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Published online: 2024-07-22

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Precision in Preservation: Mastering Cadaver Embalming with the Femoral Artery Approach – a technical note.

Zygmunt Antoni Domagała1, Mateusz Drazyk2, Oliwier Pioterek2, Oskar Kozlowski2, Pawel Lubieniecki3, Maciej Sroczynski4, Agata Dudek4, Sławomir Woźniak1, Victoria Tarkowski2, Mateusz Mazurek2
Pubmed: 39044473

Abstract

Human anatomy is a fundamental aspect of a physician's knowledge. While novel technologies offer innovative ways to teach anatomy, cadavers remain an essential component of anatomical education. The quality of specimens begins with well-preserved cadavers, and the chosen vascular access for injection plays a crucial role. Unfortunately, there is a lack of literature regarding embalming procedures, as discourse on such practices could enhance the quality, safety, and effectiveness of anatomical instruction. In this study, a femoral artery approach is described for embalming, which entails a meticulous process of cutting through the skin, navigating through fascias and adipose tissue by means of blunt dissection, ultimately reaching the artery for embalming injection. Tips and techniques pertaining to this technique are provided, including vital details for convenient accessibility and minimal impairment of tissue. The objective of this study is to facilitate anatomists and technicians in the adoption of the femoral artery approach, and to encourage further exploration of alternative embalming methods, thus contributing to the continuous advancement of anatomical sciences.

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References

  1. Ahn HY, Lee HJ, Lee HJ, et al. Assessment of the optimal site of femoral artery puncture and angiographic anatomical study of the common femoral artery. J Korean Neurosurg Soc. 2014; 56(2): 91–97.
  2. Balta JY, Cryan JF, O'Mahony SM. The antimicrobial capacity of embalming solutions: a comparative study. J Appl Microbiol. 2019; 126(3): 764–770.
  3. Bossuyt J, Van Bortel LM, De Backer TLM, et al. Asklepios Investigators. Asymmetry in prevalence of femoral but not carotid atherosclerosis. J Hypertens. 2014; 32(7): 1429–1434.
  4. Brenner E. Human body preservation — old and new techniques. J Anat. 2014; 224(3): 316–344.
  5. Domagała Z, Domański J, Zimmer A, et al. Methodology of preparation of corrosive specimens from human placenta — a technical note. Ann Anat. 2020; 228: 151436.
  6. Domagała ZA, Mazurek M, Kozłowski O, et al. Challenges associated with vascular access through the common carotid artery during embalming procedures in humans: A technical note. Folia Morphol. 2023 [Epub ahead of print].
  7. Domański J, Janczura A, Wanat M, et al. Preservation fluids of heritage anatomical specimens — a challenge for modern science. Studies of the origin, composition and microbiological contamination of old museum collections. J Anat. 2023; 243(1): 148–166.
  8. Dziedzic M, Ostrowski P, Ghosh S, et al. Exploring the evolution of anatomy: from historical foundations to modern insights. Transl Res Anat. 2024; 35: 100286.
  9. Estai M, Bunt S. Best teaching practices in anatomy education: a critical review. Ann Anat. 2016; 208: 151–157.
  10. Haładaj R, Varga I. Coexisting anatomical variation of the lateral femoral cutaneous nerve and genitofemoral nerve: A case report. Transl Res Anat. 2024; 34: 100276.
  11. Iwanaga J, Singh V, Takeda S, et al. Acknowledging the use of human cadaveric tissues in research papers: recommendations from anatomical journal editors. Clin Anat. 2021; 34(1): 2–4.
  12. Iwanaga J, Watanabe K, Anand MK, et al. Air dissection of the spaces of the head and neck: a new teaching and dissection method. Clin Anat. 2020; 33(2): 207–213.
  13. Janowski K, Topol M. Types of outlet of the major saphenous vein tributaries in patients with chronic vein insufficiency of the lower limbs. Folia Morphol. 2004; 63(4): 473–479.
  14. Jelev L, Krastev N, Malinova L. An aberrant deep muscle crossing popliteal fossa and concomitant popliteal vein variation. A review of the related muscle and venous variations. Transl Res Anat. 2021; 25: 100146.
  15. Kpuduwei SPK, Kiridi EK, Fawehinmi HB, et al. Reference luminal diameters of the carotid arteries among healthy Nigerian adults. Folia Morphol. 2022; 81(3): 579–583.
  16. Łabętowicz P, Olewnik Ł, Podgórski M, et al. A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification. Folia Morphol. 2019; 78(4): 738–745.
  17. Lombardero M, Yllera MM, Costa-E-Silva A, et al. Saturated salt solution: a further step to a formaldehyde-free embalming method for veterinary gross anatomy. J Anat. 2017; 231(2): 309–317.
  18. Lucatelli P, Fagnani C, Tarnoki AD, et al. Femoral artery ultrasound examination. Angiology. 2017; 68(3): 257–265.
  19. Lytle WJ. Inguinal anatomy. J Anat. 1979; 128(Pt 3): 581–594.
  20. Memon I. Cadaver dissection is obsolete in medical training! A misinterpreted notion. Med Princ Pract. 2018; 27(3): 201–210.
  21. Miller HJ. Inguinal hernia: mastering the anatomy. Surg Clin North Am. 2018; 98(3): 607–621.
  22. Mogale N, Olorunju S, Matshidza S, et al. Anatomical variations in the origins of the lateral circumflex femoral arteries in a South African sample: A cadaver study. Transl Res Anat. 2021; 22: 100098.
  23. Mühlberger D, Mumme A, Stücker M, et al. Minor tributary veins of the common femoral vein near the saphenofemoral junction — a postmortem study. Phlebology. 2020; 35(10): 792–798.
  24. Ng KH, Peh WCG. Writing a technical note. Singapore Med J. 2010; 51(2): 101–3; quiz 104.
  25. Rusu MC, Ilie AC, Brezean I. Human anatomic variations: common, external iliac, origin of the obturator, inferior epigastric and medial circumflex femoral arteries, and deep femoral artery course on the medial side of the femoral vessels. Surg Radiol Anat. 2017; 39(11): 1285–1288.
  26. Sharma BR, Harish D, Sharma A, et al. Injuries to neck structures in deaths due to constriction of neck, with a special reference to hanging. J Forensic Leg Med. 2008; 15(5): 298–305.
  27. Touré T, Kanté A, Moussa A, et al. Rare variations of origin and course of the medial circumflex femoral artery: Report of 3 cases. Transl Res Anat. 2022; 28: 100207.
  28. Tsur N, Benov A, Nadler R, et al. Neck injuries — Israel defense forces 20 years' experience. Injury. 2021; 52(2): 274–280.
  29. Varlet V, Bouvet A, Cadas H, et al. Toward safer thanatopraxy cares: formaldehyde-releasers use. J Anat. 2019; 235(5): 863–872.
  30. Webb AL, Smyth L, Hafiz M, et al. The question of dissection in medical training: Not just "if," but "when"? A student perspective. Anat Sci Educ. 2022; 15(2): 281–290.