SlideShare une entreprise Scribd logo
1  sur  46
P R E S E N T E D B Y: D R . R U T U J A K .
(PG STUDENT)
Contents
• Introduction
• Preparation of the specimen
• Methods of color maintenance
• Fixation of the specimens
• Storage of specimens

• Mounting of the specimens
• Special methods 1.Macerated specimens of bones
2.Plastination
Introduction
• Silverstone states that ‘museums are in many respects like other
contemporary media. They entertain and inform; they tell stories and
construct arguments; they aim to educate; they define, consciously or
unconsciously; effectively , an agenda; they translate the otherwise
unfamiliar and inaccessible information into the familiar and accessible’.
• Even the small museums in addition to their educational value, play a part
in recording the history of medicine, since the common diseases of today
may well be the rarities of tomorrow.
• To fulfill such purpose it is essential that the original shape, color of the
specimen should be retained.

• Relevant photographs, radiographs, presentation, labeling, cataloguing are
of equal importance.
Preparation of the specimens
• Good museum specimens are obtained & preserved by care &
planning at the time of autopsy.
• Careful treatment after removal.
• Careless removal of sections

can easily ruin a specimen.
Cont…
• Preparation of the specimens should be done in such a way that=
1.

Cut surfaces should be smooth & even.

2.

By using a continuous stroke with the long –bladed , sharp knife.

3.

Tissue should be taken either from back of the specimen intended
for preservation or from the front with a scalpel.

4.

Specimen should be put into a fixative almost immediately.

5.

Containers with formal-saline should be always readily available
to theatre staff.
Methods of color maintenance
• Primary fixation

10% formal saline

• Then the specimen transferred to a special fixative afterwards.

• The technique most widely used
by Kaiserling (1900)

modification of the method
•The original technique employed three solutions:
1. Fixing
2. Restoring color
3. A mounting fluid
•
-

Pulvertaft’s modification (1936)
A method of restoring color to tissues by the addition of reducing
agent to the mounting medium.
Reducing agent
sodium hydrosulphite
NOTE: The original specimens mounted by Pulvertaft’s
technique
show remarkably little fading even after 35 yrs.
Pulvertaft-Kaiserling method
• Solutions:
1)Kaiserling’s fluid I-fixing fluid
Formalin

400ml

Potassium nitrate

30g

Potassium acetate

60g

Tap – water

to 2000ml

NOTE: Specimens may be transferred to this fluid
either after fixation in formal saline or directly fixed
in it.
Cont…
2) Kaiserling’s fluid II- To restore color



Ethyl alcohol

•

May be used to restore color in an emergency (color
photography).

•

Not necessary when using a sodium hydrosulphite mounting
fluid.

•

The time should be carefully controlled (30 mins-4 hrs).

80%

NOTE: Continued immersion in alcohol has a
permanent
bleaching effect & the color so lost is
not afterwards restored by the mounting fluid.
Cont…
3) Pulvertaft – Kaiserling mounting fluid III
 Glycerin

300ml

 Sodium acetate

100g

 Formalin

5ml

 Tap – water

to 1000ml

• 0.4% sodium hydrosulphite is added immediately before sealing the jar.
• If the solution is not crystal clear:

 Should be filtered through a paper pulp filter.
 30ml of saturated sol. of camphor in alcohol should be added to 1 litre of the
solution.
ISRAEL & YOUNG (1978) used pure liquid paraffin as
the final mountant after color restoration with alcohol.

NOTE: This procedure reduces chances of
discoloration of the mounting fluid by pigments in the
specimen.
Wentworth methods(1938,1939,1942,1957)
• In a series of papers Wentworth described
modifications of Pulvertaft method .
• Which dispensed with the alcohol step for color
restoration.
• He used only sodium hydrosulphite & omitted glycerol
from the final mountant.
Solutions –1957 method
1)Liq. Formaldehyde (40%)

100ml

Sodium acetate

40g

Water

1000ml

2)Liq. Formaldehyde (40%)

10ml

Sodium acetate

40g

Sodium phosphate Na2HPO4

1g

Water

1000ml

3)Liq. Formaldehyde (40%)

10ml

Sodium acetate

100g

Sodium phosphate Na2HPO4

1g

Glycerin

200ml

Water

1000ml
Cont…
• Through fixation is required for at least 1 month in solution I.
• When ready to mount pH should be determined .
• If pH is greater than 6.5
• If pH is less than 6.5

specimen placed directly in sol.III
specimen placed in sol. II

• If the pH of the sol.III is at least 7.5 the specimen is mounted in
fresh solution III to which sodium hydrosulphite (3g/1000g) is
added immediately before sealing.
Fixation of the specimens
• Additional rules should be followed in fixing of museum specimens:

Specimens should be always injected with fixative if possible, to ensure adequate
fixation(e.g Brain).
Specimens containing much blood must not be washed in water at any
time, either before or after fixation.
Fresh specimen should lie on a thick layer of cotton wool covered by lint.
Cont…

