Modified Giacomini Method: resistant brains for anatomical studies
DOI:
https://doi.org/10.34119/bjhrv8n5-296Keywords:
encephalon, conservation, formaldehyde, glycerin, neuroanatomyAbstract
The use of natural anatomical specimens is the favorite method for studying human anatomy, but educational institutions face difficulties in acquiring and renewing their collections, especially brains, which are fragile. In this sense, it is essential to develop anatomical techniques that increase the useful life of the brains. This study conducted a survey of educational institutions in Brazil by means of a questionnaire to members of the Brazilian Society of Anatomy regarding the brain preservation techniques used and, from this, developed an anatomical technique for preserving brains based on glycerinization recommended by Giacomini. Thirty brains from the Federal University of Uberlândia (UFU) were used and divided into 4 groups: fixation in 10% formaldehyde, Giacomini Method, modified Giacomini Method with preservation in 10% formaldehyde and modified Giacomini Method with preservation in 95% ethanol. 60.9% of the members who responded to the questionnaire use 10% formaldehyde and 45.3% prefer preservation in 10% formaldehyde, while 23.4% use glycerin and 40.6% prefer glycerin. Among the advantages, the method of fixation should preserve the morphological characteristics (76.6%), maintain light color (51.6%) and promote resistance (48.4%) and durability (40.6%). The modified Giacomini Method with preservation in 10% formaldehyde preserved the anatomical and histological characteristics of the brains, with resistance to both handling and compression being observed, which increases the durability of the pieces. The modified Giacomini Method with preservation in 95% ethanol excluded the undesirable characteristics of formaldehyde, odor and toxicity, but the pieces presented a slightly darker color and retraction in the long term.
References
AL-HAYANI, A. A.; HAMDY, R. M.; EL-AZIZ, G. A. A.; BADAWOUD, M. H.; ALDAQAL, S.; BEDIR, Y. Shellac: a non-toxic preservative for human embalming techniques. Journal of Animal and Veterinary Advances, v. 10, p. 1561-1567, 2011. DOI: https://doi.org/10.3923/javaa.2011.1561.1567.
ANDRADE, B. T.; SÁ, S. L. B.; QUEIROZ, R. F.; ARRUDA, A. R. Desafios e perspectivas no uso de cadáveres frescos congelados no ensino de anatomia humana para estudantes de graduação no Brasil. Brazilian Journal of Development, v. 8, p. 72132–72150, 2022. DOI: https://doi.org/10.34117/bjdv8n11-091.
ANICHKOV, N. M.; DANILOVA, I. A.; VASILIEV, O. D.; RYABININ, I. A.; KIPENKO, A. V. Use of a polyguanidine solution for fixing biological and anatomical specimens. Neuroscience and Behavioral Physiology, v. 41, 2011. DOI: https://doi.org/10.1007/s11055-010-9371-8.
ARRUDA, R. M.; SOUSA, C. R. A. Students' theoretical-practical harnessing of the subject of human anatomy in physiotherapy courses. Revista Brasileira de Educação Médica, v. 38, p. 65–71, 2014. DOI: https://doi.org/10.1590/S0100-55022014000100009.
BRENNER, E. Human body preservation – old and new techniques. Journal of Anatomy, v. 224, p. 316-344, 2014. DOI: https://doi.org/10.1111/joa.12160.
COSTA, G. B. F.; LINS, C. C. S. A. The corpse in the teaching of human anatomy: a methodological and bioethics overview. Revista Brasileira de Educação Médica, v. 36, p. 369-373, 2012. DOI: https://doi.org/10.1590/S0100-55022012000500011.
CURY, F. S.; CENSONI, J. B.; AMBRÓSIO, C. E. Anatomical techniques in the animal anatomy practice teaching. Pesquisa Veterinária Brasileira, v. 35, p. 688-696, 2013. DOI: https://doi.org/10.1590/S0100-736X2013000500022.
FERREIRA, J. R. et al. Economic, human and environmental health benefits of replacing formaldehyde in preservation of corpses. Ecotoxicology and Environmental Safety, v. 145, p. 490–495, 2017. DOI: https://doi.org/10.1016/j.ecoenv.2017.07.072.
