Comparative Study on the Use of Polypropylene Mesh in the Surgical Treatment of Patients with Strangulated or Uncomplicated Incisional Hernias
Incisional hernias affects approximately 10-20% of patients with history of abdominal surgery. The purpose of this study was to examine the tissue integration of the polypropylene mesh in patients operated for strangulated incisional hernias to those operated for uncomplicated incisional hernias. For this purpose, we introduced 218 patients with surgical treatment of the incisional hernia with polypropylene mesh. The total number of patients studied was divided into 2 lots: group A consisting of 189 patients with uncomplicated incisional hernia and group B of 29 patients with strangulated incisional hernia. We studied separately the local postoperative complications in the two groups (hematomas, seromas, abdominal wall infections). Although the number of local postoperative complications was higher for group B, the differences were statistically significant only for the incidence of abdominal wall infections. Although the use of the polypropylene mesh in the surgical treatment of strangulated incisional hernias predisposes to a higher risk of local postoperative complications compared to its use in the surgical treatment of the uncomplicated incisional hernias, its use in the surgical treatment of the strangulated incisional hernias is beneficial.
Design of ABS Plastic Components through FDM Process for the Quick Replacement of Outworn Parts in a Technological Flow
The paper shows the importance of designing an ABS (Acrylonitrile-Butadiene-Styrene) plastic part which will be produced using FDM (Fused Deposition Modeling) technology; it is obtained a product with the same characteristics provided by the operating guide book. Thus, this solution combines both the capacity of the designer as well as the applied technology and can produce similar or improved plastic components, at the same time maintaining the functional characteristics of the work piece. This paper is a plea for the application of 3D printing using FDM technology for manufacturing components (spare parts) out of production, because the technological systems users no longer have other solutions available for replacing outworn plastic parts. 3D printing using FDM technology is a fast option for replacing outworn components, the modeling, simulation and printing time being shorter than the purchase time of a new subassembly or assembly that has been remanufactured and modernized.
Execution of Plastic Parts Using 3D Scanners and 3D Printers
In this paper, the authors show a part of research works performed on the use of 3D scanners and 3D printers to execute plastic parts with complex surfaces. 3D scanning allows copying of certain surfaces in our environment, based on existing models. Scanned models may represent various objects, made of a wide range of materials: metals, ceramics, fabrics, plastics, leather, organic materials etc. [1]. This paper shows the results achieved using a scanner and a common and affordable - low-price - printer. 3D scanners and printers allow execution of clones of certain parts with irregular surfaces.
Reaction of a Sandwich Type Structure to Static Stress Under the Action of the Snow
Structural elements of special industrial constructions can be often subjected to time variable stresses. One of the main stress is the snow action, which is considered to be one of the most severe tests. In the study, the static snow action on a tank cover from a pickling plant on the ArcelorMittal Galaþi platform is analysed. The material structure of the cover is sandwich type with skins made of steel /layered composite and core made of polystyrene foam. The purpose is to determine, by FEM analysis, the deformation mode and the stress condition of the cover under the action of load, for two models of sandwich type structures, steel-polystyrene-steel, respectively composite-polystyrene-composite, with different faces thicknesses and cores. Panels are applied simulative a load of snow of different thickness, the distribution of snow on the surface of the panels being considered uniform in order to determine an optimum combination of faces and core thickness as well weight and economic cost too. Numerical analysis models with finite elements of SHELL 3L sandwich type structures are used.
Transvaginal Cystocele Repair Using Tension-free Polypropylene Mesh (Tension-free Vaginal Tape)
Urinary incontinence is one of the most common diseases, 25% of women between 18 and 80 years suffer from it. Urinary incontinence can be described as accidently loss of small amounts of urine. The solution involves a surgical procedure, such as sling procedures and bladder neck suspension procedures. The methods of surgical interventions have evolved due to a minimum period of hospitalization (sling, TVT), or performing laparoscopic surgery instead of the classical Burch surgery. Studies reviled that the most effective interventions are those which restore the urethra by retro pubic urethropexy, pubovaginal sling and synthetic mid-urethral slings. This type of surgery has currently the highest success rate (85-90% on 5 years after surgery), and the lowest relapse rate. In our study we obtained the same success rate for the TVT procedure.
Evaluation of Marginal Percolation of the Glass Ionomer Fillings at Temporary Teeth
The purpose of this in vitro study is to evaluate the marginal percolation-micro leakage by comparing the possible infiltration of ionomer cement filling which was used to restore a class I cavity prepared by classic conventional method – diamond bur versus Er:YAG laser irradiation treatment. Ten molars were included in this study. The molars were random divided in two groups: group 1 - laser treatment and group 2- classic conventional treatments. The teeth were immersed in methylene blue solution for 24 h. Afterwards, the molars were vestibulo-oral sectioned through the centre of each restoration in order to see any signs of marginal percolation. The marginal percolation observed was more significant in conventional preparations group than in laser’s group. The glass ionomer cement remains one of the most adequate restorative materials to be used on deciduous molars when micro infiltration is questionable.
