A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR - Publikacja - MOST Wiedzy

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A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR

Abstrakt

This 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 displacement field, different for the selected hernia placements. The assumed displacement fields correspond to regular human activity. Proper implantation of the mesh may determine the success of hernia repair and/or the postoperative comfort of patients. The proposed solution is based on FEM simulations of different surgical meshes behaviour. In typical hernia placements, the optimal orientation of the stiffer direction of the implant is perpendicular to the spine. However, the presented results show some cases that an oblique direction may be the optimum one.

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Creative Commons: CC-BY-NC otwiera się w nowej karcie

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Kategoria:
Publikacja w czasopiśmie
Typ:
artykuł w czasopiśmie wyróżnionym w JCR
Opublikowano w:
Journal of Theoretical and Applied Mechanics nr 54, wydanie 2, strony 411 - 421,
ISSN: 1429-2955
Rok wydania:
2016
Opis bibliograficzny:
Lubowiecka I., Szepietowska K., Szymczak C., Tomaszewska A.: A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR// Journal of Theoretical and Applied Mechanics. -Vol. 54, iss. 2 (2016), s.411-421
DOI:
Cyfrowy identyfikator dokumentu elektronicznego (otwiera się w nowej karcie) 10.15632/jtam-pl.54.2.411
Bibliografia: test
  1. Anurov M.V, Titkova S.M., Oettinger, A.P., 2012, Biomechanical compatibility of surgi- cal mesh and fascia being reinforced: dependence of experimental hernia defect repair results on anisotropic surgical mesh positioning, Hernia, 16, 2, 199-210 otwiera się w nowej karcie
  2. Bensley R.P., Schermerhorn M.L., Hurks R., Sachs T., Boyd C.A., O'Malley A.J., Cotterill P., Landon B.E., 2013, Risk of late-onset adhesions and incisional hernia repairs after surgery, Journal of the American College of Surgeons, 216, 6, 1159-1167 otwiera się w nowej karcie
  3. Guérin G., Turquier F., 2013, Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach, Hernia, 17, 5, 647-655 otwiera się w nowej karcie
  4. Hernández-Gascón B., Espés N., Peña E., Pascual G., Bellón J.M., Calvo B., 2012, Computational framework to model and design surgical meshes for hernia repair, Computer Methods in Biomechanics and Biomedical Engineering, 1-15, doi:10.1080/10255842.2012.736967 otwiera się w nowej karcie
  5. Hernández-Gascón B., Peña E., Grasa J., Pascual G., Bellón J.M., Calvo B., 2013,Me- chanical response of the herniated human abdomen to the placement of different prostheses, Journal of Biomechanical Engineering, 135, 5, p. 051004 otwiera się w nowej karcie
  6. Junge K., Klinge U., Prescher A., Giboni P., Niewiera M., Schumpelick V., 2001, Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants, Hernia, 5, 3, 113-118
  7. Kirilova M., Pashkouleva D., Kavardzhikov V., 2012, A selection of hernia meshes on the basis of experimental results for abdominal layers, Biotechnology and Biotechnological Equipment, 26, 5, 3292-3295 otwiera się w nowej karcie
  8. Li X., Kruger J.A., Jor J.W.Y., Wong V., Dietz H.P., Nash M.P., Nielsen P.M.F., 2014, Characterizing the ex vivo mechanical properties of synthetic polypropylene surgical mesh, Journal of the Mechanical Behavior of Biomedical Materials, 37, 48-55 otwiera się w nowej karcie
  9. Lubowiecka I., 2015, Mathematical modelling of implant in an operated hernia for estimation of the repair persistence, Computer Methods in Biomechanics and Biomedical Engineering, 18, 4, 438-445 otwiera się w nowej karcie
  10. Lubowiecka I., Szepietowska K., Tomaszewska A., Szymczak C., 2014, Mechanical com- patibility of implants used in hernia repair with abdominal wall, [In:] Shell Structures. Theory and Applications, Vol. 3., W. Pietraszkiewicz, J. Górski (Eds.), Taylor & Franics Group, London, 351-354 otwiera się w nowej karcie
  11. Lubowiecka I., Tomaszewska A., Szymczak C., Śmietański M., 2010, A FEM membrane model of human fascia-synthetic implant system in a case of a stiff ventral hernia orifice, [In:] Shell Structures. Theory and Applications, Vol. 2, W. Pietraszkiewicz, I. Kreja (Eds.), Taylor & Franics Group, London, 311-314
  12. Muysoms F., Vander Mijnsbrugge G., Pletinckx P., Boldo E., Jacobs I., Michiels M., Ceulemans R., 2013, Randomized clinical trial of mesh fixation with "double crown" versus "sutures and tackers" in laparoscopic ventral hernia repair, Hernia, 17, 5, 603-612 otwiera się w nowej karcie
  13. Oettinger A.P., Anurov M., Titkova S., Polivoda M., Shapovaliants S., 2013, Compa- rison of biomechanical properties of light meshes with different structural characteristics, Hernia,
  14. Podwojewski F., Otténio M., Beillas P., Guérin G., Turquier F., Mitton D., 2013, Mechanical response of animal abdominal walls in vitro: evaluation of the influence of a hernia defect and a repair with a mesh implanted intraperitoneally, Journal of Biomechanics, 46, 3, 561-566 otwiera się w nowej karcie
  15. Qadri S.J.F., Khan M., Wani S.N., Nazir S.S., Rather A., 2010, Laparoscopic and open incisional hernia repair using polypropylene mesh -a comparative single centre study, International Journal of Surgery, 8, 6, 479-483 otwiera się w nowej karcie
  16. Sommer T., Friis-Andersen H., 2013, DynaMesh( R Ç ) in the repair of laparoscopic ventral hernia: a prospective trial, Hernia, 17, 5, 613-618 otwiera się w nowej karcie
  17. Szymczak C., Lubowiecka I., Tomaszewska A., Smietański M., 2010, Modeling of the fascia-mesh system and sensitivity analysis of a junction force after a laparascopic ventral hernia repair, Journal of Thoretical and Applied Mechanics, 48, 4, 933-950
  18. Szymczak C., Lubowiecka I., Tomaszewska A., Smietański M., 2012, Investigation of ab- domen surface deformation due to life excitation: Implications for implant selection and orientation in laparoscopic ventral hernia repair, Clinical Biomechanics, 27, 2,105-110 otwiera się w nowej karcie
Weryfikacja:
Politechnika Gdańska

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