The flow characteristics and cavitation effects of water passing throughsmall sharp-edged cylindrical orifices and valves of different shapes in water hydraulics areinvestigated. The test results using orifices with d...The flow characteristics and cavitation effects of water passing throughsmall sharp-edged cylindrical orifices and valves of different shapes in water hydraulics areinvestigated. The test results using orifices with different aspect ratios and different diametersshow that the flow coefficients in the case of non-cavitating flow are larger than that of flow inthe case of cavitation occurrence. The flow coefficients of flow with cavitation initially decreaseas Reynolds number increases and ultimately tend to be of constant values close to contractioncoefficient. Large aspect ratio has an effect of suppressing cavitation. The experimental resultsabout disc valves illustrate that the valves with sharp edge at large opening are less affected bycavitation than that at small opening. Throttle with triangle notch has better anti-cavitationability than that with square notch. The flowrate of the throttle with square notch is significantlyaffected by the flow direction or the flow passage shape.展开更多
In order to improve the baking temperature uniformity of the large ladle in steelmaking plants, the flame combustion characteristics of nozzles with different inner structures were numerically simulated with the finit...In order to improve the baking temperature uniformity of the large ladle in steelmaking plants, the flame combustion characteristics of nozzles with different inner structures were numerically simulated with the finite volume method code Fluent. The flow field and premixed combustion reaction inside and outside the nozzle with multiple gas orifices were exhibited. Meanwhile, the influences of the gas injecting angle and the number of gas orifices on temperature, velocity, and pressure fields were studied. The results show that the flame length and width at the rear of flame temperature field reach the maximum values in the nozzle with the gas injecting angle of 20° and 4 gas orifices for the control of premixed combustion inside the nozzle, which could provide better temperature uniformity in ladles. The length of the 1273 K isothermal surface is 4.89 m, and the cross-section area at 4 m away from the outlet of the nozzle is 0.13 m2. The pressure losses of different types of nozzles range from 112.2 to 169.4 Pa and decrease with the decrement in gas injecting angle and the number of gas orifices. The ladle bottom preheating temperature is increased by 320-360 K for the optimized nozzle. The inner surface temperature differences between wall and bottom of the ladle are less than 10%. There is good baking temperature uniformity after the application of optimum structurally designed nozzles.展开更多
With the advent of endoscopic retrograde cholangiopancreatography(ERCP)in the early 1970s,anatomic anomalies of the Vaterian system were described endoscopically[1].Although the occurrence is rare,the common bile duct...With the advent of endoscopic retrograde cholangiopancreatography(ERCP)in the early 1970s,anatomic anomalies of the Vaterian system were described endoscopically[1].Although the occurrence is rare,the common bile duct(CBD)and the pancreatic duct may fail to coalesce during embryologic development.This leads to double major papilla because both ducts open into the duodenum separately[1].In this way the cranial duct communicates with the CBD,while the caudal orifice communicates with the pancreatic duct[2].展开更多
Foam trays with porous submerged orifices endow bubbles uniformly distributed,which are considered attractive column internals to enhance the gas-liquid mass transfer process.However,its irregular orifice and complex ...Foam trays with porous submerged orifices endow bubbles uniformly distributed,which are considered attractive column internals to enhance the gas-liquid mass transfer process.However,its irregular orifice and complex gas-liquid flow make it lack pore-scale investigations concerning the transfer mechanism of dynamic bubbling.In this work,the actual porous structure of the foam tray is obtained based on micro computed tomography technology.The shape,dynamic,and mass transfer of rising bubbles at porous orifices are investigated using the volume of fluid and continue surface force model.The results demonstrate that the liquid encroaching on the gas channels causes the increasing orifices velocity,which makes the trailing bubble easily detach from the midst of the leading bubble and causes pairing coalescence.Additionally,we found that the central breakup regimes significantly improve the gas-liquid interface area and mass transfer efficiency.This discovery exemplifies the mechanism of mass transfer intensification for foam trays and serves to promote its further development.展开更多
The design of fuel nozzle orifices at micrometer scales is crucial for generating desired fuel spray patterns, and consequently optimizing fuel combustion and emission in internal combustion engines. Although there ha...The design of fuel nozzle orifices at micrometer scales is crucial for generating desired fuel spray patterns, and consequently optimizing fuel combustion and emission in internal combustion engines. Although there have been several recent advancements in the characterization of orifice internal geometries, quantitative studies on the orifice internal wall surface characteristics are still challeges due to the lack of effective measuring methods. A new method for quantifying the internal wall surface characteristics of fuel nozzle micro-orifices is presented in this study to achieve a better understanding and prediction of spray characteristics: Firstly, by using the synchrotron X-ray micro CT technology, a three-dimensional digital model of the fuel nozzle tip was constructed. Secondly, a data post-processing technique was then applied to unfold the orifice internal wall surface to a flat base plane. Finally, the conventional surface characteristic quantification techniques can be used to evaluate the wall surface characteristics. Two diesel nozzles with identical orifice geometry design but different hydraulic grinding time were measured using this method. One nozzle was hydro-ground for 2 s while the other was not. The internal wall surfaces of the two orifices were successfully unfolded to base planes and their surface characteristics were respectively analyzed. The surface fluctuation data were perfectly reproduced by a Gaussian distribution function. The standard deviations of the distribution demonstrate the fluctuation range and the distribution of the entire surface fluctuation profiles. As an effective parameter to evaluate the hydraulic grinding process and the spray behaviors, the standard deviation was considered feasible for the analysis of the orifice internal wall surface characteristics.展开更多
