The increasing proportion of laparoscopic interventions in the surgical centers has, also, determined an increased incidence of specific complications, such as trocar hernia. Nowadays, there is no unanimously agreed concensus regarding the optimal closure technique of the trocar incision, wether it should include the suture of the aponeurosis or not at the 10 mm ports. There is, also, no consensus regarding the proper surgical technique for the trocar hernia repair- alloplastic or tissue repair technique.The purpose of the study is to present our experience on the alloplastic repair of the trocar hernias. It is a retrospective study that analyzes the results obtained by our clinicalteam regarding the alloplastic repair of the trocar hernias, over a five-year period, between January 2011 and December 2015. The recurrence and the occurrence rates of different complications (seroma, neuroma with postoperative pain, parietal infiltration, infections and mesh rejection), depending on the type of mesh used for the surgical repair,are studied.
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Natural mixtures based on bioflavonoids, terpenoids, glycosidic compounds, polyphenols, anthocyanins and essential fatty acids are often more effective and non-toxic than many synthetic drugs. Betulin, a terpene compound with many key-roles in alternative medicine, is almost insoluble in water due to its pentacyclic structure. Different drug carriers are developed to improve the drug efficacy and release. This paper described the evolution of some skin parameters (transepidermal water loss, erythema and stratum corneum hydration) after a short and respectively a long exposure to a polyurethane carrier with and without betulin using sodium lauryl sulfate as reference. It was found that these compounds are safe for human use and the hydratant effect of betulin was reconfirmed.
Postoperative eventration is a quite common condition in patients with clinical records of abdominal surgery. The purpose of this study was to investigate the efficacy of use of 2 different types of meshes (Polypropylene mesh and ProGripTM mesh-self-gripping mesh) in the surgical treatment of incisional hernias. In this respect, we conducted a study in which we introduced 128 patients operated for incisional hernias. Patients were divided into 2 lots: group A (102 patients with polypropylene mesh) and group B (26 patients with ProGripTM mesh). From the analysis of the data studied, we noticed that the average duration of surgery and hospitalization for patients with ProGripTM mesh is lower compared to patients with polypropylene mesh. Also, the rate of local postoperative complications was lower when using the ProGripTM mesh (15.38%) than in the case of polypropylene mesh. In conclusion, we can state that the use of the ProGripTM heterologous mesh is beneficial in the surgical treatment of patients with incisional hernias. The major advantage of using this type of mesh is given by a shorter hospitalization period for these patients, as well as by a lower rate of local postoperative complications in these patients.
In this research, the thermal performance of the hybrid composites with modified epoxy matrix was investigated. The results were compared with those presented by the hybrid composites with homogeneous epoxy matrix. For understand the effects of the replacement of lower specific density glass fabric by higher specific density glass fabric, the thermal properties of the hybrid epoxy composites were determined by comparison to the thermal results of composites reinforced with lower specific density glass fabric with those of the hybrid epoxy materials reinforced with higher specific density glass fabric. Also, the effects on the specific heat and thermal expansion coefficient of the used fabric types in outer sheets of the composites were studied.
This paper presents a comparative study with respect to the behavior of some painting materials, used mainly for decorative and protective industrial applications, exposed to a controlled accelerated ageing process by using thermal storage and successive thermal cycles. The evaluation of the structural changes, as well as those concerning the dielectric loss were carried out in a comparative manner, on the initial samples, before any exposure to thermal stresses and during the ongoing process of the thermal treatments applied. As analysis techniques coupled thermal analysis and dielectric impedance spectroscopy have been used. It was found that there is a clear correlation between the structural changes of the investigated materials, particularly in the case of the epoxy materials subjected to the applied thermal treatments and the evolution of the dielectric losses in the material. As a result of these investigations, one may determine the characteristic acceptable zones for the thermal stresses (up to 1300 h of storage and 1500 thermal cycles), anything above these boundaries leading to strong increases in the dielectric losses and hence the deterioration of the materials rendered unfit to be used for the intended purpose.
The objective of this in-vitro study was to compare the accuracy, defined as trueness and precision, of two intraoral digital scanners that use different capturing techniques. An experimental reference object consisting of a die was manufactured from a PMMA resin. The reference object was digitized with an industrial CT and was scanned 15 times with each scanner. In order to asses trueness, comparisons were made with the virtual reference model, and for fidelity, the first scan in the series was compared with the following scans. For both fidelity and trueness, the F test and T tests demonstrate that there is a statistically significant difference between the scanners.
In this paper, a model of a composite plate with a central elliptical cut-out and with an initial fissure was subjected to a tension load in the finite element method (FEM) software Abaqus to observe the propagation of that crack during a certain amount of time that elapsed in the FEM analysis. Due to symmetry, only half of the plate was modeled, as a shell, and the extended finite element method (XFEM) was used for the crack. The material properties that were assigned to the plate were taken from the database of the Ansys Mechanical software. In the vicinity of the crack a finer mesh was applied to be able to better observe the evolution of the fissure and the changes of the Von Misses stress graphs for each time step of the analysis.
In this paper we analyze the influence of the number of laser pulses on the hardness of the metal. We have shown that the hardness increases with the number of laser pulses due to the increase in the probe surface temperature, especially by increasing the superficial absorption of laser radiation. Optical microscopy was analyzed by the metallographic aspects of the target in OLT 65, Al, Cu, laser irradiated.
Laryngeal stenosis represents a serious and challenging condition in the field of otorhinolaryngology. The management of laryngeal stenosis is performed in multiple stages, and numerous surgeries can be necessary to obtain a favorable outcome. We present a specially designed laryngeal stent suitable for patients with stenosis of the larynx, that can be used after CO2 laser resection. The particular shape of the device, the biocompatible material and the autostatic propriety are some important characteristics that improve the tolerability of patients to the stent. The device has multiple advantages that make it a proper therapy method for selected patients with stenosis of the larynx.