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Search results for: SURGICAL MESH ELONGATION
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SIMULATION OF PROCEED® SURGICAL MESH APPLIED TO VENTRAL HERNIA REPAIR
PublicationIn the present research, Proceed® implant is considered. The system is subjected to short-time dynamic pressure load, similar to post-operative cough naturally occurring in human abdomen. The model refers to a clinical case of 5cm of hernia operated by Proceed implant fixed by 15 joints every 3cm around the orifice. The simulations of the implanted mesh are performed by means of the Finite Element Method. The implant is modelled...
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Global sensitivity analysis of membrane model of abdominal wall with surgical mesh
PublicationThe paper addresses the issue of ventral hernia repair. Finite Element simulations can be helpful in the optimization of hernia parameters. A membrane abdominal wall model is proposed in two variants: a healthy one and including hernia defect repaired by implant. The models include many uncertainties, e.g. due to variability of abdominal wall, intraabdominal pressure value etc. Measuring mechanical properties with high accuracy...
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Sensitivity analysis based on non-intrusive regression-based polynomial chaos expansion for surgical mesh modelling
PublicationThe modelling of a system containing implants used in ventral hernia repair and human tissue suffers from many uncertainties. Thus, a probabilistic approach is needed. The goal of this study is to define an efficient numerical method to solve non-linear biomechanical models supporting the surgeon in decisions about ventral hernia repair. The model parameters are subject to substantial variability owing to, e.g., abdominal wall...
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In vivo performance of intraperitoneal onlay mesh after ventral hernia repair
PublicationBackground: Ventral hernia repair needs to be improved since recurrence, postoperative pain and other complications are still reported in many patients. The behavior of implants in vivo is not sufficiently understood to design a surgical mesh mechanically compatible with the human abdominal wall. Methods: This analysis was based on radiological pictures of patients who underwent laparoscopic ventral hernia repair. The pictures...
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Mechanical behaviour of knit synthetic mesh used in hernia surgery
PublicationPurpose: There is a discussion in literature concerning mechanical properties and modelling of surgical meshes. An important feature of elastic modulus dependency on load history is taken into account in this paper, as implants are subjected to variable loading during human activity. The example of DynaMesh®-IPOM surgical implant is studied. Methods: The analysis is based on failure tension tests and cyclic loading and unloading...
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A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR
PublicationThis paper addresses the problem of ventral hernia repair. The main goals are to find an optimal surgical mesh for hernia repair and to define its optimal orientation in the abdominal wall to minimise the maximum force at the tissue-implant juncture. The optimal mesh is chosen from a set of orthotropic meshes with different stiffness ratios for typical hernia placement in the abdominal area. The implant is subjected to an anisotropic...
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Behaviour of orthotropic surgical implant in hernia repair due to the material orientation and abdomen surface deformation
Publicationrelation to the different range of typical deformations observed in different directions and zones of abdomen surface due to the patients’ life activities, has a significant influence on the extreme junction forces in the mesh–tissue connections and hence the repair persistence. The finite element model of the orthotropic implant was developed, and the junction forces in the connections of tissue and mesh were studied. The kinematical...
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Combined numerical and experimental approach to determine numerical model of abdominal scaffold
PublicationA proper junction of the prosthesis and the abdominal wall is important in successful hernia repair. The number of tacks should be balanced to assure appropriate mesh fixation and not to induce post-operative pain. Numerical simulations help to find this balance. The study is aimed at creating a proper numerical model of a knitted surgical mesh subjected to boundary conditions and load occurring in the abdominal cavity. Continuous,...
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Mathematical modelling of implant in an operated hernia for estimation of the repair persistence
PublicationThis paper presents mathematical modelling of an implanted surgical mesh used in the repair process of the abdominal hernia. The synthetic implant is simulated by a membrane structure. The author provides a material modelling of the implant based on the dense net model appropriate for technical fabrics. The accuracy of the proposed solution is evaluated by comparing the simulations of the dynamic behaviour of the system with the...
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Mechanical behaviour of the implant used in human hernia repair under physiological loads
PublicationIn 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...
