Mechanical behaviour of the implant used in human hernia repair under physiological loads - Publication - Bridge of Knowledge

Your account

login

Search

Mechanical behaviour of the implant used in human hernia repair under physiological loads

Abstract

In laparoscopic operations of abdominal hernias some recurrences still take place, even when applying a surgical mesh. This is usually caused by a failure of the connection between the tissue and the implant. The study deals with the influence of an implant’s orientation on forces in joints, which connect the mesh to human tissues. In the paper, the implant is modelled as a membrane structure within framework of the Finite Element Method. Two models are analysed: in the first one interaction between the mesh and a fascia is taken into account, in the second this interaction is not considered. Computations are conducted for two different material types of the implants: one with isotropic properties and second one with orthotropic properties. The models are validated by comparing dynamic numerical analysis with experimental outcomes, where load was simulating intraabdominal pressure during postoperative cough. Due to displacements of joints during activities like bending sideways or torsion of an abdomen, influence of kinematic extortions on forces in the joints is analysed. The outcome shows that position of the orthotropic implants is crucial and may strongly change the level of forces in the joints

Citations

  • 0

    CrossRef

  • 0

    Web of Science

  • 6

    Scopus

Authors (2)

Cite as

Full text

download paper
downloaded 24 times
Publication version
Accepted or Published Version
DOI:
Digital Object Identifier (open in new tab) 10.5277/abb130311
License
Creative Commons: CC-BY open in new tab

