ran between the visceral and parietal layers of the UGF. The visceral fascia migrated ventrally at the fourth sacral vertebra, which formed the rectosacral fascia together with the fascia propria of the rectum; the parietal layer continually extended to the pelvic diaphragm, terminating at the levator ani muscle. At the third to fourth sacral vertebra level, the two layers constituted the lateral ligaments. Conclusion The double layers of the UGF are vital structures for comprehending the posterior fascia relationship of the rectum. The upper segment between the fascia propria of the rectum and the visceral layer has no evident nerves or blood vessels and is regarded as the " holy plane” for the operation.

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“…In compliance with CACTUS guidelines, 24 institutional approval and consent from the cadavers' owners for publication of their images were obtained, and videos and images were anonymized. Three researchers (1 neurosurgery fellow and 2 research fellows) performed dissections in 5 male cadaveric heads that had been injected with red- and blue-colored latex dye into the arterial and venous system, respectively, immediately after death, 1 month before.…”

Section: Methodsmentioning

confidence: 99%

Thermal Analysis of an Ultrasonic Aspirator Micro Claw Tool Compared With Standard High-Speed Drilling During Internal Auditory Canal Opening in a Cadaveric Model

Maldonado

Porto

Barbero

et al. 2023

Operative Neurosurgery

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BACKGROUND: The ultrasonic aspirator micro claw tool (UAmCT) can be used to remove the bone of the internal auditory canal (IAC) during vestibular schwannoma resection via the retrosigmoid approach (RSA) without the risk of a spinning drill shaft. However, the thermal profile of the UAmCT during IAC removal has not been reported. OBJECTIVE: To compare the thermal profile of the UAmCT during access of the IAC to that of a conventional high-speed drill (HSD) and to present an illustrative case of this application. METHODS: IAC opening via RSA was performed in 5 embalmed cadaveric specimens using the UAmCT with 3, 8, and 15 mL/min irrigation on the left and the HSD at 75 000 revolutions per minute and 0%, 14%, and 22% irrigation on the right. Peak bone surface temperatures were measured 4 times in 20-second intervals, and statistical analyses were performed using SPSS software. An illustrative case of a vestibular schwannoma resected via an RSA using the UAmCT to access the IAC is presented. RESULTS: The IAC was opened in all 5 specimens using both the UAmCT and HSD without complication. The mean peak bone surface temperatures were significantly lower with the UAmCT compared with the HSD (P < .001). The UAmCT did not meaningfully prolong the operating time in the illustrative case, and the IAC was accessed without complication. CONCLUSION: The UAmCT may be a safe and effective alternative to HSD for IAC opening during vestibular schwannoma resection via the RSA. Larger studies under clinical conditions are required to further validate these findings.

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Reporting ChAracteristics of cadaver training and sUrgical studies: The CACTUS guidelines

Cited by 11 publications

References 13 publications

Percutaneous ultrasound-guided versus open cut-down access to femoral vessels for the placement of a REBOA catheter

Percutaneous ultrasound-guided versus open cut-down access to femoral vessels for the placement of a REBOA catheter

The characteristics of the urogenital fascia in the retrorectal space based on male cadaveric dissection and its clinical application

Thermal Analysis of an Ultrasonic Aspirator Micro Claw Tool Compared With Standard High-Speed Drilling During Internal Auditory Canal Opening in a Cadaveric Model

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