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Regression points in non-intrusive polynomial chaos expansion method and D-optimal design
PublicationThe paper addresses selected issues of uncertainty quantification in the modelling of a system containing surgical mesh used in ventral hernia repair. Uncertainties in the models occur e.g. due to variability of abdominal wall properties among others. In order to include them, a non-intrusive regression-based polynomial chaos expansion method is employed. Its accuracy depends on the choice of regression points. In the study a relation...
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Mechanical compatibility of implants used in hernia repair with abdominal wall
PublicationThe paper deals with a membrane model of a synthetic surgical mesh for treatment of abdominal hernia. The authors analyse the compatibility of two implant types with the human wall: Dualmesh Gore and Proceed. The finite element method is applied to simulate tjhe behavior of the proposed model. Due fact that recurrences are usually caused by connection failure, this study is focused on reaction forces in supports representing the...
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Biomechanical causes for failure of the Physiomesh/Securestrap system
PublicationThis study investigates the mechanical behavior of the Physiomesh/Securestrap system, a hernia repair system used for IPOM procedures associated with high failure rates. The study involved conducting mechanical experiments and numerical simulations to investigate the mechanical behavior of the Physiomesh/Securestrap system under pressure load. Uniaxial tension tests were conducted to determine the elasticity modulus of the Physiomesh...
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Optymalizacja doboru prawa konstytutywnego membrany o strukturze plecionej
PublicationCelem niniejszej dysertacji jest opracowanie zagadnienia optymalizacyjnego pozwalającego dobrać model konstytutywny opisujący mechaniczne zachowanie membrany technicznej. Do analizy wybrano membrany plecione, stosowane w medycynie, tzw. siatki chirurgiczne. W celu wykonania identyfikacji praw konstytutywnych, wykonano dwuosiowe rozciąganie próbek materiałów, otrzymując wskazanie na nieliniowe anizotropowe zachowanie materiałów....
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Prospects in elongation of railway transition curves
PublicationThe paper presents an analysis of the elongation of transition curves in relation to railway track alignment correction and modernisation. The analysis is based on numerical computations for a wide range of parameters describing a typical railway geometrical layout with transition curves. The differences between the horizontal ordinates of the existing layout and the layout with the elongated transition curves are evaluated and...
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Is mesh fixation necessary in laparoendoscopic techniques for M3 inguinal defects? An experimental study.
Publicationrepairs, in case of large direct hernias (M3) mesh fixation is recommended to reduce recurrence risk. Despite lack of highquality evidence, the recommendation was upgraded to strong by expert panel. The authors conducted a research experiment to verify the hypothesis that it is possible to preserve the mesh in the operating field in large direct hernias (M3) without the need to use fixing materials. Method The authors conducted...
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Ten years of observations and demographics of hemimandibular hyperplasia and elongation
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Effect of mesh deformation on the accuracy of 3D FEM electromagnetic analysis
PublicationIn this paper, the accuracy of 3D FEM electromagnetic simulations in parametric analysis using mesh deformation techniques is discussed. Mesh deformation techniques allow one to preserve the mesh topology while the geometry is changed. It is shown that the application of mesh deformation can provide accurate simulation results even for very large deformations. On the other hand, it is also shown that the technique has to be used...
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Measures of region failure survivability for wireless mesh networks
PublicationWireless mesh networks (WMNs) are considered as a promising alternative to wired local, or metropolitan area networks. However, owing to their exposure to various disruptive events, including natural disasters, or human threats, many WMN network elements located close to the failure epicentre are frequently in danger of a simultaneous failure, referred to as a region failure. Therefore, network survivability, being the ability...
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The role of rewards and demands in burnout among surgical nurses
PublicationObjective: Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees’ development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence) in burnout among surgical nurses. Materials and...
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Objective selection of minimum acceptable mesh refinement for EMC simulations
PublicationOptimization of computational electromagnetics (CEM) simulation models can be costly in both time and computing resources. Mesh refinement is a key parameter in determining the number of unknowns to be processed. In turn, this controls the time and memory required for a simulation. Hence, it is important to use only a mesh that is good enough for the objectives of the simulation, whether for direct handling of high-fidelity EM...
