Abstract
Introduction
Anatomical sciences involve handling of human tissues and, therefore, application of principles of bioethics is central to anatomical practice. For a considerable period of time, anatomy was practiced without ethical norms as concept of ethics developed during second half of twentieth century. Hence, possible glimpse into contrast in ethical standards between anatomy in the past and present was deemed as an intriguing research theme.
Methods
A literature search was undertaken from indexed databases (Medline and Pubmed, Scopus, Embase, CINAHL Plus, Web of Science and Google Scholar). Relevant data were extracted from 37 articles that were selected from an initial pool of 752 articles based on search criteria set for the study.
Results
Prevalent anatomical practices in the past such as dissection of executed criminals, acts of vivisection, illegal procurement of human remains, use of human tissues obtained as part of war crimes and dissection of human fetuses as well as their archival were analyzed through prism of established ethical norms in present day. The observations from past were presented vis-à-vis ethical practices undertaken in present times such as use of donated bodies and/or body parts procured through legal means for dissection, adherence to ethical norms during dissection, archival of human tissues mandating stringent regulation and dignified disposal of human remains. Existing loop holes were identified and future prospects regarding ethical standards in anatomy were highlighted based on rational judgment of existing trends.
Conclusion
The article concludes with defense on future prospects of ethics in anatomy based on documented arguments.
Similar content being viewed by others
Availability of data and materials
Not applicable.
References
Brown EA (1981) Death and the human body in the later middle ages: the legislation of Boniface VIII on the division of the corpse. Viator 12:221–270
Campbell AV, Chin J, Voo TC (2007) How can we know that ethics education produces ethical doctors? Med Teach 29:431–436
Comer AR (2022) The evolving ethics of anatomy: dissecting an unethical past in order to prepare for a future of ethical anatomical practice. Anat Rec 305:818–826
Cornwall J, Callahan D, Wee R (2016) Ethical issues surrounding the use of images from donated cadavers in the anatomical sciences. Clin Anat 29:30–36
Craig S, Tait N, Boers D (2010) Review of anatomy education in Australian and New Zealand medical schools. ANZ J Surg 80:212–216
Czech H, Druml C, Muller M et al (2021) The medical university of Vienna and the legacy of Pernkopf’s anatomical atlas: Elsevier’s donation of the original drawings to the Josephinum. Ann Anat 237:151693
Dunn PM (1997) Leonardo Da Vinci (1452–1519) and the reproductive anatomy. Arch Dis Child Fetal Neonatal Ed 77:F249–F251
El-Haddad J, Strkalj G, Pather N (2022) A global perspective on embryological and fetal collections: where to from here? Anat Rec 305:869–885
Ferrari R (2015) Writing narrative style literature reviews. Med Writ 24:230–235
Ghosh SK (2020) Transformation of the role of human dissection in medical education: cultivating principles of medical ethics. Surg Radiol Anat 42:855–856
Ghosh SK (2020) The practice of ethics in the context of human dissection: setting standards for future physicians. Ann Anat 232:151577
Ghosh SK (2022) The evolution of epistemological methodologies in anatomy: from antiquity to modern times. Anat Rec 305:803–817
Ghosh SK, Kumar A (2019) The rich heritage of anatomical texts during Renaissance and thereafter: a lead up to Henry Gray’s masterpiece. Anat Cell Biol 52:357–368
Habicht JL, Kiesling C, Winkelmann A (2018) Bodies for anatomy education in medical schools: an overview of the sources of cadavers worldwide. Acad Med 93:1293–1300
Hanna E, Robert G (2019) Ethics of limb disposal: dignity and the medical waste stockpiling scandal. J Med Ethics 45:575–578
Hildebrandt S (2008) Capital punishment and anatomy: History and ethics of an ongoing association. Clin Anat 21:5–14
