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TissueDB/Tissues/Adipose Tissue

From Appropedia
Adipose tissue histology showing adipocytes (fat cells) with stored lipids.
License: CC-BY-3.0 by OpenStax College

Adipose tissue of the abdominal wall, commonly called belly fat, forms the soft, fatty subcutaneous layer that cushions underlying fascia and muscle, insulates the body, and provides realistic dissection planes in abdominal simulation models.

Materials

Material Visual Tactile Simulator Notes
Sponge Trocar Placement Trainer, Laparoscopic Inguinal Hernia Repair Simulator (Kurashima) Craft sponge layered beneath packing tape fascia; provides compressible subcutaneous layer for trocar depth calibration.[1] Kurashima: sponge of appropriate thickness simulates the subcutaneous adipose layer on the multilayer abdominal-wall insert.[2]
Polyester Batting Appendectomy Simulator Compressible fill for the subcutaneous-fat and fatty-tissue layers of the abdominal wall.[3]
Gelatin Z-Plasty Simulator
Glycerine Z-Plasty Simulator Co-ingredient; plasticizer.
Wool Z-Plasty Simulator Structural fibre matrix.
Liquid plastisol with fat-coloured pigment Emergency Department Thoracotomy Simulator (Misra) Designed for rapid one-use-per-resident replacement between training runs.[4]
  • Abdominal wall — adipose tissue is the layer between skin and fascia

Simulation Requirements

Domain Requirements
Visual Yellow/cream colour; bulk and depth appearance
Tactile Compressibility, softness, distinct from firmer underlying layers
Functional Allows instruments to pass through; permits blunt dissection
Feedback Sense of depth; distinguishable layer transition from skin above and fascia below

References

[edit source]
  1. ↑ TissueDB/Material/Packing Tape: "Applied as a continuous layer over sponge (adipose)."
  2. ↑ Source: Kurashima Y et al. 2011, Surg Innov 18(2):171–175. DOI 10.1177/1553350610395949. PMID 21307013.
  3. ↑ ASAP Syllabus/Instructions to Build your Model: "1 cm thick polyester batting (subcutaneous fat)" and "0.5 cm thick polyester batting (fatty tissue).”
  4. ↑ Misra A et al. 2024 J Surg Educ 81(1):134–144. DOI: 10.1016/j.jsurg.2023.09.009. PMID: 37926660.
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