Keywords

Details

Category:
Articles
Type:
artykuł w czasopiśmie wyróżnionym w JCR
Published in:
Acta of Bioengineering and Biomechanics no. 15, pages 89 - 96,
ISSN: 1509-409X
Language:
English
Publication year:
2013
Bibliographic description:
Szepietowska K., Lubowiecka I.: Mechanical behaviour of the implant used in human hernia repair under physiological loads// Acta of Bioengineering and Biomechanics. -Vol. 15, nr. 3 (2013), s.89-96
DOI:
Digital Object Identifier (open in new tab) 10.5277/abb130311
Bibliography: test
  1. DEEKEN C.R., ABDO M.S., FRISELLA M.M., MATHEWS B.D., Physicomechanical evaluation of absorbable and nonab- sorbable barrier composite meshes for laparoscopic ventral hernia repair, Surg. Endosc., 2011, Vol. 25, 1541-1522. open in new tab
  2. SABERSKI E.R., ORENSTEIN S.B., NOVITSKY Y.W., Aniso- tropic evaluation of synthetic surgical meshes, Hernia, 2011, Vol. 15, 47-52. open in new tab
  3. TWARDOWSKI Z.J., KSANNA R., NOSPS K.D., Intraabdominal pressures during natural activities in patients treated with CAPD, Nephron, 1986, Vol. 44, 129-135. open in new tab
  4. SZYMCZAK C., LUBOWIECKA I., TOMASZEWSKA A., ŚMIETAŃSKI M., Modeling of the fascia-mesh system and sensitivity analysis of a junction force after a laparoscopic ventral hernia repair, Journal of Theoretical and Applied Mechanics, 2010, Vol. 48(4), 993-950.
  5. LUBOWIECKA I., WOŹNICA K., FEM modelling of membrane structure in human hernia repair, CMM 2011, 9-12 May 2011, Warsaw, Poland. open in new tab
  6. SZEPIETOWSKA K, Numerical simulation of membrane struc- ture used in the treatment of abdominal hernia, Aktualne Problemy Biomechaniki, 2011, Vol. 5, 159-164, (in Polish).
  7. TOMASZEWSKA A., LUBOWIECKA I., SZYMCZAK CZ., ŚMIETAŃSKI M., KŁOSOWSKI P., MERONK B., BURY K., Experi- ments and simulations for laparoscopic ventral hernia repair improvement, Journal of Biomechanics, 2012, Vol. 45(Sup1), S346. open in new tab
  8. LUBOWIECKA I., Dynamics of Mechanical Model of Implant- Tissue System in Ventral Hernia Repair, Vibrations in Physi- cal Systems, 2012, Vol. 25, 261-266.
  9. HERNÁNDEZ-GASCÓN B., ESPÉS N., PEÑA E., PASCUAL G., BELLÓN J.M., CALVO B., Computational framework to model and design surgical meshes for hernia, Computer Methods in Biomechanics and Biomedical Engineering, 2012, DOI: 0.10.80/10255842.2012.736967. open in new tab
  10. WOJNICZ W., WITTBRODT E., Analysis of muscles behaviour. Part I. The computational model of muscle, Acta of Bioengi- neering and Biomechanics, 2009, Vol. 11(4), 15-21. open in new tab
  11. WOJNICZ W., WITTBRODT E., Analysis of muscles' behaviour. Part II. The computational model of muscle's group acting on the elbow joint, Acta of Bioengineering and Biomechanics, 2010, Vol. 12(1), 3-10. open in new tab
  12. WOJNICZ W., WITTBRODT E., Application of muscle model to the musculoskeletal modeling, Acta of Bioengineering and Biomechanics, 2012, Vol. 14(3), 29-39.
  13. HERNÁNDEZ-GASCÓN B., MENA A., PEÑA E., PASCUAL G., BELLÓN J.M., CALVO B., Understanding the Passive Me- chanical Behavior of the Human Abdominal Wall, Annals of Biomedical Engineering, 2013, Vol. 41(2), 433-444. open in new tab
  14. GRÄßEL D., PRESCHER A., FITZEK S., graf v. KEYSERLINGK D., AXER H., Anisotropy of Human Linea Alba: A Biomechanical Study, Journal of Surgical Research, 2005, Vol. 124, 118-125. open in new tab
  15. JUNGE K., KLINGE U., PRESCHER A., GIBONI P., NIEWIERA M., SCHUMPELICK V., Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants, Hernia, 2001, Vol. 5, 113-118.
  16. PODWOJEWSKI F., OTTÉNIO M., BEILLAS P., GUÉRIN G., TURQUIER F., MITTON D., Mechanical response of animal abdominal wall in vitro: Evaluation of the influence of a hernia defect and a repair with a mesh implanted intra- peritoneally, Journal of Biomechanics, 2013, Vol. 46(3), 561-566. open in new tab
  17. HERNÁNDEZ-GASCÓN B., PEÑA E., PASCUAL G., RODRÍGEZ M., CALVO B., DOBLARÉ M.P., BELLÓN J.M., Mechanical and histological characterization of the abdominal muscle. A previous step to modelling hernia surgery, Journal of the Mechanical Behaviour of Biomedical Materials, 2011, Vol. 4, 392-404.
  18. RUTKOWSKA-KUCHARSKA A., SZPALA A., PIECIUK E., Sym- metry of muscle activity during abdominal exercises, Acta of Bioengineering and Biomechanics, 2009, Vol. 11(1), 25-30. open in new tab
  19. HERNÁNDEZ-GASCÓN B., PEÑA E., MELERO H., PASCUAL G., DOBLARÉ M., GINEBRA M.P., BELLÓN J.M., CALVO B., Me- chanical behaviour of synthetic surgical meshes: Finite ele- ment simulation of the herniated abdominal wall, Acta Bio- materialia, 2011, 3905-3913. open in new tab
  20. ŻAK M., KUROPKA P., KOBIELARZ M., DUDEK A., KALETA- KURATEWICZ K., SZOTEK S., Determination of the mechani- cal properties of the skin of pig foetuses with respect to its structure, Acta of Bioengineering and Biomechanics, 2011, Vol. 13(2), 37-43.
  21. SZYMCZAK C., LUBOWIECKA I., TOMASZEWSKA A., ŚMIETAŃSKI M., Investigation of abdomen surface deforma- tion due to life excitation: Implications for implant selection and orientation in laparoscopic ventral hernia repair, Clinical Biomechanics, 2012, Vol. 27, 105-110. open in new tab
  22. ŚMIETAŃSKI M., BURY K., TOMASZEWSKA A., LUBOWIECKA I., SZYMCZAK Cz., Biomechanics of the front abdominal wall as a potential factor leading to recurrence with laparoscopic ventral hernia repair, Surg. Endosc., 2012, Vol. 26, 1461- 1467. open in new tab
  23. ANUROV M.V., TIKOVA S.M., OETTINGER A.P., Biomechani- cal compatibility of surgical mesh and fascia being rein- forced: dependence of experimental hernia defect repair re- sults on anisotropic surgical mesh positioning, Hernia, 2012, Vol. 16, 199-210. open in new tab
  24. MSC.Marc ® Mentat ® Help Reference.
  25. SZYMCZAK C., ŚMIETAŃSKI M., Selected problems of laparo- scopic ventral hernia repair -modeling and simulation, Alfa-Medica Press, Gdańsk, 2012 open in new tab
  26. KOŁAKOWSKI Z., Podstawy wytrzymałości i stateczności płytowych konstrukcji kompozytowych, Politechnika Łódzka, Łódź 2008.
  27. LUBOWIECKA I., Orthotropic membrane as a mechanical model of surgical implant in abdominal hernia repair, TASK Quarterly, 2012, Vol. 16(1), 23-31.
  28. SZEPIETOWSKA K., Mechanical modelling of implant used in the treatment of abdominal hernias, Master's Thesis, Gdańsk University of Technology, 2012, Gdańsk, (in Polish).
  29. LUBOWIECKA I., Behaviour of orthotropic surgical im- plant in hernia repair due to material orientation and abdomen surface deformation, Computer Methods in Biomechanics and Biomedical Engineering, 2013, DOI: 10.1080/10255642.2013.789102. open in new tab
Verified by:
Gdańsk University of Technology

seen 143 times

Recommended for you

Dynamics of mechanical model of implant-tissue system in ventral hernia repair

2012

Physical and mathematical modelling of implant-fascia system in order to improve laparoscopic repair of ventral hernia

2013

SIMULATION OF PROCEED® SURGICAL MESH APPLIED TO VENTRAL HERNIA REPAIR

2014

Mechanical compatibility of implants used in hernia repair with abdominal wall

2014
Meta Tags