Hutchinson EF, Kramer B, Billings BK et al (2019) The law, ethics and body donation: a tale of two bequeathal programs. Anat Sci Educ 13:512–519
Iorio L (2006) Monastic medicine from the classic era to the renaissance: development of nephrology. J Nephrol 19(Suppl 10):59–63
Jones DG (1998) Anatomy and ethics: an exploration of some ethical dimensions of contemporary anatomy. Clin Anat 11:100–105
Jones DG (2007) Anatomical investigations and their ethical dilemmas. Clin Anat 20:338–343
Jones TW (2013) Creating a longitudinal environment of awareness: teaching professionalism outside the anatomy laboratory. Acad Med 88:304–308
Jones DG (2016) The artificial world of plastination: a challenge to religious perspectives on the dead human body. New Bioeth 22:237–252
Jones DG, Gear R, Galvin KA (2003) Stored human tissue: an ethical perspective on the fate of anonymous archival material. J Med Ethics 29:343–347
Mao F (2018) ‘Real bodies’ exhibition causes controversy in Australia. BBC News Sydney. www.Bbc.com/news/world-australia-43902524. Accessed on July 6, 2022
Markert M (2020) Ethical aspects of human embryo collections: a historically grounded approach to the Blechschmidt Collection at the University of Gottingen. Cells Tissues Organs 209:189–199
McLachlan JC, Patten D (2006) Anatomy teaching: ghosts of past, present and future. Med Educ 40:243–253
Mitchell PD, Boston C, Chamberlain AT et al (2011) The study of anatomy in England from 1700 to the early 20th century. J Anat 219:91–99
Nie JB, Jones DG (2019) Confucian ethics on the commercial use of human bodies and body parts: Yi (Righteousness) or/and Li (Profit). Anat Sci Educ 12:444–453
Petrini C (2012) Ethical and legal considerations regarding the ownership and commercial use of human biological materials and their derivatives. J Blood Med 3:87–96
Philip J (2022) Bodies and bureaucracy: the demise of the body snatchers in 19th century Britain. Anat Rec 305:827–837
Riederer BM, Bolt S, Brenner E, Bueno-Lopez JL, Circulescu ARM, Davies DC, De Caro R, Gerrits PO, Meltanwell S, Pais D, Paulsen F, Plaisant O, Sendemir E, Stabile I, Moxham BJ (2012) The legal and ethical framework governing body donation in Europe—1st update on current practice. Eur J Anat 16:1–21
Sadler BL, Sadler AM Jr (2018) Organ transplantation and the Uniform Anatomical Gift Act: a fifty-year perspective. Hastings Cent Rep 48:14–18
Satyapal KS (2005) Ethics, transplantation, and the changing role of anatomists. Clin Anat 18:150–153
Splavski B, Rotim K, Lakicevic G et al (2019) Andreas Vesalius, the predecessor of neurosurgery: how his progressive scientific achievements affected his professional life and destiny. World Neurosurg 129:202–209
Tesfaye S, Hamba N, Kebede W, Bajiro M, Debela L, Nigatu TA, Garbi A (2021) Assessment of ethical compliance of handling and usage of the human body in anatomical facilities of Ethiopian Medical Schools. Pragmat Obs Res 12:65–80
Wilson D (2013) What can history do for bioethics? Bioethics 27:215–223
Wolach B, Wolach O (2021) Science, anatomy, and art: revisiting Leonardo da Vinci, pioneer of modern anatomy. Isr Med Assoc J 23:676–680
Funding
None received.
Author information
Authors and Affiliations
Contributions
SKG and JW designed and developed the project. SKG and JW collected and analyzed the data. SKG and JW wrote and edited the manuscript. SKG and JW approved the final submitted version.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Conflict of interest
None to declare.
Ethics approval
Not applicable.
Consent to participate
Not applicable.
Consent for publication
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ghosh, S.K., Walocha, J.A. The place of ethics in practice of anatomical sciences: have we left our dark past behind and looking towards a bright future?. Surg Radiol Anat 44, 1185–1192 (2022). https://doi.org/10.1007/s00276-022-02994-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-022-02994-9