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Surgical suction damage: a common tissue artifact.

G P Wysocki, A W Gusenbauer, T D Daley

Oral Surgery, Oral Medicine, and Oral Pathology

|May 1, 1987

Summary

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Surgical suction can create artificial vacuoles in tissue samples, mimicking traumatized fat cells. This occurs when the vacuum pulls air into the tissue, mobilizing mucins into newly formed vacuoles.

Area of Science:

Pathology
Histology
Surgical Techniques

Background:

Surgical suction is commonly used for fluid removal during procedures.
Artifacts can compromise the accuracy of diagnostic and therapeutic tissue evaluations.
Understanding potential artifactual changes is crucial for accurate histopathological interpretation.

Purpose of the Study:

To describe and characterize a specific artifact induced by surgical suction.
To differentiate this artifact from genuine pathological changes.
To elucidate the mechanism behind the formation of these vacuoles.

Main Methods:

Microscopic examination of surgical specimens subjected to suction.
Histochemical analysis to identify components within the vacuoles.

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Comparison with non-suctioned control tissues.

Main Results:

A distinct artifactual pattern characterized by pleomorphic vacuoles was observed.
These vacuoles contained mobilized connective tissue mucins (acid mucopolysaccharides).
The artifactual morphology closely resembled traumatized adipose tissue.

Conclusions:

Surgical suction can induce a characteristic artifact in connective tissue.
This artifact, termed surgical suction artifact, is formed by air and mobilized mucins.
Recognition of this artifact is essential to avoid misdiagnosis of adipose tissue damage.