Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ophthalmic Plastic Surgery and Ocular Oncology Services, Aditya Jyot Eye Hospital, Mumbai; Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, A Unit of Dr. Agarwal's Eye Hospitals, Navi Mumbai; Lokmanya Tilak Municipal Medical College and General Hospital, Dr. Babasaheb Ambedkar Road, Sion, Mumbai, Maharashtra, India.
Indian J Ophthalmol. 2022 Sep;70(9):3239-3244. doi: 10.4103/ijo.IJO_3037_21.
The purpose of this article is to form a basic guide for beginning the cadaver dissection training programs focused on oculoplastic surgical procedures. Ours was a collaborative study between the departments of Ophthalmology and Anatomy in a tertiary care teaching institute. We formed a step-wise approach to begin the cadaver dissection focused on the oculoplastic surgical procedures. The basics of cadaver procurement, processing, and preparation for dissections were described. The operative requirements of trainees, surgical handling of cadavers, and basic oculoplastic surgical steps were discussed. The types of embalming (cadaver preservation process) and steps have been described in detail. We have emphasized the preoperative discussion about the proposed dissections using standard teachings and skull models for easier understanding. Additional helping tools like soft embalming and injectable substances for better intra-dissection understanding (intra-arterial, intravenous and orbital injections) have been described. Post-dissection cadaver handing and soft-tissue disposal protocols have also been described. Overall, the cadaver dissections provide holistic surgical learning for the residents, specialty trainees, and practitioners. This article may act as a basic step-wise guide for starting the cadaver-based oculoplastics lab dissection in various institutes and workshops.
本文旨在为专注于眼整形手术的尸体解剖培训计划形成一个基本指南。我们的研究是在一家三级教学医院的眼科和解剖学系之间进行的合作研究。我们形成了一种分步骤的方法,开始专注于眼整形手术的尸体解剖。描述了尸体采购、处理和准备解剖的基础知识。讨论了学员的手术要求、尸体的手术处理以及基本的眼整形手术步骤。详细描述了各种类型的防腐(尸体保存过程)和步骤。我们强调了使用标准教学和颅骨模型进行拟议解剖的术前讨论,以便更容易理解。还描述了其他辅助工具,如软防腐和可注射物质,以更好地理解解剖(动脉内、静脉内和眼眶内注射)。描述了解剖后的尸体处理和软组织处置协议。总的来说,尸体解剖为住院医师、专科培训生和医生提供了全面的手术学习。本文可为各机构和研讨会开展基于尸体的眼整形实验室解剖提供基本的分步指南。