The specimen with it’s attached structures, must be fixed.
Cystic cavities, if unopened, are inflated or if opened are packed
with cotton wool soaked in fixative so as to maintain their natural
shape.
Bile stained or bile containing specimens must be fixed & stoared
separately.
Storage of the specimens
storage of the specimens should be done in following manner:
 The method must permit easy & certain identification of each specimen.
 A reference book should be maintained to record necessary details about the
specimens.
 Specimens should be stored in separate containers to avoid damage caused
by contact with other specimen.
 The containers should be labeled adequately on the outside & label should
be tied to specimen with linen thread.
Mounting of the specimens
• When specimens are brought from the storage some amount of
attention will be required towards them before mounting:
 Slight irregularities developed on the surface of the specimens may need to
re-cut.
 If specimens of membranes, skin, intestine have been pinned on the cork
board outer edges will require trimming.
 After the removal of cotton wool the natural cavities should be filled with
arsenious acid gelatin.
 Color perspex arrows or rods & black horse hair used to identify delicate
anatomical structures.

 Friable specimens may be covered with a thin layer of arsenious acid gelatin
& used locally to hold fragments such as blood clot in position.
 Bile specimens should be soaked in saturated sol. of CaCl for 24 hrs.
Procedure for mounting
• The specimen should be laid on a flat, water proofed preferably
formica covered bench.

Position should as far as possible, be anatomically correct .
Specimen is then measured, allowing a 1cm clearance at the top
& sides & 2cm at the bottom.
The extra clearance at the bottom is to enable a label to be fitted
without obscuring part of the specimen.
Depth is measured & approx. 5mm added for the entire plate.

A suitable box is then taken from stock, ordered or made.
Museum jars & boxes
• Perspex boxes are used almost universally today.
• They available commercially or made in the laboratory.
• The laboratory made boxes have advantage that such boxes may be
designed to fit each specimen exactly.
• Perspex boxes made by cutting four sides, a top & a bottom from
Perspex sheeting cementing them together with a Perspex cement.
• An alternative better method is to bend a strip of Perspex to form top &
sides of the box.
s
“PERSPEX" MUSEUM JAR.=THE BENDING OF THE
C O R N E R S WA S E F F E C T E D W I T H T H E F L A M E F R O M
PA S T E U R P I P E T T E
Centre plates
• Commercial boxes may be obtained already fitted with
centre plates.
• Colored opaque Perspex centre plates may be used to
enhance the color of the specimen or to enable
specimens to be attached to both the sides.

• the great majority of specimens may be simply stitched
to a centre plate, which jus fits in to the box with about
5mm clearance at the top.
Attaching the specimens to the
centre plate
• Specimen is arranged in desired position & with a scribe crosses are
made on the centre plate.
• The no. of stitches depend upon weight & consistency of the tissue.
• Stitches should not be placed through the pathological lesions.
• After marking on the centre plate 1-2 mm diameter holes are drilled at
those points.
• In case of nylon thread : 2 holes 1mm in diameter
• In case of linen thread with glass bead: one hole is drilled at each
point.
• The bead should be slightly larger than the hole to act as a retainer for
the tie.
Cont…
•Centre plate is thoroughly washed & dried on
the fluff less cloth.

•The treads should be emerged from the
specimen about 1 cm apart so as to form a V of
tissue on which to tie.
•A reef knot is tied.
•Gives a tight tie which will not sleep.
•An alternative method used for attaching is to
cement spikes of Perspex made up from
Perspex rod.
•After placing it in the suitable position press
the specimen on to the spikes.
Fixing the centre plate
• The centre plate with the attached specimen is put on to
the box.
• Marks are made with the grease pencil, if stops are
required to hold the plate in position.
• In case of using a deeper box 2 rectangles of 3mm
perspex measuring 5mm square are cemented to the
wall of the box .
Filling & sealing
• 0.4 % sodium hydrosulphite has been added to
museum fluid & is run in to within 1 cm of the top.
• Trapped air bubbles are released with a broad-bladed
spatula.
• For introducing remaining mounting fluid a hole of
3mm is drilled in to corner of the lid.
• Top of the box is wiped dry & perspex/ ethylene
dichloride is applied with a Pasteur pipette.
• After 30 sec the surplus cement is carefully removed.

• After 30 sec a lead weight is applied & left for atleast 1
hr (2-3 hrs preferably).
• A short length of perspex rod is tapped into the hole &
specimen should be left for 24-48 hrs.
• After removal of the perspex plug the box is filled with
the museum fluid.
• After removal of the last air bubble perspex plug is
replaced & after drying it is sealed with the perspex
cement.
• An alternative method includes tapping the hole &
plugging it with a nylon screw.
Mounting in glass jar
• The specimens are mounted in jars in the same manner as on the centre plate.
• Except the holes are drilled with a engraver’s tool.
• By using camphor dissolved in turpentine as a lubricant.

