The influence of dissection on clinical anatomical knowledge for surgical needs

Feigl, Georg; Sammer, A.

doi:10.1007/s00276-021-02802-w

Cited by 5 publications

(7 citation statements)

References 26 publications

(30 reference statements)

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“…Addressing this gap in technical skills requires a multifaceted approach: indeed, in these last years, 3D virtual technologies deeply contributed to anatomical education, even if the most attention should be payed to direct dissection in order to improve and refine the future physician's knowledge by the anatomical teaching "gold standard" [32][33][34][35]. Anatomy dissection courses tailored to surgical trainees, along with other supplementary material, remain a critical step in improving their understanding of the variability of human morphology [36,37].…”

Section: Discussionmentioning

confidence: 99%

Sciatic Nerve and Its Anatomical Variations: In-Depth Understanding Acquired During Dissection Classes

Branca,

Guarnieri,

Morelli

et al. 2024

Cureus

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Knowledge of anatomical variability is extremely important in order to better understand the etiology of pain, if present, or to avoid iatrogenic consequences. Sometimes the anatomical "anomalies" have the same anamnesis but different causes. For example, sciatic neuralgia may be caused by a herniated disc or it may have a different origin. The sciatic nerve (SN), also known as the ischial nerve, is the widest in the human body. This huge peripheral nerve originates from the roots of the lumbosacral plexus (L4-S3) and passes through the great sciatic foramen, under the piriformis muscle (PM). However, there is much variability in the pattern of SNs about the muscle, which has been known since the first half of the 20th century. In the present study, we describe six different case reports of anatomical variations of the SN and its interplay with the PM. The observations were made during dissection classes at the ICLO Teaching and Research Centre (Verona, Italy), on both male and female cadavers aged between 58 and 84 years. The SN was reported as a single and divided nerve into the tibial nerve (TN) and the common peroneal nerve (CPN), passing alone above, below, or between the PM. However, the two parts of the SN may also interact with the PM in different ways, adding to the anatomical variability. A thorough knowledge of the anatomical variations in any part of the human body is extremely important. The various techniques used, from imaging to autopsy or surgery, are also useful in the SN pathway. Thus, the anatomical features and the understanding of each variation are useful for a correct approach that can lead to an effective and correct treatment with a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Sciatic Nerve and Its Anatomical Variations: In-Depth Understanding Acquired During Dissection Classes

Branca,

Guarnieri,

Morelli

et al. 2024

Cureus

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“…It should be noted that dissection and training using cadaveric material remains the gold standard in medicine. According to Feig G. (2022), autopsies support and improve the necessary knowledge for surgical modules [ 28 ]. Cadaveric dissection brings about the skills, courage, and the ability to confidently work on the human body without any fear, for future practice.…”

Section: Discussionmentioning

confidence: 99%

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models

et al. 2022

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Background: Providing regional anesthesia skills shaping remains relevant nowadays. A number of studies show that dentists have difficulties with these working independently. The study aim is the comparative analysis of the results of mandibular anesthesia (IANB) manual-skills shaping among dentists on plastic models and cadavers. Methods: In total, 999 participants were training in the skills of mandibular anesthesia from 2017 to 2021. The participants were divided in a random way into two groups: 700 participants were trained on plastic models, and 299 were trained on the cadaver material. After a lecture on the clinical and anatomical guidelines for IANB, a demonstration of the technique was provided, with subsequent testing of the injection technique. Satisfaction with the aspects of the training was assessed using the Likert scale. Results: the analysis of average values showed that participants from the group in which the manual skills were practiced on cadavers were more satisfied with the main aspects of the training, according to the sum of the main criteria of the modified scale. Conclusions: The important advantages of cadaver educational technology are that the sensations of tissue resistance are identical to natural ones, the individuality of each object, and the possibility of the visual study of the anesthesia technique, by dissection of the needle course and the location of the anesthetic depot.

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“…Anatomy is an essential fundamental science for medical education and medical practices. The teaching of anatomy has evolved over decades; however, cadaveric dissection remains the gold standard and the most effective modality for the delivery of anatomy [1]. The delivery of anatomy in medical education is a difficult task worldwide, especially for low and middle-income countries (LMIC), including Rwanda.…”

Section: Growth Of the Anatomy In Rwanda Through Confronting Challengesmentioning

confidence: 99%

Developing an Anatomy Unit in Rwanda: Overcoming Challenges

Gashegu

2023

rmj

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Rwanda, the historical background reveals that anatomy was introduced into the medical program 6 years after the beginning of medical education. The development of the clinical anatomy unit started in 2002. Initially, the anatomical specimen was collected from amputated limbs and body organs from an autopsy.Growing the field of anatomy in Rwanda has been a long journey guided by a constant commitment by the pioneers. The process was based on a guiding philosophy of delivering anatomy relevant to the clinical practice. The cadaver dissection practice is a gold standard for a challenging task. It needs strategies to build a system that facilitates the acquisition of cadavers, its processing, and the use and disposal of remains in human conditions. A law that regulates the use of human bodies, organs, and tissues in teaching and research was promulgated in 2010, and signed MoU on the supply of cadavers for teaching purposes with various hospitals in Rwanda.In 2020, the Society of Clinical Anatomy of Rwanda (S-CAR) was founded to promote the growth of anatomical sciences and create a community for anatomy in Rwanda. The regular organization of surgical anatomy dissection courses has positively impacted the surgical trainees’ skills and anatomy delivery. Despite the challenges, anatomy is alive in Rwanda, as testified to by the successful organization of the First Anatomy Annual Congress in October 2022.

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The influence of dissection on clinical anatomical knowledge for surgical needs

Cited by 5 publications

References 26 publications

Sciatic Nerve and Its Anatomical Variations: In-Depth Understanding Acquired During Dissection Classes

Sciatic Nerve and Its Anatomical Variations: In-Depth Understanding Acquired During Dissection Classes

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models

Developing an Anatomy Unit in Rwanda: Overcoming Challenges

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