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Surgical tool tracking by on-line selection of structural correlation filters
PublicationIn visual tracking of surgical instruments, correlation filtering finds the best candidate with maximal correlation peak. However, most trackers only consider capturing target appearance but not target structure. In this paper we propose surgical instrument tracking approach that integrates prior knowledge related to rotation of both shaft and tool tips. To this end, we employ rigid parts mixtures model of an instrument. The rigidly...
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Application of mesh deformation for modeling of conformal RF components with 3D FEM
PublicationIn this paper, a method of analysis of conformal RF components has been proposed. In this approach, modeling of a curved structure is based on mesh deformation of planar objects rather than the construction of conformal geometry at CSG level. Since the model is represented as a 3D mesh, the deformation only requires the calculation of nodes position in the bent structure. The results of the proposed algorithm have been validated...
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Local Mesh Deformation for accelerated parametric studies based on the Finite Element Method
PublicationThis paper presents an approach for enhancing the efficiency of two-dimensional Finite Element Method analysis in parametric studies or optimisation process of microwave components. The new approach involves local mesh deformation applied near the elements that are modified during computations. Since in the proposed approach the topology of the mesh remains unchanged, a new mesh does not have to be generated from scratch when the...
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Mesh dependence study for numerical assessment of hydrodynamic characteristics of windsurfing fin
PublicationThe presented research aims to assess the drag coefficient and lift coefficient versus angle of attack curves for windsurfing fin. Special attention in the research was being paid to the evaluation of the stall angle value. The angle of incidence for which the stall occurs was searched, and the sensitivity of the solution for the mesh resolution was studied. The mesh resolution sensitivity analysis was done by systematically decreasing...
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Influence of mesh density on 2D viscous flutter in a turbomachinery cascade
PublicationIn this study numerical simulations of 2D viscous flutter were performed and compared with available experimental results for various mesh densities and flow parameters. Calculations were carried out for the bending oscillations of an Eleventh Standard Configuration cascade. ANSYS CFX code was used for the SST, SA and k-ω turbulence model calculations.
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A hybrid-mesh solution for coverage issues in WiMAX metropolitan area networks.
PublicationThe new WiMAX technology offers several advantages over the currently available (GSM or UMTS-based) solutions. It is a cost effective, evolving, and robust technology providing quality of service guarantees, high reliability, wide coverage and non-line-of-sight (NLOS) transmission capabilities. All these features make it particularly suitable for densely populated urban environments. In this paper we discuss the design and implementation...
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Cross-layer mDNS/ARP integration for IEEE 802.11s Wireless mesh Network
PublicationPopularization of mobile computing devices created a need for robust, efficient and ubiquitous methods of communication and network access. At the same time, evolution and standardization of Wireless Local Area Network (WLAN) technologies made them an attractive solution for building of complex network systems. Moreover, growing maturity of WLAN standards such as IEEE 802.11 allows for introduction of WLAN architectures other than...
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Local mesh morphing technique for parametrized macromodels in the finite element method
PublicationThis paper presents a novel approach for enhancing the efficiency of the design process of microwave devices by means of the finite element method. It combines mesh morphing with local model order reduction (MOR) and yields parametrized macromodels that can be used to significantly reduce the number of variables in the FEM system of equations and acceleration of computer simulation. A projection basis for local reduction is generated...
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Self-Adaptive Mesh Generator for Global Complex Roots and Poles Finding Algorithm
PublicationIn any global method of searching for roots and poles, increasing the number of samples increases the chances of finding them precisely in a given area. However, the global complex roots and poles finding algorithm (GRPF) (as one of the few) has direct control over the accuracy of the results. In addition, this algorithm has a simple condition for finding all roots and poles in a given area: it only requires a sufficiently dense...
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Mechanics of mesh implanted into abdominal wall under repetitive load. Experimental and numerical study
PublicationThere are a number of papers discussing medical and mechanical aspects of ventral hernia management. Despite intensive work on the problem understanding, recurrences of the sickness still happen too often. For that reason new aspects of the problem must be considered. In this paper, a change in the abdominal implant’s stiffness is discussed, which is caused by cyclic loading. Such loading influence abdominal implant e.g. while...
