New methods of sectional studies of the human pelvis and perineum
- Authors: Chemidronov S.N.1, Kornilov V.D.1, Kolsanov A.V.1, Ardashkin A.P.1
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Affiliations:
- Samara State Medical University
- Issue: Vol 8, No 2 (2022)
- Pages: 37-44
- Section: ORIGINAL STUDY ARTICLES
- URL: https://journals.rcsi.science/2411-8729/article/view/122469
- DOI: https://doi.org/10.17816/fm722
- ID: 122469
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Abstract
BACKGROUND: Currently, the issue of sectional studies in developing methods for expert assessment of pelvic organs and the perineum in road accidents, falls from a height, perineal intentional injury with any objects, and sexual crimes remain relevant.
AIM: To develop standardized sectional methods for pelvic and perineal forensic examinations.
MATERIALS AND METHODS: This study included 10 corpses of elderly and senile persons who are subject to forensic medical examination, no later than 12 h after death confirmation. We introduced three new methods for forensic studies of the pelvis and the perineum: the study of the human perineal organ complex (two males and one female); the method of perineal muscle isolation (two females and two males); the method of access the perineal center and associated muscles (two females and one male).
RESULTS: Three new methods of pelvic and perineal forensic examination were developed and patented. The method of human perineal organ complex isolation allows expert studies to sample the organ complex of the pelvis and the perineal region in the corpse while preserving the topographic and anatomical relationships. This method is of particular importance for expert studies of corpses with extra body weight. The method of perineal muscle isolation was intended for visual access to examine the pelvic diaphragm muscles, intermuscular spaces, and/or sample tissue fragments for histological examination. The method to access the perineal center and associated muscles are intended for urological and obstetric study of the perineum and pelvic floor muscles.
CONCLUSION: The proposed methods are recommended for sectional forensic studies in cases of suspicion of injuries and pathological processes of various genesis in the pelvic region and the perineum. These methods are simple in technical execution, as well as for expert studies of this area in corpses, with extra body weight, and do not require complex skills and special equipment.
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##article.viewOnOriginalSite##About the authors
Sergey N. Chemidronov
Samara State Medical University
Email: s.n.chemidronov@samsmu.ru
ORCID iD: 0000-0002-9843-1065
SPIN-code: 1030-5920
MD, Cand. Sci. (Med.)
Russian Federation, SamaraVadim D. Kornilov
Samara State Medical University
Email: v.d.kornilov@samsmu.ru
ORCID iD: 0000-0003-3380-1958
SPIN-code: 5860-6770
Graduate Student
Russian Federation, SamaraAlexandr V. Kolsanov
Samara State Medical University
Email: a.v.kolsanov@samsmu.ru
ORCID iD: 0000-0002-4144-7090
SPIN-code: 2028-6609
MD, Dr. Sci. (Med.), Professor
Russian Federation, SamaraAnatoly P. Ardashkin
Samara State Medical University
Author for correspondence.
Email: a.p.ardashkin@samsmu.ru
ORCID iD: 0000-0002-9357-3566
SPIN-code: 4228-8082
MD, Dr. Sci. (Med.), Assistant Professor
Russian Federation, SamaraReferences
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