The present work deals with the computation of the gas-solid two-phase flow pressure drop across thin and thick orifices for a vertically downward flow configuration at the higher limits of a dilute phase flow situati...The present work deals with the computation of the gas-solid two-phase flow pressure drop across thin and thick orifices for a vertically downward flow configuration at the higher limits of a dilute phase flow situation(0.01≤αs,in≤0.10).The Eulerian-Eulerian(two-fluid)model has been used in conjunction with the kinetic theory of granular flow with a four-way coupling approach.The validation of the solution process has been performed by comparing the computational result with the existing experimental data.It is observed that the two-phase flow pressure drop across the orifice increases with an increase in the thickness of the orifice,and the effect is more prominent at higher solid loading.The pressure drop is found to increase with an increase in the solid volume fraction.An increase in the Reynolds number or the area ratio increases the pressure drop.An increase in the size of the particles reduces the pressure drop across the orifice at both small and relatively large solid volume fractions.Finally,a two-phase multiplier has been proposed in terms of the relevant parameters,which can be useful to evaluate the gas-solid two-phase flow pressure drop across the orifice and can subsequently help to improve the system performance.展开更多
A steady,axisymmetric vortex at an entrance of horizontal orifice,with an air- core,was formed within a special apparatus.The tangential,radial and axial velocities and their fluctuation strengths were measured in det...A steady,axisymmetric vortex at an entrance of horizontal orifice,with an air- core,was formed within a special apparatus.The tangential,radial and axial velocities and their fluctuation strengths were measured in detail.The results were given in terms of formulas or curves.It shows a clear picture of vortex flow-field.展开更多
BACKGROUND Inguinal hernias are common after surgery.Tension-free repair is widely accepted as the main method for managing inguinal hernias.Adequate exposure,coverage,and repair of the myopectineal orifice(MPO)are ne...BACKGROUND Inguinal hernias are common after surgery.Tension-free repair is widely accepted as the main method for managing inguinal hernias.Adequate exposure,coverage,and repair of the myopectineal orifice(MPO)are necessary.However,due to differences in race and sex,people’s body shapes vary.According to European guidelines,the patch should measure 10 cm×15 cm.If any part of the MPO is dissected,injury to the nerves,vascular network,or organs may occur during surgery,thereby leading to inguinal discomfort,pain,and seroma formation after surgery.Therefore,accurate localization and measurement of the boundary of the MPO are crucial for selecting the optimal patch for inguinal hernia repair.AIM To compare the size of the MPO measured on three-dimensional multislice spiral computed tomography(CT)with that measured via laparoscopy and explore the relevant factors influencing the size of the MPO.METHODS Clinical data from 74 patients who underwent laparoscopic tension-free inguinal hernia repair at the General Surgery Department of the First Affiliated Hospital of Anhui University of Science and Technology between September 2022 and July 2024 were collected and analyzed retrospectively.Transabdominal preperitoneal was performed.Sixty-four males and 10 females,with an average age of 58.30±12.32 years,were included.The clinical data of the patients were collected.The boundary of the MPO was measured on three-dimensional CT images before surgery and then again during transabdominal preperitoneal.All the preoperative and intraoperative data were analyzed via paired t-tests.A t-test was used for comparisons of age,body mass index,and sex between the groups.In the comparative analysis,a P value less than 0.05 indicated a significant difference.RESULTS The boundaries of the MPO on 3-dimensional CT images measured 7.05±0.47 cm and 6.27±0.61 cm,and the area of the MPO was 19.54±3.33 cm^(2).The boundaries of the MPO during surgery were 7.18±0.51 cm and 6.17±0.40 cm.The errors were not statistically significant.However,the intraoperative BD(the width of the MPO,P=0.024,P<0.05)and preoperative AC(the length of the MPO,P=0.045,P<0.05)significantly differed according to sex.The AC and BD measurements before and during surgery were not significantly different according to age,body mass index,hernia side or hernia type(P>0.05).CONCLUSION The application of this technology can aid in determining the most appropriate dissection range and patch size.展开更多
Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic muc...Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic mucosal resection(EMR)serve as alternative treatments for lesions at the appendiceal orifice(AO).However,EMR is not appropriate when the lesion margin within the AO cannot be visualized.When lesions extend into the lumen,extended laparoscopic appendectomy(ELA)or combined surgery can be used to resect the lesions.Compared with traditional surgery and EMR,ELA or combined surgery is a safer and more precise option that preserves the function of the ileocecal region.However,the need for coordination between surgeons and endoscopists,along with the requirement for staged procedures and multiple bowel preparations,increases the complexity of the treatment.In recent years,with the advancement of endoscopic full-thickness resection,endoscopic transcecal appendectomy(ETA)has been used to treat SSLs involving the AO.The use of choledochoscopy in conjunction with ETA can further enhance treatment precision.This integrated approach holds promise for replacing the combined endoscopic and laparoscopic surgical techniques.However,additional data are required to confirm its safety and efficacy.展开更多