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Mariusz Kaczmarek dr hab. inż.
PeopleReceived M.Sc., Eng. in Electronics in 1995 from Gdansk University of Technology, Ph.D. in Medical Electronics in 2003 and habilitation in Biocybernetics and Biomedical Engineering in 2017. He was an investigator in about 13 projects receiving a number of awards, including four best papers, practical innovations (7 medals and awards) and also the Andronicos G. Kantsios Award and Siemens Award. Main research activities: the issues...
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Orthotropic membrane as a mechanical model of surgical implant in abdominal hernia repair
PublicationEven though the incisional hernia repair surgery is a well known procedure, mechanical properties of the tissue-implant system are unknown so the implantation of the repairing mesh is quite intuitive and, recurrences of the illness still take place. The main objective of the study is to define an operated hernia model that can be used for surgery planning and the assessment of the repair persistence. The load applied to the structure...
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Router Selfishness in Community Wireless Mesh Networks: Cross-Layer Benefits and Harms
PublicationWęzły sieci mesh nie są poddane administracyjnej kontroli, zarazem nie odczuwają ograniczeń energetycznych. Są przez to skłonne do zachowań egoistycznych w warstwach 2 i 3 OSI, w szczególności w odniesieniu do protokołów MAC i routingowych. W pracy przebadano symulacyjnie wybrane aspekty środowiska mesh uzasadniające podjęcie ataków egoistycznych i zidentyfikowano trzy: gęstość rozmieszczenia i położenie routerów oraz warstwa OSI...
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Interworking and Cross-layer Service Discovery Extensions for IEEEE802.11s Wireless Mesh Standard
PublicationWith the rapid popularization of mobile end-user electronic devices wireless network technologies begin to play a crucial role as networks access technologies. While classic point-to-multipoint wireless access systems, based on fixed infrastructure of base stations providing access to clients, remain the main most popular solution, an increasing attention is devoted to wireless mesh systems, where each connecting client can extend...
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GPU-Accelerated 3D Mesh Deformation for Optimization Based on the Finite Element Method
PublicationThis paper discusses a strategy for speeding up the mesh deformation process in the design-byoptimization of high-frequency components involving electromagnetic field simulations using the 3D finite element method (FEM). The mesh deformation is assumed to be described by a linear elasticity model of a rigid body; therefore, each time the shape of the device is changed, an auxiliary elasticity finite-element problem must be solved....
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A 3D-FEM mesh technique for fast analysis of waveguide problems containing rotatable tuning elements
PublicationIn this paper a meshing technique for 3D Finite Element Method is presented. It allows for fast analysis and optimization of the waveguide structures, which contain rotatable tuning elements. In the proposed procedure a thin layer of varying cylindrical mesh buffer is introduced in order to reuse unchanged mesh and FEM matrices in the rest of the domain.
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A new approach to design of weather disruption-tolerant wireless mesh networks
PublicationWireless Mesh Networks, offering transmission rates of 1–10 Gb/s per a millimeter-wave link (utilizing the 71–86 GHz band) seem to be a promising alternative to fiber optic backbone metropolitan area networks because of significantly lower costs of deployment and maintenance. However, despite providing high transmission rates in good weather conditions, high-frequency wireless links are very susceptible to weather disruptions....
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Service and Path Discovery Extensions for Self-forming IEEE 802.11s Wireless Mesh Systems
PublicationWith the rapid growth of the quantity and capabilities of end-user electronic devices, both stationary and mobile, they are employed in increasing number of applications. In this situation, wireless network technologies begin to play a crucial role as networks access technologies, as cable-based solutions tend to be of limited utility in case of easily portable or mobile devices. Resulting development of wireless technologies reached...
