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TissueDB/Materials/Grapefruit

From Appropedia


Grapefruit (Citrus × paradisi) is a citrus fruit whose rind, pith, thin inner covering and flesh provide different anatomical analogues in neurovascular bypass simulation. In the Cikla et al. 2020 distal anterior cerebral artery (dACA) side-to-side bypass trainer, a large grapefruit (12–15 cm diameter) is prepared with two longitudinal pole-to-pole rind incisions, demarcating approximately one-fifth of the fruit surface area; one strip is removed and the natural groove between sections is bluntly dissected to simulate the interhemispheric fissure.[1]

The central column provides the path for separately inserted vessel substitutes; the grapefruit itself is not the vessel used for the anastomosis.[1] The reported pith-to-central-column interior distance (mean 36.8±2.6 mm, n=20) approximates cadaveric brain cortex-to-corpus-callosum depth at the genu and at the level of the foramen of Monro. The study found different depths at the corpus-callosum midpoint and splenium.[1]

Tissues

Tissue Visual Tactile Simulator Notes
Skin Grapefruit dACA Bypass Simulator The grapefruit rind and pith represent skin and subcutaneous tissue together.[1]
Subcutaneous tissue Grapefruit dACA Bypass Simulator The grapefruit rind and pith represent skin and subcutaneous tissue together.[1]
Arachnoid mater and pia mater Grapefruit dACA Bypass Simulator The thin skin/pith covering over the grapefruit flesh represents both membranes.[1]
Brain Grapefruit dACA Bypass Simulator The flesh represents cerebral cortex and each fruit section represents a cerebral hemisphere. Retraction separates the sections; tearing the flesh represents cortical injury.[1]



Troubleshooting

  • Grapefruit size varies, which can affect how closely its dimensions match the surgical anatomy.[1]
  • Wash surgical instruments immediately after each simulation; acidic grapefruit juice can corrode them.[1]





References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Cikla U, Rowley P, Jennings Simoes EL, Ozaydin B, Goodman SL, Avci E, Baskaya MK, Patel NJ. Grapefruit training model for distal anterior cerebral artery side-to-side bypass. World Neurosurgery 2020;138:39–51. DOI: 10.1016/j.wneu.2020.02.107. PMID 32109640.


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Authors Arturopelayo
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Language English (en)
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Created April 12, 2026 by Arturo Pelayo
Last edit September 22, 2026 by StandardWikitext bot
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