FOX, C. H.; JOHNSON, F. B.; WHITING, J.; ROLLER, P. P. Formaldehyde fixation. Journal of Histochemistry & Cytochemistry, v. 33, p. 845–853, 1985. DOI: https://doi.org/10.1177/33.8.3894502.
HAIZUKA, Y. et al. A new substitute for formalin: application to embalming cadavers. Clinical Anatomy, v. 33, p. 90-98, 2018. DOI: https://doi.org/10.1002/ca.23011.
HAMMER, N. et al. Comparison of modified thiel embalming and ethanol-glycerin fixation in an anatomy environment: potentials and limitations of two complementary techniques. Anatomical Sciences Education, v. 8, p. 74-85, 2015. DOI: https://doi.org/10.1002/ase.1450.
HAYASHI, S. et al. History and future of human cadaver preservation for surgical training: from formalin to saturated salt solution method. Anatomical Science International, v. 91, p. 1-7, 2016. DOI: https://doi.org/10.1007/s12565-015-0299-5.
KARAM, R. G. et al. Uso da glicerina para a substituição do formaldeído na conservação de peças anatômicas. Pesquisa Veterinária Brasileira, v. 36, p. 671-675, 2016. DOI: https://doi.org/10.1590/S0100-736X2016000700019.
KAWABATA, R.; SAKAMOTO, M. A novel fixation method for gross anatomy of rats using farmer’s fixative in student anatomical practice. Alternatives to Animal Testing and Experimentation, v. 22, p. 167-176, 2017. DOI: https://doi.org/10.11232/aatex.22.167.
LOMBARDERO, M. et al. Saturated salt solution: a further step to a formaldehyde-free embalming method for veterinary gross anatomy. Journal of Anatomy, v. 231, p. 309-317, 2017. DOI: https://doi.org/10.1111/joa.12634.
PAULA, R. C. et al. The use of fixative solutions throughout the ages: a comprehensive review. *Acta Scientiae Anatomica*, v. 1, p. 21-28, 2018.
RODRIGUES, H. Técnicas anatômicas. 4. ed. Vitória: Gráfica e Editora, 2010. 269 p.
SILVA, G. R. et al. Human corpses storage methods used in medical Brazilians colleges. Revista de Medicina (São Paulo), v. 95, p. 156-161, 2016. DOI: https://doi.org/10.11606/issn.1679-9836.v95i4p156-161.
SILVA, N. A. et al. Comparative study between two techniques using glycerin in the conservation of central nervous system. Journal of Morphological Sciences, v. 28, p. 280-282, 2011.
SIQUEIRA, M. L. R. et al. A utilização de cadáveres no ensino da anatomia: reflexões teóricas e práticas como dispositivos de formação em saúde. B. R. Medicina: competências técnica, científica e ética na área da saúde, p. 198, 2023. DOI: https://doi.org/10.22533/at.ed.9062327094.
SOLTANPOUR, Z.; MOHAMMADIAN, Y.; FAKHRI, Y. The exposure to formaldehyde in industries and health care centers: a systematic review and probabilistic health risk assessment. Environmental Research, v. 204, 112094, 2022. DOI: https://doi.org/10.1016/j.envres.2021.112094.
THIEL, W. The preservation of the whole corpse with natural color. Annals of Anatomy, v. 174, p. 185-195, 1992.
UTUH, I. A.; UGWHA, E. Effects of formaldehyde exposure on human body: a review article. Asian Journal of Medicine and Health, v. 19, p. 131-142, 2021. DOI: https://doi.org/10.9734/ajmah/2021/v19i1230425.
VIEIRA, S. I. F. et al. Efeitos da utilização do formaldeído em laboratórios de anatomia. Revista de Ciências da Saúde Nova Esperança, v. 11, p. 97-105, 2013.
WHITEHEAD, M. C.; SAVOIA, M. C. Evaluation of methods to reduce formaldehyde levels of cadavers in the dissection laboratory. Clinical Anatomy, v. 21, p. 75–81, 2008. DOI: https://doi.org/10.1002/ca.20567.


