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Wyniki wyszukiwania dla: VENTRAL HERNIA
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Two-criteria optimisation problem for ventral hernia repair
PublikacjaTwo-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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Assessment of usefulness of different tacks in laparoscopic ventral hernia repair
PublikacjaLaparoscopic ventral hernia repair is becoming a popular technique with good results and fast postoperative recovery. The mesh is placed directly under the peritoneum and anchored with transabdominal sutures and tacks. However, the ideal size of the mesh covering the hernia orifice is know, nor the ideal type or amount of tacks has to be described.
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Mechanical Modelling of Human Fascia in the Problem of Ventral Hernia Repair
PublikacjaPraca dotyczy badań doświadczalnych tkanki ludzkiej oraz symulacji numerycznej zachowania tej tkanki. Na podstawie eksperymentu dokonuje się identyfikacji modelu materiałowego tkanki a następnie w celu wweryfikacji przeprowadza się symulacje numeryczną zachowania modelowanej struktury. Celem badań jest uzyskanie informacji przydatnych podczas leczenia przepuklin brzusznych u ludzi.
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SIMULATION OF PROCEED® SURGICAL MESH APPLIED TO VENTRAL HERNIA REPAIR
PublikacjaIn 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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In vivo performance of intraperitoneal onlay mesh after ventral hernia repair
PublikacjaBackground: 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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Dynamics of mechanical model of implant-tissue system in ventral hernia repair
PublikacjaThe paper deals with a finite element modelling of implants in the problem of ventral hernia repair. The synthetic mesh implanted in the abdomen during surgery is here modelled as a membrane structure. Thesystem undergoes the internal abdominal pressure that occurs during the postoperative cough, the load identified in the literature as the main cause of the connection failure and hernia recurrence. The model can be used to estimate...
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A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR
PublikacjaThis 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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Biomechanics of the front abdominal wall as a potential factorleading to recurrence with laparoscopic ventral hernia repair
PublikacjaThis study investigated the front abdominal wallto describe its elasticity in vivo and searched for elongationsthat possibly stretched an implanted mesh, therebycausing fixation failure and subsequent recurrence.To measure front abdominal wall elongations, amodel of fascia movements was created. Eight healthyvolunteers were measured during exercise to determine theextent of elongations in their front abdominal wall. Videoswere...
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Surgical implant used in ventral hernia repair subjected to physiological pressure - computer simulation
PublikacjaW streszczeniu przedstawiono matemayczny model implantu wszczepionego pacjentowi podczas laparoskopowej naprawy przepukliny brzusznej. Wykonano go z użyciem metody elementów skończonych. Przyjęto ortotropowy model materiałowy implantu.
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Physical and mathematical modelling of implant-fascia system in order to improve laparoscopic repair of ventral hernia
PublikacjaThis paper describes an investigation of biomechanical behaviour of hernia repair, which is focused on the selection of safe linking of certain type of implant with fascia in laparoscopic operation. The strength of various fixations of the implant to the fascia is analysed. Methods: The research is based on experimental observations of operated hernia model behaviour during a dynamic impulse load corresponding to post-operative...
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A FEM membrane model of human fascia-synthetic implant system in a case of a stiff ventral hernia orifice
PublikacjaPraca prezdstawia model matematyczny układu tkanka ludzka - implant syntetyczny w postaci tzw. siatki w leczeniu przepuklin brzusznych. Implant jest tu moelowany jako struktura membranowa. Ocena wpływu danych materiałowych oraz wstępnego napięcia na zachowanie pracującej membrany po implantacji została przedstawiona na podstawie analizy wrażliwości. Pracę podsumowują pewne wskazówki dla chirurgów implantujących siatki.
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Modeling of the fascia-mesh system and sensitivity analysis of a junction force after a laparoscopic ventral hernia repair
PublikacjaW pracy rozpatrywano prosty model cięgnowy układu powięż-siatka do oszacowania siły połączenia siatki z powięzią po operacji laparoskopowej przepukliny brzusznej. Cięgno obciążone jest ciśnieniem wewnątrz brzusznym, symulującym kaszel, oraz przemieszczeniami jego końców wywołanymi skłonami pacjenta. Wpływ poszczególnych parametrów cięgna na siłę połączenia określono za pomocą analizy wrażliwości. Sformułowano pewne wnioski ważne...
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Investigation of abdomen surface deformation due to life excitation: implications for implant selection and orientation in laparoscopic ventral hernia repair
PublikacjaVentral hernia is a common medical problem. Statistically there are around 10% recurrences of the sickness. The authors' former investigation proved edges of the hernia orifice displacements to be one of the factors causing recurrence. Thus, experimental investigation of the abdomen surface deformation due to some normal activities of people is studied.The extreme strains, their localization and directions are identified. The acquired...
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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
Publikacjaing 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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EXPERIMENTS AND SIMULATIONS FOR LAPAROSCOPICVENTRAL HERNIA REPAIR IMPROVEMENT
PublikacjaThe 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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Mechanical properties of mosquito nets in the context of hernia repair
PublikacjaThe paper deals with issue of applying mosquito nets as implants in hernia repair, which have already been used in resource-poor developing countries. Uniaxial tensile tests have been conducted on polyester mosquito meshes in two orthogonal directions. Non-linear elastic constitutive laws parameters have been identified to be applied in dense net material models. Mechanical performance of tested mosquito nets has been compared...