Zhang et al highlighted the importance of three-dimensional computed tomography reconstruction and myopectineal orifice measurement in laparo-scopic inguinal hernia repair.Their findings indicated that preoperative th...Zhang et al highlighted the importance of three-dimensional computed tomography reconstruction and myopectineal orifice measurement in laparo-scopic inguinal hernia repair.Their findings indicated that preoperative three-dimensional computed tomography provides precise anatomical mapping,allowing surgeons to optimize mesh selection and reduce recurrence rates.Recent studies have corroborated these results,demonstrating that a personalized mesh size based on myopectineal orifice dimensions leads to superior patient outcomes.This article discusses the clinical significance of these advancements in hernia surgery,and emphasises their impact on improving precision,reducing complic-ations,and optimizing surgical planning.展开更多
Gas rapid unloading(GRU)is an innovative technology for ore comminution.Increasing the production of fine powder in each ore grinding cycle is vital for scaling up the GRU method to industrial applications.This study ...Gas rapid unloading(GRU)is an innovative technology for ore comminution.Increasing the production of fine powder in each ore grinding cycle is vital for scaling up the GRU method to industrial applications.This study utilizes laboratory experiments to demon-strate that moderately reducing the orifice size significantly enhances pulverization and increases fine particle yield.Numerical simulations suggest that smaller orifices improve pulverization by increasing jet speed,reducing pressure drop,and creating a larger pressure difference inside and outside the unloading orifice.The orifice size should be optimized based on feed size to ensure efficient ore discharge.Reducing the unloading orifice size improves GRU grinding efficiency and energy use,offering guidance for the design of ore discharge ports in future industrial-scale equipment.展开更多
BACKGROUND Low-grade appendiceal mucinous neoplasms(LAMNs)are a class of histolo-gically well-differentiated adenomas that can proliferate outside the appendix in the form of malignant tumours,resulting in the accumul...BACKGROUND Low-grade appendiceal mucinous neoplasms(LAMNs)are a class of histolo-gically well-differentiated adenomas that can proliferate outside the appendix in the form of malignant tumours,resulting in the accumulation of external appen-diceal mucus.They may present as an extra-appendiceal mass-like bulge,mucus or polypoid tissue at the appendiceal orifice,or even with abdominal dissem-ination.The surgical approach is usually appendectomy,ileocecal resection or right hemicolectomy.It is essential to raise awareness of LAMNs and choose an appropriate treatment.CASE SUMMARY A 68-year-old man underwent a routine physical examination at our hospital on May 17,2022.The patient had no symptoms of abdominal pain,bloating,or weight loss,and his tumour marker levels were normal.The faecal occult blood test was negative,and no abnormalities were identified on physical examination.Colonoscopy revealed a submucosal protrusion at the appendiceal orifice.During endoscopic ultrasound,uneven echoes were observed in the appendix cavity.A contrast-enhanced computed tomography scan of the abdomen revealed a nodular thickening at the base of the appendix,with a diameter of approximately 1 cm.When all the examination results were considered,we suspected the lesion to be an appendiceal mucinous tumour.Laparoscopic surgery was performed using the double purse-string suture method.Postoperative pathology suggested a low-grade mucinous cystadenoma of the appendix with no involvement of the margins.A repeat colonoscopy 18 months after surgery revealed no significant abnormality at the appendiceal orifice.A contrast-enhanced computed tomography scan of the abdomen suggested only postoperative changes.CONCLUSION This study describes a case of LAMN that was treated by resecting the mass at the appendiceal orifice via the double purse-string suture technique and provides new insights on the diagnosis and treatment of LAMNs.展开更多
BACKGROUND Secure transluminal closure remains a fundamental barrier to endoscopic surgery.It has been reported that through-the-scope clips were used to secure the incision of the gallbladder during natural orifice t...BACKGROUND Secure transluminal closure remains a fundamental barrier to endoscopic surgery.It has been reported that through-the-scope clips were used to secure the incision of the gallbladder during natural orifice transluminal endoscopic cholecystolithotomy and were left in the body post-operation.The over-the-scope clip(OTSC)is favored for its rapid deployment and strong anchoring capabilities.Nevertheless,OTSCs are difficult to remove once implanted.The Senscure Biotechnology in China has developed a detachable over-the-scope clip(D-OTSC)for this purpose.Here,we utilized the D-OTSC to successfully close a full-thickness sigmoid defect exceeding 1 cm in diameter.Subsequently,the clip was completely removed postoperatively,yielding favorable clinical outcomes.CASE SUMMARY We present the case of a 51-year-old female patient who underwent natural orifice transluminal endoscopic cholecystolithotomy.The sigmoid incision was closed using a D-OTSC.Postoperative recovery was uneventful,with no abdominal infection or bleeding.The D-OTSC was subsequently removed via enteroscopy in the outpatient department one month later.CONCLUSION The utilization of D-OTSC presents a viable option for closing colonic mucosal incisions ranging from 1 cm to 2 cm.展开更多
基金This project is supported by National Natural Science Foundation of China(No.59975031).
