Dissection
Dissection is the dismembering of the body of a deceased animal or plant to study its anatomical structure. Autopsy is used in pathology and forensic medicine to determine the cause of death in humans. Less extensive dissection of plants and smaller animals preserved in a formaldehyde solution is typically carried out or demonstrated in biology and natural science classes in middle school and high school, while extensive dissections of cadavers of adults and children, both fresh and preserved are carried out by medical students in medical schools as a part of the teaching in subjects such as anatomy, pathology and forensic medicine. Consequently, dissection is typically conducted in a morgue or in an anatomy lab.
Dissection has been used for centuries to explore anatomy. Objections to the use of cadavers have led to the use of alternatives including virtual dissection of computer models.
In the field of surgery, the term "dissection" or "dissecting" means more specifically the practice of separating an anatomical structure from its surrounding connective tissue in order to minimize unwanted damage during a surgical procedure.
Overview
Plant and animal bodies are dissected to analyze the structure and function of its components. Dissection is practised by students in courses of biology, botany, zoology, and veterinary science, and sometimes in arts studies. In medical schools, students dissect human cadavers to learn anatomy. Zoötomy is sometimes used to describe "dissection of an animal".Human dissection
A key principle in the dissection of human cadavers is the prevention of human disease to the dissector. Prevention of transmission includes the wearing of protective gear, ensuring the environment is clean, dissection technique and pre-dissection tests to specimens for the presence of HIV and hepatitis viruses. Specimens are dissected in morgues or anatomy labs. When provided, they are evaluated for use as a "fresh" or "prepared" specimen. A "fresh" specimen may be dissected within some days, retaining the characteristics of a living specimen, for the purposes of training. A "prepared" specimen may be preserved in solutions such as formalin and pre-dissected by an experienced anatomist, sometimes with the help of a diener. This preparation is sometimes called prosection.File:Dissection tools.jpg|thumb|Dissection tools. Left to right: scalpels with No. 20 and No. 12 blades, two forceps and scissors
Most dissection involves the careful isolation and removal of individual organs, called the Virchow technique. An alternative more cumbersome technique involves the removal of the entire organ body, called the Letulle technique. This technique allows a body to be sent to a funeral director without waiting for the sometimes time-consuming dissection of individual organs. The Rokitansky method involves an in situ dissection of the organ block, and the technique of Ghon involves dissection of three separate blocks of organs - the thorax and cervical areas, gastrointestinal and abdominal organs, and urogenital organs. Dissection of individual organs involves accessing the area in which the organ is situated, and systematically removing the anatomical connections of that organ to its surroundings. For example, when removing the heart, connects such as the superior vena cava and inferior vena cava are separated. If pathological connections exist, such as a fibrous pericardium, then this may be deliberately dissected along with the organ.
Autopsy and necropsy
Dissection is used to help to determine the cause of death in autopsy and is an intrinsic part of forensic medicine.History
Classical antiquity
Human dissections were carried out by the Greek physicians Herophilus of Chalcedon and Erasistratus of Chios in the early part of the third century BC. Before then, animal dissection had been carried out systematically starting from the fifth century BC. During this period, the first exploration into full human anatomy was performed rather than a base knowledge gained from 'problem-solution' delving. While there was a deep taboo in Greek culture concerning human dissection, there was at the time a strong push by the Ptolemaic government to build Alexandria into a hub of scientific study. For a time, Roman law forbade dissection and autopsy of the human body, so anatomists relied on the cadavers of animals or made observations of human anatomy from injuries of the living. Galen, for example, dissected the Barbary macaque and other primates, assuming their anatomy was basically the same as that of humans, and supplemented these observations with knowledge of human anatomy which he acquired while tending to wounded gladiators.Celsus wrote in On Medicine I Proem 23, "Herophilus and Erasistratus proceeded in by far the best way: they cut open living men - criminals they obtained out of prison from the kings and they observed, while their subjects still breathed, parts that nature had previously hidden, their position, color, shape, size, arrangement, hardness, softness, smoothness, points of contact, and finally the processes and recesses of each and whether any part is inserted into another or receives the part of another into itself."
Galen was another such writer who was familiar with the studies of Herophilus and Erasistratus.
India
The ancient societies that were rooted in India left behind artwork on how to kill animals during a hunt. The images showing how to kill most effectively depending on the game being hunted relay an intimate knowledge of both external and internal anatomy as well as the relative importance of organs. The knowledge was mostly gained through hunters preparing the recently captured prey. Once the roaming lifestyle was no longer necessary it was replaced in part by the civilization that formed in the Indus Valley. Unfortunately, there is little that remains from this time to indicate whether or not dissection occurred, the civilization was lost to the Aryan people migrating.Early in the history of India, the Arthashastra described the 4 ways that death can occur and their symptoms: drowning, hanging, strangling, or asphyxiation. According to that source, an autopsy should be performed in any case of untimely demise.
The practice of dissection flourished during the 7th and 8th century. It was under their rule that medical education was standardized. This created a need to better understand human anatomy, so as to have educated surgeons. Dissection was limited by the religious taboo on cutting the human body. This changed the approach taken to accomplish the goal. The process involved the loosening of the tissues in streams of water before the outer layers were sloughed off with soft implements to reach the musculature. To perfect the technique of slicing, the prospective students used gourds and squash. These techniques of dissection gave rise to an advanced understanding of the anatomy and the enabled them to complete procedures used today, such as rhinoplasty.
During medieval times the anatomical teachings from India spread throughout the known world; however, the practice of dissection was stunted by Islam. The practice of dissection at a university level was not seen again until 1827, when it was performed by the student Pandit Madhusudan Gupta. Through the 1900s, the university teachers had to continually push against the social taboos of dissection, until around 1850 when the universities decided that it was more cost effective to train Indian doctors than bring them in from Britain. Indian medical schools were, however, training female doctors well before those in England.
The current state of dissection in India is deteriorating. The number of hours spent in dissection labs during medical school has decreased substantially over the last twenty years. The future of anatomy education will probably be an elegant mix of traditional methods and integrative computer learning. The use of dissection in early stages of medical training has been shown more effective in the retention of the intended information than their simulated counterparts. However, there is use for the computer-generated experience as review in the later stages. The combination of these methods is intended to strengthen the students' understanding and confidence of anatomy, a subject that is infamously difficult to master. There is a growing need for anatomist—seeing as most anatomy labs are taught by graduates hoping to complete degrees in anatomy—to continue the long tradition of anatomy education.