• While drilling holes the glass sheet must be on absolutely flat surface.
• Sealing of the glass jar is done with the help of asphaltum-rubber compound.
• Flame with a Bunsen burner until picein runs completely cover till ground
edge.

• Placing the specimen in the jar & jar should be filled with mounting fluid to
within 1cm of the top.
• Hold the lid with a pair of forceps & after heating the lid it should be placed
firmly on the top of the jar with the help of cloth.

• After setting removal of excess Picein is done & edges are painted with a
black enamel / asphaltum varnish.
Gelatin embedding
• Applicable for the delicate/intricate structures which are difficult to stitch.
• Material used- arsenious acid gelatin.
• Method –after embedding the tissue in the arsenious acid gelatin specimen
should be mounted by routine method .
• A trough is formed by applying sellotape around the edge of centre plate to a
depth of 0.1-1cm & filled with gelatin.

• Specimen may be mounted in a solid block of gelatin by fixing the specimen in
position with a thin layer on one surface of the jar.
• The jar is filled to within 1cm of the top with gelatin after setting of layer.

o

Disadvantages of using gelatin:

Tendency to become yellow with age
Undergoes liquefaction with resultant air bubbles formation.
Embedding in a solid plastic blocks
• Ideal method for presenting a museum specimen.
• But unfortunately there is as yet no method available to
protect the color of the soft tissue specimen.
Macerated specimens of bone
• Clean cut even surface of the bony specimens are best
achieved by cutting it on a circular saw/ band –saw .
• It can cut the slices as thin as 3mm.
• Specimens are easiest to cut if they have been frozen hard.
MACERATION
Used to demonstrate bony lesions, such are produced as:
Osteogenic sarcomas, osteomas, chronic osteomyelitis & TB.
Technique employed is depend upon the degree & type of the lesion.
For the preservation of the finest spicules of bone- Peutrefaction method.
As a routine method, the specimen should be boiled in tap-water / very
dilute (N/100) sodium hydroxide.
At the intervals during boiling the softened tissue should be removed from
the specimen.
A gross method for the compact bone is autoclaving in N/10 sodium
hydroxide for 5 min.
But this will also remove the fine bony spicules along with the soft tissue.

Degreasing & bleaching
 Fat is removed by immersion of the bone in chloroform for 3-4 hrs.
Specimens are then dried in an incubator & bleached in hydrogen
peroxide.
Mounting
Macerated bones are mounted dry, either on the centre plate or with
Perspex supports designed for individual specimens.
Nylon thread should be used for the tying on the centre plate & A drop of
Perspex cement is applied to the knot to give added support.
Calculi
Older method:
Calculi are often presented by a)dry mounting in boxes with reversible glass lids.
b)Mounting in gelatin to which formalin has been added.
•Disadvantages: In the former the specimens become very dirty & in the
latter the gelatin slowly dissolved.
 Recent method
To utilize both the halves of calculi by polishing & mounting one half &
labeling other half with Indian ink ,the latter being kept for the students to
handle & study more closely.
Drawbacks of the routine formalin fixed
techniques
Irritating odor.
Bleached colorless parts.
Do not give naturalistic idea.

Difficulty in maintaining the sections.
The luminal architecture, dimensions, branching
patterns are almost impossible to imagine in a
dissection.
Plastination
• Plastination :
 A technique of preparation of dry, colored, non
toxic, durable, odorless, natural looking specimens.

• Types :
 Whole Organ Plastination
 Sheet Plastination
 Luminal Cast Plastination
Material used :
1. Jars for storage & procesing

2. Acetone
3. Silicone rubber
4. Resin, catalyst, accelerator

5. Color paints
6. Dissection instruments
7. Syringes, needles.
Whole Organ Plastination
• Helps in better understanding of total structure & relationships.

• Method:
 Washing of the specimen with tap water.
 Immersion in preservative:
a.

95% alcohol-280ml

b.

Formalin- 1320ml

c.

Glycerin- 80ml

d.

Phenol- 120ml

e.