Effect of Dental Bleaching on Marginal Sealing of Composite Resin Restorations Bonded with a Universal Adhesive
The aim of this study was to evaluate the postoperative effect of one bleaching agent containing 40% peroxide hydrogen on the interface between dental tissues and a microhybrid composite resin bonded with a universal adhesive applied in total-etch and self-etch technique. Standardized Class V restorations were performed in oral surfaces of 40 extracted human molars with the gingival margins placed bellow the cement-enamel junction. For 20 restorations the adhesive was applied with preliminary etching and for the others the adhesive was applied by using the self-etch technique. Half of the samples of each group were bleached using Opalescence Boost in one session 20 minutes-application. The sealing quality of both enamel and cervical margins of the restorations was evaluated using a microleakage test by immersion in 1% methylene blue for 24 hours. The microleakage scores were assessed using an optical microscope and the data were statistically analyzed. No statistical significant differences were recorded between the bleached and control groups and between the study groups according to the etching strategy used for bonding.
Evaluation of Pre-heating Effects on Marginal Adaptation of Resin-based Materials
The aim of the study was to compare the marginal adaptation of three different resin-based materials used for direct restoration: hybrid composite resin (Gaenial Posterio, GC Corporation), a compomer (Dyract eXtra, Dentsply Sirona), and a giomer (Beautifil II, Shofu Dental) applied at room temperature or after preheated at preheating 50 and 60oC. Class II cavities were prepared on proximal surfaces of extracted teeth and randomly divided in 3 groups according to the material used for restoration. In each group five cavities were restored using the materials at room temperature (subgroup 1), five cavities were restored using preheated materials at 50ºC (subgroup 2), and five cavities were restored using preheated materials at 60ºC (subgroup 3). The teeth were stored in distilled water for 14 days and then were immersed in 2% methylene blue buffered dye solution (pH = 7) for 4 hours. The teeth were transversally cut and the sections were examined using optical microscope (Carl-Zeiss AXIO Imager A1m) at 50x magnification and the dye penetration was evaluated according to 4 scores. Decreased microleakage and fewer gap formation were recorded for all filling materials after they have been heated at 50 or 60oC. Pre-warming of resin-based materials improves the adaptation of these materials to tooth structures.
New Treatment for Dentistry Regeneration Based on Metronidazole Release from Collagen/Strontium Sponges
It is well known that periodontitis causes rapid destruction of gingival and bone tissues. Topical treatments are suitable because the drug can be delivered in a proper and controlled concentration. Metronidazole proved to be efficient for patients with aggressive periodontitis. By this study we aimed to obtain spongious drug delivery systems for local periodontitis treatment based on collagen, strontium renalate and metronidazole. Collagen spongious forms were obtained by lyophilisation of composite gels based on collagen:strontium ranelate (50:50) and different concentrations of metronidazole. The obtained spongious forms were characterized by FT-IR, water up-take, optic microscopy and in vitro release of metronidazole. The prepared matrices absorbed a maximum amount of water after 30 min. The most absorbent sample is the reference one (only collagen) which absorbed about 35% water; the adding of metronidazole decrease the water absorption due to its lipophilic behavior. The samples with strontium are more compact and they absorbed less water than the ones without strontium. Because the samples were not cross-linked they degrade during 24 hours of water absorption process. The drug percentage released was influenced by the drug and strontium ranelate concentrations. The analysis performed sponges indicate that these composites can be useful as drug delivery supports.
Influence of Technological Parameters on the Dimension of GEAR Parts Generated with PLA Matherial by FDM 3D Printing
The purpose of this research is to establish the technology of 3D printable production on the principle of FDM of gears made of PLA, ABS and PETG mainly. In the paper we present first the dimensional generation and specific aspects that need to be considered to produce gears with internal or external teeth of the cylindrical type with vertical or inclined teeth. Generating the gears appeared as a necessity for the reconditioning of the components of the processing machines and of the electric machines made both in the process of elaboration of the bachelor’s and the laboratory works, with reduced energy resource consumption and low pollution as low as possible. After the construction, we past to identify the dimension that have implications for both mechanical and kinematic resistance to achieve a product with good cinematic and functional characteristics. After that are made an analysis of the layers generated, both from the computer simulation and from the point of view of the analysis of layers physically generated on a gear tooth with external teeth.