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A Mesh Deformation Technique Based on Solid Mechanics for Parametric Analysis of High-Frequency Devices With 3-D FEM
PublicationIn this paper, a versatile technique for mesh defor- mation is discussed, targeted at the electromagnetic (EM) field simulation of high-frequency devices using the 3-D finite element method (FEM). The approach proposed applies a linear elasticity model to compute the displacements of the internal mesh nodes in 3-D when the structure geometry is changed. The technique is compared with an alternative approach...
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A Nonlinear Model of a Mesh Shell
PublicationFor a certain class of elastic lattice shells experiencing finite deformations, a continual model using the equations of the so-called six-parameter shell theory has been proposed. Within this model, the kinematics of the shell is described using six kinematically independent scalar degrees of freedom — the field of displacements and turns, as in the case of the Cosserat continuum, which gives reason to call the model under consideration...
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Impact of the Finite Element Mesh Structure on the Solution Accuracy of a Two-Dimensional Kinematic Wave Equation
PublicationThe paper presents the influence of the finite element mesh structure on the accuracy of the numerical solution of a two-dimensional linear kinematic wave equation. This equation was solved using a two-level scheme for time integration and a modified finite element method with triangular elements for space discretization. The accuracy analysis of the applied scheme was performed using a modified equation method for three different...
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BJS-03 DO WE NEED FIXATION OF THE MESH IN LAPAROENDOSCOPIC TECHNIQUES FOR M3 INGUINAL DEFECTS? AN EXPERIMENTAL STUDY
PublicationThe authors conducted a research experiment to verify the hypothesis that it is possible to preserve the mesh in the operating field in large direct hernias (M3) without the need to use fixing materials. The results showed that mesh fixation is not the only alternative to preventing recurrence in complex defects and that the type of implant seems to be a key factor from the point of view of mechanics and biophysics.
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Bioactive polyurethanes applied as a surgical implants
PublicationSynthetic materials are applied in many branches of the industry, i.a. in medicine as a casing of apparatus, elements of artificial organs (hearts, blood vessels), catheters, wound healings, intra aortic balloons, mammary implants to mention but a few. Polymeric material used in such applications must be distinguished by a good biocompatybility. Since many years extensive research are employed to develop a new polymers that can...
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Residue-Pole Methods for Variability Analysis of S-parameters of Microwave Devices with 3D FEM and Mesh Deformation
PublicationThis paper presents a new approach for variability analysis of microwave devices with a high dimension of uncertain parameters. The proposed technique is based on modeling an approximation of system by its poles and residues using several modeling methods, including ordinary kriging, Adaptive Polynomial Chaos (APCE), and Support Vector Machine Regression (SVM). The computational cost is compared with the traditional Monte-Carlo...
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Variation in global uptake of the Surgical Safety Checklist
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Optimization of quadrilateral mesh for ship hull modelling
PublicationArtykuł przedstawia metodę poprawy jakości czworokątnej siatki elementów skończonych, które najlepiej nadają się do modelowania kadłuba statku dla potrzeb analizy MES. W metodzie zakłada się poprawną topologię siatki i stosuje gradient funkcji celu do poszukiwania optymalnego rozwiązania. Funkcja celu może być dowolną funkcją, opisująca jakość elementu (metryka), odpowiednią dla wymagań metody elementów skończonych. W artykule...
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Towards Understanding of Mechanics of Hernia Managed by Synthetic Mesh in Laparoscopic Operation: A Single Case Study
PublicationIn this paper a research towards understanding of mechanics of ventral hernia operated with the use of Physiomesh Open image in new window implant and SecureStrap Open image in new window staples is described. Experimental and numerical studies are conducted for that purpose. Experimental works cover uni-axial tension tests of the implant samples and of the implant-staples-tissue system. Also experiments on implant-staples-tissue...
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Surgical Site Infection after Breast Surgery: A Retrospective Analysis of 5-Year Postoperative Data from a Single Center in Poland
PublicationBackground and Objectives: Surgical site infection (SSI) is a significant complication of non-reconstructive and reconstructive breast surgery. This study aimed to assess SSI after breast surgery over five years in a single center in Poland. The microorganisms responsible for SSI and their antibiotic susceptibilities were determined. Materials and Methods: Data from 2129 patients acquired over five years postoperatively by the...
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