ABSTRACT
Objective Meralgia paresthetica(MP) is commonly caused by mechanical entrapment of the lateral femoral cutaneous nerve (LFCN). The entrapment often occurs at the site where the nerve exits the pelvis. Its optimal surgical management remains to be established, partly because the fine architecture of the fascial planes around the lateral femoral cutaneous nerve has not been elucidated. The purpose of this study is to determine the fascia structure of lateral femoral cutaneous nerve nearby the anterior superior iliac spine using anatomy and ultrasound technique. Methods Eleven cadavers were selected for plastination (6 female, 5 male, age range 38-97 years). Ultrasonography was performed on 34 healthy volunteers (19 women, 15 men, age range, 20-62 years). Results The lateral femoral cutaneous nerve exited the pelvis via a tendinous canal within the internal oblique-iliac fascia septum,and then between the sartorius muscle surface and the tensor fascia lata muscle located below the anterior superior iliac spine (ASIS). and then ran between the sartorius muscle and the tensor fascia. Conclusion Lateral femoral cutaneous nerve is located in the aponeurosis of the intra-abdominal oblique muscle at the pelvic outlet. Lateral femoral cutaneous nerve travels on the surface and outside of the sartorius muscle. These two segments of lateral femoral cutaneous nerve can be localized by ultrasound scans.
ABSTRACT
La plastinación es una técnica anatómica de conservación cadavérica creada en 1977 por Gunther von Hagens, en Heidelberg, Alemania, y que sustituye los líquidos biológicos y/o de fijación por acetona, para luego impregar las muestras con distintas resinas, dependiendo de la técnica de plastinación desarrollada, para finalmente llevar a cabo la polimerización de los componentes incorporados a las muestras, para obtener muestras biológicas secas y totalmente duraderas. El objetivo de este trabajo consistió en desarrollar un protocolo de plastinación de cortes con resina poliéster (Biodur® P40) en secciones de 3 mm de espesor de cerebro humano. La muestras fueron fijadas y conservadas con formalina al 10 %. Los cerebros luego fueron seccionados con una maquina cortadora de tejidos, obteniéndose láminas delgadas de 3 mm de espesor. Inmediatamente los cortes de cerebro fueron colocados en deshidratación en acetona al 100 %, a -25 ºC, durante 7 días el primer baño de acetona, y durante otros 3 días más, para el segundo baño de acetona. Una vez deshidratados los cortes, estos fueron colocados en resina poliéster Biodur® P40 y se llevó a cabo la impregnación forzada de los cortes, en cámara de vacío a temperatura ambiente (20 ºC). Una vez finalizada la impregnación forzada, se procedió a la etapa de curado, la cual en primer lugar consiste en el armado de las cámaras de curado dentro de las cuales se colocaran los cortes con resina poliéster. Las cámaras de curado fueron colocadas bajo luz UV para acelerar la polimerización del poliéster y finalizar el proceso de plastinación. Se logró desarrollar satisfactoriamente en el Laboratorio de Plastinación y Técnicas Anatómicas de la Universidad de La Frontera un protocolo de plastinación de cortes con resina poliéster, obteniendo una excelente conservación de cortes de cerebro, con diferenciación de sustancias gris y blanca, y conservación de todas las características morfológicas.
Plastination is an anatomical technique of cadaveric conservation created in 1977 by Gunther von Hagens, in Heidelberg, Germany, and that substitutes biological and / or fixation fluids with acetone, to then impregnate the samples with different resins, depending on the developed plastination technique, to finally carry out the polymerization of the components incorporated into the samples, to obtain dry and totally durable biological samples. The aim of this work was to develop a sheet plastination protocol with polyester resin (Biodur® P40) in 3 mm thick slices of human brain. The samples were fixed and preserved with 10 % formalin. The brains were sectioned with a slice cut machine, obtaining thin sheets of 3 mm thick. Immediately the slices of brain were placed in dehydration in 100 % acetone, at -25 °C, for 7 days the first acetone bath, and for another 3 more days, for the second acetone bath. Once the cuts were dehydrated, they were placed in Biodur® P40 polyester resin and the forced impregnation was carried out in a vacuum chamber at room temperature (20 °C). Once the forced impregnation was finished, the curing stage was carried out, which first consists in the assembly of the curing chambers within which the slices with polyester resin were placed. The curing chambers were placed under UV light to accelerate the polymerization of the polyester and finished the plastination process. A sheet plastination protocol with polyester resin was successfully developed in the Laboratory of Plastination and Anatomical Techniques of Universidad de La Frontera, obtaining excellent conservation of brain slices, with differentiation of gray and white substances, and conservation of all morphological characteristics.