Distilled water- 800ml

• Time required for complete fixation is 2-3 days
Cont…
 Washing of formalin in running tap water

 Transferring of specimen to acetone jar
 Then to a jar of resin & left in it for about 1-2 weeks
 Finally the specimen is immersed in a mixture of resin
(general purpose resin), catalyst (5%) & accelerator(0.1%)
 After few hours specimen becomes non sticky
 Specimen is mounted on a suitable base & properly oriented.
Sheet Plastination
• Useful method for the preparation of thin transparent or thick opaque body
sections.
• The sheets are totally portable, the whole body may be cut into slices & stored
dry.
• The inner relationships are best appreciable.
Method:
After deep freezing for 24hrs thin sections have been made with
a band saw or frozen parts are sectioned at 1cm slices.
Section has to be cast in the form of sheet.
The two glass sheets 4mm thick are separated by a rubber
tubing of 6-8mm diameter clips, hold the glass sheets together &
make a leak proof chamber.
The processed section is immersed in the
chamber(resin+catalyst+accelerator).
After 24 hrs clips are removed & glass sheets are separated
from the resin.
Sheet edges are trimmed, polished & specimen is labeled.
Luminal Cast Plastination
• Useful to study the dimensions & architecture of
different cavities of organs & to study the tubular
structures (arteries, veins, ductal branches & their
variation).
• Principle:
 Filling up of the lumen with material & dissolving the
surrounding tissue.
• Used for tracheo- branchial cast of lungs, cerebral
ventricles, bony labyrinth, vascular pattern of kidney,
liver, lung, spleen, coronary vessels, etc.
Method

:

 Cleaning of lumen under tap water
 Keeping the specimen in KOH solution for about 1-2 hrs
 Then again cleaning of the specimen under running tap water &
drying.
 Filling of the lumen by a mixture containing resin, catalyst &
hardener.
 After 1 day cast is obtained by removing the surrounding tissue.
Why plastination is preferable & better
museum technique???
•Provides very unique specimen at a very low cost equivalent to the
plastination specimens of international quality.
•Has simple protocol.
•Best suited for :
Teaching purposes
Designing newer surgical procedures.
Practice skills
Research purposes.
References
• C.F.A Culling.Cellular Pathology Technique.
Fourth Edition. Buutterworths
publications:523-532.

• Manipal College. XI National PG Convention.
Sovenir:( July 2011),102-105.
• R. J. V. Pulvertaft. Museum Techniques: A Review. J.
clin. Path. (1950), 3, 1.
Thank you…
Thank you…

Contenu connexe

Tendances

Fixatives used in histopathology
Fixatives used in histopathologyFixatives used in histopathology
Fixatives used in histopathology
Hitendra Prajapati
 
Tissue processing 2012
Tissue processing 2012Tissue processing 2012
Tissue processing 2012
Dhiraj Shukla
 

Tendances (20)

Museum techniques
Museum techniquesMuseum techniques
Museum techniques
 
Safety rules for histopathology lab
Safety rules for histopathology labSafety rules for histopathology lab
Safety rules for histopathology lab
 
Tissue processing
Tissue processingTissue processing
Tissue processing
 
Histopathology staining method
Histopathology staining methodHistopathology staining method
Histopathology staining method
 
Tissue Processing
Tissue ProcessingTissue Processing
Tissue Processing
 
Fixatives used in histopathology
Fixatives used in histopathologyFixatives used in histopathology
Fixatives used in histopathology
 
Cryostat and frozen section
Cryostat and frozen sectionCryostat and frozen section
Cryostat and frozen section
 
Histotechniques
HistotechniquesHistotechniques
Histotechniques
 
Enzyme histochemistry
Enzyme histochemistryEnzyme histochemistry
Enzyme histochemistry
 
DECALCIFICATION
DECALCIFICATIONDECALCIFICATION
DECALCIFICATION
 
Hematoxylin and Eosin Staining (H& E Staining)
Hematoxylin and Eosin Staining (H& E Staining)Hematoxylin and Eosin Staining (H& E Staining)
Hematoxylin and Eosin Staining (H& E Staining)
 
Tissue processing 2012
Tissue processing 2012Tissue processing 2012
Tissue processing 2012
 
Tissue processing by dr manzoor
Tissue processing by dr manzoorTissue processing by dr manzoor
Tissue processing by dr manzoor
 
Haematoxylin and its types
Haematoxylin and its typesHaematoxylin and its types
Haematoxylin and its types
 
Hematoxylin and Eosin Staining
Hematoxylin and Eosin StainingHematoxylin and Eosin Staining
Hematoxylin and Eosin Staining
 
Decalcification.pptx
Decalcification.pptxDecalcification.pptx
Decalcification.pptx
 
Fixatives
FixativesFixatives
Fixatives
 
Decalcificaion
DecalcificaionDecalcificaion
Decalcificaion
 
Histopathology In Practice - Sample Reception, Dissection, Processing, Embedd...
Histopathology In Practice - Sample Reception, Dissection, Processing, Embedd...Histopathology In Practice - Sample Reception, Dissection, Processing, Embedd...
Histopathology In Practice - Sample Reception, Dissection, Processing, Embedd...
 
