Browsing by Author "Fasel, Jean H. D. (7007123928)"

Background: Human gross anatomy is one of the cornerstones of a medical curriculum and cannot be performed without adequate cadaver procurement, which is a particular challenge for medical schools with a large student enrolment. The authors present the situation in a country with a low public awareness for willed body donor programmes and the prior absence of adequate legislation. Aim: Against this background, a comprehensive proposition of a whole-body procurement procedure was elaborated in the health-care law. Resolving the problem: The main goals of the proposition were: (a) identification of options for cadaver procurement (body bequeathal programme, unclaimed bodies and body donated with the permission of the next-of-kin); (b) defining the chain of order and responsibility of institutions In informing the medical school of the possible candidate for body procurement; (c) body storage and related procedures; (e) confidentiality of the deceased's personal data; (f) burial procedure of the deceased's remains. Conclusions: The authors are convinced that the willed programme for whole-body donation is a definite aim of such a legislation. However, we suggest that the acquisition of unclaimed bodies is maintained as a temporary solution, until a satisfactory level of public awareness of the problem has been reached.

Background: Human gross anatomy is one of the cornerstones of a medical curriculum and cannot be performed without adequate cadaver procurement, which is a particular challenge for medical schools with a large student enrolment. The authors present the situation in a country with a low public awareness for willed body donor programmes and the prior absence of adequate legislation. Aim: Against this background, a comprehensive proposition of a whole-body procurement procedure was elaborated in the health-care law. Resolving the problem: The main goals of the proposition were: (a) identification of options for cadaver procurement (body bequeathal programme, unclaimed bodies and body donated with the permission of the next-of-kin); (b) defining the chain of order and responsibility of institutions In informing the medical school of the possible candidate for body procurement; (c) body storage and related procedures; (e) confidentiality of the deceased's personal data; (f) burial procedure of the deceased's remains. Conclusions: The authors are convinced that the willed programme for whole-body donation is a definite aim of such a legislation. However, we suggest that the acquisition of unclaimed bodies is maintained as a temporary solution, until a satisfactory level of public awareness of the problem has been reached.

This paper reports on a case of an omental diaphragmatic hernia revealed during routine anatomical dissection of an obese 85-year-old male with plethoric appearance of the upper body. The hernial mass, with a size of 12 cm x 9 cm, was detected in the anterior mediastinum. It had a long peduncle originating from the transverse colon and passing through the right sternocostal diaphragmatic opening of Morgagni-Larrey. The whole greater omentum was tightly packed and tumid within the serous hernial sac, but without signs of torquation. To our knowledge, this is the first systematic analysis of the omental hernial anatomy by a step-by-step iconography. © 2008 Wiley-Liss, Inc.