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Mechanical compatibility of implants used in hernia repair with abdominal wall
PublikacjaThe 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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Mechanical behaviour of knit synthetic mesh used in hernia surgery
PublikacjaPurpose: 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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Paraesophageal Hernia Repair Followed by Cardiac Tamponade Caused by ProTacks
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Mathematical modelling of implant in an operated hernia for estimation of the repair persistence
PublikacjaThis 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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IMPLANT USED IN HERNIA REPAIR UNDER PHYSIOLOGICAL MOVEMENTS OF HUMAN ABDOMEN
PublikacjaThe study deals with the mechanical behaviour of implant used in repair of abdominal hernia. The influence of orientation of the orthotropic implants in different areas of abdominal wall is studied.
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Orthotropic membrane as a mechanical model of surgical implant in abdominal hernia repair
PublikacjaEven 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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Cough influence on fascia-mesh system built for a hernia repair - an experimental research
PublikacjaAn 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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Constitutive Modelling of Knitted Abdominal Implants in Numerical Simulations of Repaired Hernia Mechanics
PublikacjaThe paper presents a numerical approach to describe mechanical behavior of anisotropic textile material, which is a selected abdominal prosthesis. Two constitutive nonlinear concepts are compared. In the first one the material is considered composed from two families of threads (dense net model) and in the second one the material is homogeneous but anisotropic (as proposed by Gassel, Ogden, Holzapfel). Parameters of both models...
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Mechanical behaviour of the implant used in human hernia repair under physiological loads
PublikacjaIn 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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Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge
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Towards Understanding of Mechanics of Hernia Managed by Synthetic Mesh in Laparoscopic Operation: A Single Case Study
PublikacjaIn 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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Behaviour of orthotropic surgical implant in hernia repair due to the material orientation and abdomen surface deformation
Publikacjarelation 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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Partial hyperbolicity and central shadowing
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Partial hyperbolicity and central shadowing
PublikacjaWe study shadowing property for a partially hyperbolic diffeomor- phism f. It is proved that if f is dynamically coherent then any pseudotrajec- tory can be shadowed by a pseudotrajectory with “jumps” along the central foliation. The proof is based on the Tikhonov-Shauder fixed point theorem.
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Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe — recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency
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Polish FDI in Central Asian Countries
PublikacjaSince gaining independence, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan gradually opened their markets to foreign investors. Before Poland’s accession to the European Union, the activities of Polish investors in Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan were based on bilateral treaties concluded by Poland with those countries. Later, except Turkmenistan, they were governed by the partnership...
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The history of the domestic cat in Central Europe
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The Water Needs of Grapevines in Central Poland
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CENTRAL-FORCE DECOMPOSITION OF THE TERSOFF POTENTIAL
PublikacjaCentral forces play important role in the analysis of results obtained with particle simulation methods, since they allow evaluating stress fields. In this work we derive expressions for a central-force decompositon of the Tersoff potential, which is often used to describe interatomic interactions in covalently bonded materials. We simplify the obtained expressions and discuss their properties.
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Modified Ventral Femoral Head and Neck Ostectomy: A Canine Cadaver Study
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Gdańska Międzynarodowa Szkoła Letnia na WETI
PublikacjaW dniach 5-12 września 2017 roku Katedra Algorytmów i Modelowania Systemów23, przy wydatnej pomocy,WETI, zorganizowała Międzynarodową Szkołę Letnią poświęconą algorytmom dla problemów optymalizacji dyskretnej.
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Gdańska Międzynarodowa Szkoła Letnia na WETI
PublikacjaW dniach 6-12 lipca 2019 roku Katedra Algorytmów i Modelowania Systemów zorganizowała 3. Międzynarodową Szkołę Letnią poświęconą algorytmom dla problemów optymalizacji dyskretnej.
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Prevalence of HBV genotypes in Central and Eastern Europe
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Distributed tracking system with central trajectories initialization
PublikacjaW pracy rozważa się problem wyznaczania trajektorii przy użyciu rozproszonego, wieloczujnikowego systemu. W systemie tego typu trajektoria poruszającego się obiektu wyznaczana jest przez grupę lokalnych estymatorów stanu. Każdy z estymatorów korzysta z filtru Kalmana i danych z pojedynczego źródła w celu określenia trajektorii obiektu. Zwykle źródła danych (czujniki) pracujące na potrzeby estymatorów lokalnych nie obserwują takiego...
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Grip strength is associated with markers of central hemodynamics
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Mathematical study of a tissue-implant connection in a ventral herniarepair in a context of the system's parameters
PublikacjaW pracy przedstawiono problem operowania przepuklin brzusznych u ludzi. Zaproponowano jednowymiarowy model układu powieź-implant. Na podstawie analizy wrażliwości zidentyfikowano najważniejsze parametry problemu.
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Walery Starczewski. Śladami założyciela Korporacji Akademickiej Helania
PublikacjaPrzedstawiono życiorys i dokonania inżyniera Walerego Starczewskiego, absolwenta Politechniki Gdańskiej z roku 1926 i założyciela Korporacji Akademickiej "Helania" w Gdańsku oraz działacza Stowarzyszenia "Polonia Technica" w USA
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The Influence of Fluorine on the Disturbances of Homeostasis in the Central Nervous System
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Technology-Driven Internationalization: Central-Eastern European Perspective
PublikacjaSince the 1990s of the twentieth century onward, Central-Eastern European countries have been extensively involved in these two processes—regarding increasing share of ICT and high-tech exports in country’s total export value—and additionally, across these economies, changes in the level of access to and use of ICT have been observed. The main target of this research is to contribute to the present state of the art, by proving...
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Human mediated dispersal of cats in the Neolithic Central Europe
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Human-mediated dispersal of cats in the Neolithic Central Europe
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Analysis of the Water Footprint of Central and Eastern Europe Countries
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The evolution of China's economic engagement in Central and Eastern Europe
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METROPOLITAN AREAS IN CENTRAL POLAND AND THEIR IMPACT ON MIGRATION FLOWS
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