Special stain in histopathology
Special stain in histopathologySpecial stain in histopathology
Special stain in histopathology
 

Similaire à Museum technique including PLASTINATION

museum techniques in pathology.pptx
museum techniques in pathology.pptxmuseum techniques in pathology.pptx
museum techniques in pathology.pptx
OMJHA20
 
Impressions1
Impressions1Impressions1
Impressions1
spunk123
 
Technical faults in histopathology lab
Technical faults in histopathology labTechnical faults in histopathology lab
Technical faults in histopathology lab
magdy abdelghany
 

Similaire à Museum technique including PLASTINATION (20)

museum techniques in pathology.pptx
museum techniques in pathology.pptxmuseum techniques in pathology.pptx
museum techniques in pathology.pptx
 
4. Handling of surgical Specimens - II.pdf
4.  Handling of surgical Specimens - II.pdf4.  Handling of surgical Specimens - II.pdf
4. Handling of surgical Specimens - II.pdf
 
HERBARIUM TECHNIQUES.pptx
HERBARIUM TECHNIQUES.pptxHERBARIUM TECHNIQUES.pptx
HERBARIUM TECHNIQUES.pptx
 
CYTOGENETICS.pptx
CYTOGENETICS.pptxCYTOGENETICS.pptx
CYTOGENETICS.pptx
 
Principle of tissue processing
Principle of tissue processingPrinciple of tissue processing
Principle of tissue processing
 
AURICULAR PROSTHESIS (SEMI 3).pptx
AURICULAR PROSTHESIS (SEMI 3).pptxAURICULAR PROSTHESIS (SEMI 3).pptx
AURICULAR PROSTHESIS (SEMI 3).pptx
 
Peripheral smear staining and morphology
Peripheral smear  staining and morphologyPeripheral smear  staining and morphology
Peripheral smear staining and morphology
 
Impressions1
Impressions1Impressions1
Impressions1
 
Tissue processing DMLT II 2023.pptx
Tissue processing DMLT II 2023.pptxTissue processing DMLT II 2023.pptx
Tissue processing DMLT II 2023.pptx
 
Technical faults in histopathology lab
Technical faults in histopathology labTechnical faults in histopathology lab
Technical faults in histopathology lab
 
Obturation of Root Canal - An Endodontic Overview
Obturation of Root Canal - An Endodontic OverviewObturation of Root Canal - An Endodontic Overview
Obturation of Root Canal - An Endodontic Overview
 
Impression materials
Impression materials Impression materials
Impression materials
 
tissproc1-180324051812.ppt
tissproc1-180324051812.ppttissproc1-180324051812.ppt
tissproc1-180324051812.ppt
 
Treatment immature teeth.ppt
Treatment immature teeth.pptTreatment immature teeth.ppt
Treatment immature teeth.ppt
 
Impression philosophies for completely edentulous patients
Impression philosophies for completely edentulous patientsImpression philosophies for completely edentulous patients
Impression philosophies for completely edentulous patients
 
MUSEUM PREPARATION.pptx
MUSEUM PREPARATION.pptxMUSEUM PREPARATION.pptx
MUSEUM PREPARATION.pptx
 
Preparation and staining of peripheral blood smear
Preparation and staining of peripheral blood smearPreparation and staining of peripheral blood smear
Preparation and staining of peripheral blood smear
 
Pbs Prepararion Using Wrights Stain
Pbs Prepararion Using Wrights StainPbs Prepararion Using Wrights Stain
Pbs Prepararion Using Wrights Stain
 
Chromosomal Staining.pptx
Chromosomal Staining.pptxChromosomal Staining.pptx
Chromosomal Staining.pptx
 
Apexification
ApexificationApexification
Apexification
 

Dernier

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 

Dernier (20)

