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Search results for: LAPAROSKOPIA
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Type 2 Diabetes Mellitus and Preoperative HbA1c Level Have no Consequence on Outcomes after Laparoscopic Sleeve Gastrectomy—a Cohort Study
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The Peritoneal Neovagina after Davydov's Laparoscopic Procedure in Mayer-Rokitansky-Küster-Hauser Syndrome: Morphology and Ultrastructure Investigation of the New Epithelium
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Correction to: Type 2 Diabetes Mellitus and Preoperative HbA1c Level Have no Consequence on Outcomes after Laparoscopic Sleeve Gastrectomy—a Cohort Study
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Analysis of the risk factors for perioperative morbidity after laparoscopic revisional bariatric procedures: results from the multicenter Polish Revision Obesity Surgery Study
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Safety and efficacy of a Ventralight ST echo ps implant for a laparoscopic ventral hernia repair – a prospective cohort study with a one-year follow-up
Publicationing new products Thus, every mesh prior to introduction in clinical settings should be tested with a dedicated tacker to discover the proper fixation algorithm. The aim of the study was to assess the safety and efficacy of the Ventralight ST implant with an ECHO positioning system and a dedicated fixation device, the SorbaFix stapler, in a prospective cohort of patients. Material and methods. The study was a prospective single...
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Analysis of the Factors Contributing to Bariatric Success After Laparoscopic Redo Bariatric Procedures: Results from Multicenter Polish Revision Obesity Surgery Study (PROSS)
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The analysis of factors increasing the odds for type 2 diabetes mellitus remission following re-do bariatric surgery after laparoscopic sleeve gastrectomy- cohort study
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Projekt robotycznego mikro-nadgarstke dla potrzeb chirurgii laparoskopowej wykonany w technologii MEMS = The project of robotic micro-wrist for the laparoscopic surgery, made in MEMS technology
PublicationArtykuł przedstawia proces projektowania robotycznego mikro-nadgarstka dla potrzeb chirurgii laparoskopowej przy zastosowaniu technologii MEMS (z ang. MicroElectroMechanicalSystems) i oryginalnej architektury 3D o trzech stopniach swobody. Mikro-laparoskopia, inaczej igłoskopia (z ang. needlescoopy), jest obecnie jednym z nowo kształtujących się tematów w dziedzinie robotyki medycznej o perspektywach szybkiego rozwoju. Operacja...
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Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Decreases Persistent Postoperative Pain Severity in Patients Undergoing Both Open and Laparoscopic Nephrectomies—A Randomized Controlled Trial
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Magnetic instrumentation and other applications of magnets in NOTES
PublicationModern surgery is developing towards a minimally invasive approach. To minimize the trauma the number of ports is either limited as in single incision laparoscopic procedures or ports are introduced through natural orifices as in nat- ural orifice translumenal endoscopic surgery (NOTES). To provide surgeons with appropriate instrumentation novel technologies are employed involving magnets. This article summarizes the theoretical...
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Wiktor Sieklicki dr inż.
PeopleMechanical Engineer degree in Automatics and Robotics achieved in 2006 from Mechanical Faculty of Gdansk University of Technology, Mechanics and Strength of the Materials Department (thesis topic: "Micro electro-mechanical devices for laparoscopy"). Thesis written during the exchange program with Genova University, Italy. PhD in Mechatronics finished in 2010 from Mechanical Faculty of Gdansk University of Technology, Mechanics...
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EXPERIMENTS AND SIMULATIONS FOR LAPAROSCOPICVENTRAL HERNIA REPAIR IMPROVEMENT
PublicationThe authors conducted a wide experimental and numerical study in order to determine effective approaches in the laparoscopic VH repair. At first the study covered identification of mechanical properties of the abdominal fascia, implants, tacks and transabdominalsutures. Basis on these data, the one and two-dimensional mathematical models were formulated and a number of numerical static and dynamic analyses were carried out. Then...
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Krzysztof Jan Kaliński prof. dr hab. inż.
PeopleKrzysztof J. Kaliński completed his MSc study at Gdańsk University of Technology (GUT) Faculty of Production Engineering (1980, result – get a first). He obtained PhD at GUT Faculty of Machine Building (1988, result – get a first), DSc at GUT Faculty of Mechanical Engineering (ME) (2002, result – get a first), and professor’s title – w 2013 r. In 2015 r. he became full professor, and since 2019 - professor.His research area includes:...
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Francesco Fedele M.D.
PeopleFrancesco Fedele is a Medical Resident in Obstetrics and Gynaecology at San Raffaele Hospital in Milan, Italy. Previously, he held the same position at Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico in Milan. He received his surgical training at Azienda Ospedaliera Universitaria Integrata in Verona, Italy from 2022 to 2024.He graduated with honors from the 6-year International MD Program Degree in Medicine and Surgery...
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Cough influence on fascia-mesh system built for a hernia repair - an experimental research
PublicationAn experimental approach to identify stronger and weaker fixation schemes in laparoscopic ventral hernia repair is presented in the paper. Two types of implants, whose mechanical properties are significantly different and five kinds of connectors are considered. Physical models of operated hernia have been built using those materials and porcine abdominal tissue. The models have been subjected to dynamic impulse load, similar to...
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Two-criteria optimisation problem for ventral hernia repair
PublicationTwo-criteria optimisation problem related to laparoscopic ventral hernia repair is formulated in this paper. An optimal implant from a given set and its orientation is sought. The implant is subjected to kinematic extortions due to a patient’s body movement and intra-abdominal pressure. The first criterion of the optimisation problem deals with the reaction force in the implant fastener, while the deflection of the implant constitutes...
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Sterowanie i ruchliwość struktury odkształcalnej o kinematyce równoległej
PublicationW rozdziale przedstawiono rezultaty analizy ruchliwości mikro-nadgarstka zaprojektowanego dla potrzeb laparoskopii wykonywanej z użyciem narzędzi o średnicy 2,5 mm. Omówiono budowę urządzenia uwzględniając odkształcalne struktury nadające ruchliwość konstrukcji, a następnie przestawiono algorytmy sterowania urządzeniem. Badania ruchliwości wykonano za pomocą specjalnie w tym celu skonstruowanej platformy pomiarowej. Wyniki analizy...
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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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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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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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Multispectral Imaging Using Fluorescent Properties of Indocyanine Green and Methylene Blue in Colorectal Surgery—Initial Experience
PublicationIntroduction: Image-guided surgery is becoming a new tool in colorectal surgery. Intraoperative visualisation of different structures using fluorophores helps during various steps of operations. In our report, we used two fluorophores—indocyanine green (ICG), and methylene blue (MB)— during different steps of colorectal surgery, using one camera system for two separate near-infrared wavelengths. Material and methods: Twelve patients...