EP.TU.659Comparison of Gallbladder Tissue Tensile Strength between Thiel Embalmed Cadavers and Living Patients

Abstract

Abstract Aim Formalin-embalmed cadavers have traditionally been used as an integral part of anatomy teaching and surgical training. Cadaveric tissue can, however, be compromised by distorted appearance, shrinkage, rigidity and unnatural colouration. The Thiel embalming process produces more ‘life-like’ specimens and it could be postulated that these may be more suitable for surgical training. This study aimed to provide quantifiable and repeatable measurements for the mechanical tissue properties of Thiel embalmed cadavers. Methods Four gallbladders were removed from Thiel Embalmed cadavers and eleven from living patients during laparoscopic cholecystectomies. The specimens were prepared into a uniform ‘hour-glass’ shape. The cadaveric specimens were loaded onto the Instron tensometer and the patient specimens were loaded onto a portable hand-held tensometer. The samples were extended until complete tensile failure occurred allowing measurement of the tissues’ tensile strength and strain. Results Nine samples were obtained from the four Thiel embalmed gallbladders and 27 samples yielded from the 11 living patients’ gallbladders. The mean ultimate tensile strength of the Thiel samples was 2.16 ± 0.91 MPa compared with 2.24 ± 1.40 MPa in the living patient group (p = 0.85). The Thiel embalmed cadaveric samples had a lower measured mean strain than the living patient gallbladders of (123 ± 33% vs. 233 ± 91%, p < 0.01). Conclusion This study demonstrates that, while tissue strength is well preserved, there may be some differences in how the tissues feel, related to differences in elongation during handling in Thiel embalmed gallbladder tissue.