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 

Museum technique including PLASTINATION

  • 1. P R E S E N T E D B Y: D R . R U T U J A K . (PG STUDENT)
  • 2. Contents • Introduction • Preparation of the specimen • Methods of color maintenance • Fixation of the specimens • Storage of specimens • Mounting of the specimens • Special methods 1.Macerated specimens of bones 2.Plastination
  • 3. Introduction • Silverstone states that ‘museums are in many respects like other contemporary media. They entertain and inform; they tell stories and construct arguments; they aim to educate; they define, consciously or unconsciously; effectively , an agenda; they translate the otherwise unfamiliar and inaccessible information into the familiar and accessible’. • Even the small museums in addition to their educational value, play a part in recording the history of medicine, since the common diseases of today may well be the rarities of tomorrow. • To fulfill such purpose it is essential that the original shape, color of the specimen should be retained. • Relevant photographs, radiographs, presentation, labeling, cataloguing are of equal importance.
  • 4. Preparation of the specimens • Good museum specimens are obtained & preserved by care & planning at the time of autopsy. • Careful treatment after removal. • Careless removal of sections can easily ruin a specimen.
  • 5. Cont… • Preparation of the specimens should be done in such a way that= 1. Cut surfaces should be smooth & even. 2. By using a continuous stroke with the long –bladed , sharp knife. 3. Tissue should be taken either from back of the specimen intended for preservation or from the front with a scalpel. 4. Specimen should be put into a fixative almost immediately. 5. Containers with formal-saline should be always readily available to theatre staff.
  • 6. Methods of color maintenance • Primary fixation 10% formal saline • Then the specimen transferred to a special fixative afterwards. • The technique most widely used by Kaiserling (1900) modification of the method
  • 7. •The original technique employed three solutions: 1. Fixing 2. Restoring color 3. A mounting fluid • - Pulvertaft’s modification (1936) A method of restoring color to tissues by the addition of reducing agent to the mounting medium. Reducing agent sodium hydrosulphite NOTE: The original specimens mounted by Pulvertaft’s technique show remarkably little fading even after 35 yrs.
  • 8. Pulvertaft-Kaiserling method • Solutions: 1)Kaiserling’s fluid I-fixing fluid Formalin 400ml Potassium nitrate 30g Potassium acetate 60g Tap – water to 2000ml NOTE: Specimens may be transferred to this fluid either after fixation in formal saline or directly fixed in it.
  • 9. Cont… 2) Kaiserling’s fluid II- To restore color  Ethyl alcohol • May be used to restore color in an emergency (color photography). • Not necessary when using a sodium hydrosulphite mounting fluid. • The time should be carefully controlled (30 mins-4 hrs). 80% NOTE: Continued immersion in alcohol has a permanent bleaching effect & the color so lost is not afterwards restored by the mounting fluid.
  • 10. Cont… 3) Pulvertaft – Kaiserling mounting fluid III  Glycerin 300ml  Sodium acetate 100g  Formalin 5ml  Tap – water to 1000ml • 0.4% sodium hydrosulphite is added immediately before sealing the jar. • If the solution is not crystal clear:  Should be filtered through a paper pulp filter.  30ml of saturated sol. of camphor in alcohol should be added to 1 litre of the solution.
  • 11. ISRAEL & YOUNG (1978) used pure liquid paraffin as the final mountant after color restoration with alcohol. NOTE: This procedure reduces chances of discoloration of the mounting fluid by pigments in the specimen.
  • 12. Wentworth methods(1938,1939,1942,1957) • In a series of papers Wentworth described modifications of Pulvertaft method . • Which dispensed with the alcohol step for color restoration. • He used only sodium hydrosulphite & omitted glycerol from the final mountant.
  • 13. Solutions –1957 method 1)Liq. Formaldehyde (40%) 100ml Sodium acetate 40g Water 1000ml 2)Liq. Formaldehyde (40%) 10ml Sodium acetate 40g Sodium phosphate Na2HPO4 1g Water 1000ml 3)Liq. Formaldehyde (40%) 10ml Sodium acetate 100g Sodium phosphate Na2HPO4 1g Glycerin 200ml Water 1000ml
  • 14. Cont… • Through fixation is required for at least 1 month in solution I. • When ready to mount pH should be determined . • If pH is greater than 6.5 • If pH is less than 6.5 specimen placed directly in sol.III specimen placed in sol. II • If the pH of the sol.III is at least 7.5 the specimen is mounted in fresh solution III to which sodium hydrosulphite (3g/1000g) is added immediately before sealing.
  • 15. Fixation of the specimens • Additional rules should be followed in fixing of museum specimens: Specimens should be always injected with fixative if possible, to ensure adequate fixation(e.g Brain). Specimens containing much blood must not be washed in water at any time, either before or after fixation. Fresh specimen should lie on a thick layer of cotton wool covered by lint.
  • 16. Cont… The specimen with it’s attached structures, must be fixed. Cystic cavities, if unopened, are inflated or if opened are packed with cotton wool soaked in fixative so as to maintain their natural shape. Bile stained or bile containing specimens must be fixed & stoared separately.
  • 17. Storage of the specimens storage of the specimens should be done in following manner:  The method must permit easy & certain identification of each specimen.  A reference book should be maintained to record necessary details about the specimens.  Specimens should be stored in separate containers to avoid damage caused by contact with other specimen.  The containers should be labeled adequately on the outside & label should be tied to specimen with linen thread.
