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Techniques of cadaver perfusion for surgical training: a systematic review

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Abstract

Purpose

The objective of this study was to identify the most appropriate cadaver perfusion techniques for surgical training through a systematic review with a description of the protocols used.

Methods

The search strategy included PubMed and reference tracking. Studies were identified by searching the electronic Medline databases. The search concepts included perfusion, cadavers and simulation training, and the protocol used is reported. This resulted in a qualitative review of 12 articles out of 250 articles consulted. We collected all the important data from these 12 articles.

Results

Regarding the characteristics of the studies and the declotting or perfusion techniques, the results were heterogeneous. Indeed, in several studies, a good deal of information was unclear or insufficiently precise, making it unfeasible to summarize the data. The methods used were not sufficiently explicit and detailed. However, a majority of the fresh cadavers used tap water for declotting. Perfusion, type of fluid, number of pumps, pressure, pulsatility, and arterial or venous approaches differed greatly. Only two studies fulfilled five of our six realism criteria for surgical simulation.

Conclusions

This systematic review provided an overview of all the different cadaver perfusion techniques. It could be used to establish a reference method of a simulation model.

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Authors and Affiliations

  1. Department of Medical Evaluation, Grenoble Alpes University Hospital, Boulevard de la Chantourne, 38700, La Tronche, France

    A. Bellier

  2. Laboratoire d’Anatomie Des Alpes Françaises, Faculty of Medicine, Grenoble Alpes University, Place du commandant Nal, Domaine de La Merci, 38700, La Tronche Cedex, France

    A. Bellier, A. Chanet, P. Belingheri & P. Chaffanjon

  3. GIPSA-Lab, Dpt. Parole et Cognition, UMR 5216, Grenoble Campus, 11 rue des Mathématiques, BP46, 38402, Saint Martin d’Hères Cedex, France

    P. Chaffanjon

Authors
  1. A. Bellier
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  2. A. Chanet
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  3. P. Belingheri
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  4. P. Chaffanjon
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Contributions

AB: protocol/project development, data analysis, manuscript writing. AC: data collection or management, data analysis, manuscript writing. PB: data collection or management, data analysis, manuscript writing. PC: protocol/project development, manuscript writing/editing.

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Correspondence to A. Bellier.

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The authors declare that they have no conflict of interest.

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Bellier, A., Chanet, A., Belingheri, P. et al. Techniques of cadaver perfusion for surgical training: a systematic review. Surg Radiol Anat 40, 439–448 (2018). https://doi.org/10.1007/s00276-018-1997-1

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  • DOI: https://doi.org/10.1007/s00276-018-1997-1

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