Subject(s)
Humans , Polyesters/chemistry , Resins, Synthetic/chemistry , Brain/anatomy & histology , Plastination/methods , Clinical ProtocolsABSTRACT
SUMMARY: Plastination is an anatomical technique of cadaveric preservation that allows the preservation of anatomical pieces indefinitely, in dry and odorless form. It was created in 1978 by Gunther von Hagens, in Heidelberg, Germany. In particular, the sheet plastination technique, with epoxy resin, allows the generation of thin sections of various anatomical regions, allowing an accurate visualization of anatomical structures of difficult access through dissection or cadaveric exploration. The aim of this work was to present a new sheet plastination protocol with Biodur® E12/E1, which is faster in its implementation, applied, for the first time, in a rabbit head.
RESUMEN: La plastinación es una técnica anatómica de preservación cadavérica que permite la conservación de piezas anatómicas indefinidamente, en forma seca e inodora. Fue creada en 1978 por Gunther von Hagens, en Heidelberg, Alemania. En particular, la técnica de plastinación de cortes, con resina epoxi, permite la generación de secciones delgadas de diversas regiones anatómicas, asegurando una visualización precisa de estructuras anatómicas de difícil acceso mediante disección o exploración de cadáveres. El objetivo de este trabajo fue presentar un nuevo protocolo de plastinación de cortes con resina Biodur® E12/E1, más rápido en su implementación, aplicada por primera vez, en una cabeza de conejo.
Subject(s)
Animals , Rabbits , Plastic Embedding/methods , Epoxy Resins/chemistry , HeadABSTRACT
Plastination is a conservation technique which allows anatomical pieces to be preserved, dry and odor-free, for an indefinite period. In particular, plastination of sections of tissue with epoxy resin allows very thin slices to be made of various regions of the anatomy, permitting close viewing of anatomical structures which are difficult to access by dissection or cadaver exploration. The objective of this work is to present a plastination technique developed in our laboratory for tissue sections using commercial epoxy resin, as an alternative to the existing classic plastination techniques. The technique was applied to a human knee, obtaining 5 mm thick sections which were compared with computerized tomography images. The development of an alternative sheet plastination technique using epoxy resin allows the preservation of anatomical regions which are difficult to study, with the possibility of comparing the sections with imaging studies. In this way anatomy can be usefully combined with clinical experience, allowing students to gain more significant knowledge of anatomy. The technique would also ensure provision of anatomical samples for research in the area of morphological science.
La plastinación es una técnica anatómica de conservación cadavérica que permite la preservación por tiempo indeterminado, en forma seca y sin olor, de piezas anatómicas. En particular, la técnica de plastinación por cortes, con resina epoxy, permite a su vez la generación de cortes delgados de diversas regiones anatómicas, permitiendo una visualización precisa de estructuras anatómicas de difícil acceso a través de la disección o la exploración cadavérica. El objetivo de este trabajo es el de presentar el desarrollo por parte de nuestro laboratorio de una técnica de plastinación de cortes con resina epoxy comercial, alternativa a las técnicas clásicas de plastinación de cortes existentes. Se aplicó la técnica en una rodilla humana, obteniéndose cortes de 5 mm de espesor, los cuales fueron comparados con imágenes de tomografía computada. El desarrollo de una técnica alternativa de plastinación de cortes con resina epoxy permitirá la conservación de regiones anatómicas de difícil estudio, con posibilidad de realizar la comparación de cortes con estudios imagenológicos, para combinar en forma adecuada la anatomía con la experiencia clínica y, de esta manera, permitir que el alumno alcance un aprendizaje más significativo de la anatomía, además de asegurar la obtención de muestras anatómicas para el desarrollo de investigación en el área de las ciencias morfológicas.
Subject(s)
Epoxy Resins/chemistry , Plastic Embedding/methodsABSTRACT
Objective To investigate whether and what staining techniques are applied to the ultrathin sheet plastination slice and whether the stained specimen is of autofluorescences .Methods A cadaveric hand block was plastinated and then sectioned as a series of 300-400μm thick transverse sections .A total of 56 slices in total .Alternative sections were stained with hematoxylin -eosin staining ( HE) , Verhoeff -Van Gieson staining ( VVG) or methylene blue and azureⅡstaining(MA).The stained slices were examined under a light microscope and a confocal microscope .Results The plastinated slices were stained with the three staining methods .HE staining revealed the muscle and connective tissues were red or violet , bone was violet or blue;VVG staining showed the elastic fibers was black , the collagen was red , and other tissues were yellow .MA staining showed the tendon was violet , the bone was pink , cartilage was violet , and other tissues were purple.However, the intracellular structures appeared not very well stained .The collagen, elastin and muscular structures in the stained slices were observed under a confocal microscope .Conclusion The commonly used histology staining methods can be used to stain the ultrathin sheet plastination slices .The staining provides a better observation of various tissues in the slice than the unstained slice .After staining, those autofluorescent structures in the plastinated slice are detectable under a confocal microscope .