  • 18. Mounting of the specimens • When specimens are brought from the storage some amount of attention will be required towards them before mounting:  Slight irregularities developed on the surface of the specimens may need to re-cut.  If specimens of membranes, skin, intestine have been pinned on the cork board outer edges will require trimming.  After the removal of cotton wool the natural cavities should be filled with arsenious acid gelatin.  Color perspex arrows or rods & black horse hair used to identify delicate anatomical structures.  Friable specimens may be covered with a thin layer of arsenious acid gelatin & used locally to hold fragments such as blood clot in position.  Bile specimens should be soaked in saturated sol. of CaCl for 24 hrs.
  • 19. Procedure for mounting • The specimen should be laid on a flat, water proofed preferably formica covered bench. Position should as far as possible, be anatomically correct . Specimen is then measured, allowing a 1cm clearance at the top & sides & 2cm at the bottom. The extra clearance at the bottom is to enable a label to be fitted without obscuring part of the specimen. Depth is measured & approx. 5mm added for the entire plate. A suitable box is then taken from stock, ordered or made.
  • 20. Museum jars & boxes • Perspex boxes are used almost universally today. • They available commercially or made in the laboratory. • The laboratory made boxes have advantage that such boxes may be designed to fit each specimen exactly. • Perspex boxes made by cutting four sides, a top & a bottom from Perspex sheeting cementing them together with a Perspex cement. • An alternative better method is to bend a strip of Perspex to form top & sides of the box.
  • 21. s “PERSPEX" MUSEUM JAR.=THE BENDING OF THE C O R N E R S WA S E F F E C T E D W I T H T H E F L A M E F R O M PA S T E U R P I P E T T E
  • 22. Centre plates • Commercial boxes may be obtained already fitted with centre plates. • Colored opaque Perspex centre plates may be used to enhance the color of the specimen or to enable specimens to be attached to both the sides. • the great majority of specimens may be simply stitched to a centre plate, which jus fits in to the box with about 5mm clearance at the top.
  • 23. Attaching the specimens to the centre plate • Specimen is arranged in desired position & with a scribe crosses are made on the centre plate. • The no. of stitches depend upon weight & consistency of the tissue. • Stitches should not be placed through the pathological lesions. • After marking on the centre plate 1-2 mm diameter holes are drilled at those points. • In case of nylon thread : 2 holes 1mm in diameter • In case of linen thread with glass bead: one hole is drilled at each point. • The bead should be slightly larger than the hole to act as a retainer for the tie.
  • 24. Cont… •Centre plate is thoroughly washed & dried on the fluff less cloth. •The treads should be emerged from the specimen about 1 cm apart so as to form a V of tissue on which to tie. •A reef knot is tied. •Gives a tight tie which will not sleep. •An alternative method used for attaching is to cement spikes of Perspex made up from Perspex rod. •After placing it in the suitable position press the specimen on to the spikes.
  • 25. Fixing the centre plate • The centre plate with the attached specimen is put on to the box. • Marks are made with the grease pencil, if stops are required to hold the plate in position. • In case of using a deeper box 2 rectangles of 3mm perspex measuring 5mm square are cemented to the wall of the box .
  • 26. Filling & sealing • 0.4 % sodium hydrosulphite has been added to museum fluid & is run in to within 1 cm of the top. • Trapped air bubbles are released with a broad-bladed spatula. • For introducing remaining mounting fluid a hole of 3mm is drilled in to corner of the lid. • Top of the box is wiped dry & perspex/ ethylene dichloride is applied with a Pasteur pipette. • After 30 sec the surplus cement is carefully removed. • After 30 sec a lead weight is applied & left for atleast 1 hr (2-3 hrs preferably).
  • 27. • A short length of perspex rod is tapped into the hole & specimen should be left for 24-48 hrs. • After removal of the perspex plug the box is filled with the museum fluid. • After removal of the last air bubble perspex plug is replaced & after drying it is sealed with the perspex cement. • An alternative method includes tapping the hole & plugging it with a nylon screw.
  • 28. Mounting in glass jar • The specimens are mounted in jars in the same manner as on the centre plate. • Except the holes are drilled with a engraver’s tool. • By using camphor dissolved in turpentine as a lubricant. • While drilling holes the glass sheet must be on absolutely flat surface. • Sealing of the glass jar is done with the help of asphaltum-rubber compound. • Flame with a Bunsen burner until picein runs completely cover till ground edge. • Placing the specimen in the jar & jar should be filled with mounting fluid to within 1cm of the top. • Hold the lid with a pair of forceps & after heating the lid it should be placed firmly on the top of the jar with the help of cloth. • After setting removal of excess Picein is done & edges are painted with a black enamel / asphaltum varnish.
  • 29. Gelatin embedding • Applicable for the delicate/intricate structures which are difficult to stitch. • Material used- arsenious acid gelatin. • Method –after embedding the tissue in the arsenious acid gelatin specimen should be mounted by routine method . • A trough is formed by applying sellotape around the edge of centre plate to a depth of 0.1-1cm & filled with gelatin. • Specimen may be mounted in a solid block of gelatin by fixing the specimen in position with a thin layer on one surface of the jar. • The jar is filled to within 1cm of the top with gelatin after setting of layer. o Disadvantages of using gelatin: Tendency to become yellow with age Undergoes liquefaction with resultant air bubbles formation.
