Mattox Maneuver as a Pedagogical Resource for Dissection of the Left Hemi-Abdomen (Pages 17-20)

Isadora Medrado Goulart1, Miguel Pereira Goulart Neto1, Matheus Alves de Souza1, Natália Inácio Beltramini1, Miriam Pardini Gomes2, Nathalia Simões Carneiro1, Aline Ribeiro Cunha3, Luis Fernando Ricci Boer4, Fernando Batigalia5, Luciana Estevam Simonato6 and Rogério Rodrigo Ramos7

1Universidade Brasil, Fernandópolis, Brazil; 2Universidade do Oeste Paulista, Presidente Prudente, Brazil; 3Medicine of the Medical Residency Program in General Surgery at Universidade Brasil, Fernandópolis, Brazil; 4Medicine of the Medical Residency Program in Orthopedics and Traumatology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 5Department of Human Anatomy, Postgraduate Program in Health Sciences and Specialist in General Surgery and Gastroenterology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 6Department of Clinical Propaedeutics and Human Pathology, Universidade Brasil, Fernandópolis, Brazil; 7Department of Human Anatomy and the Residency Program in Anatomy Surgery for Residents, Universidade Brasil, Fernandópolis, Brazil

DOI: https://doi.org/10.12970/2311-9888.2020.08.03

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Abstract: The unawareness of anatomy and surgical skills during the intervention can hinder the the surgical outcome, knowing that the anatomoclinical understanding and operation skills are prerequisites for surgery. Students need to improve their surgical and anatomy skills through the pedagogical method “Dissection by Mattox Maneuver” in formaldehyde-preserved bodies. Twenty bodies were used. The material was used in accordance with Law 8501 of November 30, 1992, which regulates the use of unclaimed cadavers for study or scientific research purposes. The inclusion criterion was the preserved abdomen, excluding bodies with dissected thorax and inguinal region. It was possible to visualize and identify abdominal anatomical elements in the left flank, as well as the application of the Mattox maneuver. The dissection of the anterolateral wall of the abdomen and soft tissues with exploration of the abdominal cavity through laparotomy, followed by the Mattox maneuver in a formaldehyde-preserved cadaver can be used as a teaching method for medical students, especially for General Surgery interns. The maneuver allows improving the clinical and surgical study of laparotomy, through cadaveric dissection.

Keywords: Surgery, Laparotomy, Mattox Maneuver, Anatomy, Teaching.
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