  • 30. Embedding in a solid plastic blocks • Ideal method for presenting a museum specimen. • But unfortunately there is as yet no method available to protect the color of the soft tissue specimen.
  • 31. Macerated specimens of bone • Clean cut even surface of the bony specimens are best achieved by cutting it on a circular saw/ band –saw . • It can cut the slices as thin as 3mm. • Specimens are easiest to cut if they have been frozen hard.
  • 32. MACERATION Used to demonstrate bony lesions, such are produced as: Osteogenic sarcomas, osteomas, chronic osteomyelitis & TB. Technique employed is depend upon the degree & type of the lesion. For the preservation of the finest spicules of bone- Peutrefaction method. As a routine method, the specimen should be boiled in tap-water / very dilute (N/100) sodium hydroxide. At the intervals during boiling the softened tissue should be removed from the specimen. A gross method for the compact bone is autoclaving in N/10 sodium hydroxide for 5 min. But this will also remove the fine bony spicules along with the soft tissue. Degreasing & bleaching  Fat is removed by immersion of the bone in chloroform for 3-4 hrs. Specimens are then dried in an incubator & bleached in hydrogen peroxide.
  • 33. Mounting Macerated bones are mounted dry, either on the centre plate or with Perspex supports designed for individual specimens. Nylon thread should be used for the tying on the centre plate & A drop of Perspex cement is applied to the knot to give added support.
  • 34. Calculi Older method: Calculi are often presented by a)dry mounting in boxes with reversible glass lids. b)Mounting in gelatin to which formalin has been added. •Disadvantages: In the former the specimens become very dirty & in the latter the gelatin slowly dissolved.  Recent method To utilize both the halves of calculi by polishing & mounting one half & labeling other half with Indian ink ,the latter being kept for the students to handle & study more closely.
  • 35. Drawbacks of the routine formalin fixed techniques Irritating odor. Bleached colorless parts. Do not give naturalistic idea. Difficulty in maintaining the sections. The luminal architecture, dimensions, branching patterns are almost impossible to imagine in a dissection.
  • 36. Plastination • Plastination :  A technique of preparation of dry, colored, non toxic, durable, odorless, natural looking specimens. • Types :  Whole Organ Plastination  Sheet Plastination  Luminal Cast Plastination
  • 37. Material used : 1. Jars for storage & procesing 2. Acetone 3. Silicone rubber 4. Resin, catalyst, accelerator 5. Color paints 6. Dissection instruments 7. Syringes, needles.
  • 38. Whole Organ Plastination • Helps in better understanding of total structure & relationships. • Method:  Washing of the specimen with tap water.  Immersion in preservative: a. 95% alcohol-280ml b. Formalin- 1320ml c. Glycerin- 80ml d. Phenol- 120ml e. Distilled water- 800ml • Time required for complete fixation is 2-3 days
  • 39. Cont…  Washing of formalin in running tap water  Transferring of specimen to acetone jar  Then to a jar of resin & left in it for about 1-2 weeks  Finally the specimen is immersed in a mixture of resin (general purpose resin), catalyst (5%) & accelerator(0.1%)  After few hours specimen becomes non sticky  Specimen is mounted on a suitable base & properly oriented.
  • 40. Sheet Plastination • Useful method for the preparation of thin transparent or thick opaque body sections. • The sheets are totally portable, the whole body may be cut into slices & stored dry. • The inner relationships are best appreciable.
  • 41. Method: After deep freezing for 24hrs thin sections have been made with a band saw or frozen parts are sectioned at 1cm slices. Section has to be cast in the form of sheet. The two glass sheets 4mm thick are separated by a rubber tubing of 6-8mm diameter clips, hold the glass sheets together & make a leak proof chamber. The processed section is immersed in the chamber(resin+catalyst+accelerator). After 24 hrs clips are removed & glass sheets are separated from the resin. Sheet edges are trimmed, polished & specimen is labeled.
  • 42. Luminal Cast Plastination • Useful to study the dimensions & architecture of different cavities of organs & to study the tubular structures (arteries, veins, ductal branches & their variation). • Principle:  Filling up of the lumen with material & dissolving the surrounding tissue. • Used for tracheo- branchial cast of lungs, cerebral ventricles, bony labyrinth, vascular pattern of kidney, liver, lung, spleen, coronary vessels, etc.
  • 43. Method :  Cleaning of lumen under tap water  Keeping the specimen in KOH solution for about 1-2 hrs  Then again cleaning of the specimen under running tap water & drying.  Filling of the lumen by a mixture containing resin, catalyst & hardener.  After 1 day cast is obtained by removing the surrounding tissue.
  • 44. Why plastination is preferable & better museum technique??? •Provides very unique specimen at a very low cost equivalent to the plastination specimens of international quality. •Has simple protocol. •Best suited for : Teaching purposes Designing newer surgical procedures. Practice skills Research purposes.
  • 45. References • C.F.A Culling.Cellular Pathology Technique. Fourth Edition. Buutterworths publications:523-532. • Manipal College. XI National PG Convention. Sovenir:( July 2011),102-105. • R. J. V. Pulvertaft. Museum Techniques: A Review. J. clin. Path. (1950), 3, 1.

Notes de l'éditeur

  1. Ng