文摘The flow characteristics and cavitation effects of water passing throughsmall sharp-edged cylindrical orifices and valves of different shapes in water hydraulics areinvestigated. The test results using orifices with different aspect ratios and different diametersshow that the flow coefficients in the case of non-cavitating flow are larger than that of flow inthe case of cavitation occurrence. The flow coefficients of flow with cavitation initially decreaseas Reynolds number increases and ultimately tend to be of constant values close to contractioncoefficient. Large aspect ratio has an effect of suppressing cavitation. The experimental resultsabout disc valves illustrate that the valves with sharp edge at large opening are less affected bycavitation than that at small opening. Throttle with triangle notch has better anti-cavitationability than that with square notch. The flowrate of the throttle with square notch is significantlyaffected by the flow direction or the flow passage shape.
文摘In order to improve the baking temperature uniformity of the large ladle in steelmaking plants, the flame combustion characteristics of nozzles with different inner structures were numerically simulated with the finite volume method code Fluent. The flow field and premixed combustion reaction inside and outside the nozzle with multiple gas orifices were exhibited. Meanwhile, the influences of the gas injecting angle and the number of gas orifices on temperature, velocity, and pressure fields were studied. The results show that the flame length and width at the rear of flame temperature field reach the maximum values in the nozzle with the gas injecting angle of 20° and 4 gas orifices for the control of premixed combustion inside the nozzle, which could provide better temperature uniformity in ladles. The length of the 1273 K isothermal surface is 4.89 m, and the cross-section area at 4 m away from the outlet of the nozzle is 0.13 m2. The pressure losses of different types of nozzles range from 112.2 to 169.4 Pa and decrease with the decrement in gas injecting angle and the number of gas orifices. The ladle bottom preheating temperature is increased by 320-360 K for the optimized nozzle. The inner surface temperature differences between wall and bottom of the ladle are less than 10%. There is good baking temperature uniformity after the application of optimum structurally designed nozzles.
文摘With the advent of endoscopic retrograde cholangiopancreatography(ERCP)in the early 1970s,anatomic anomalies of the Vaterian system were described endoscopically[1].Although the occurrence is rare,the common bile duct(CBD)and the pancreatic duct may fail to coalesce during embryologic development.This leads to double major papilla because both ducts open into the duodenum separately[1].In this way the cranial duct communicates with the CBD,while the caudal orifice communicates with the pancreatic duct[2].
基金grateful for the financial support from the National Natural Science Foundation of China(Grant No.22178249).
文摘Foam trays with porous submerged orifices endow bubbles uniformly distributed,which are considered attractive column internals to enhance the gas-liquid mass transfer process.However,its irregular orifice and complex gas-liquid flow make it lack pore-scale investigations concerning the transfer mechanism of dynamic bubbling.In this work,the actual porous structure of the foam tray is obtained based on micro computed tomography technology.The shape,dynamic,and mass transfer of rising bubbles at porous orifices are investigated using the volume of fluid and continue surface force model.The results demonstrate that the liquid encroaching on the gas channels causes the increasing orifices velocity,which makes the trailing bubble easily detach from the midst of the leading bubble and causes pairing coalescence.Additionally,we found that the central breakup regimes significantly improve the gas-liquid interface area and mass transfer efficiency.This discovery exemplifies the mechanism of mass transfer intensification for foam trays and serves to promote its further development.
基金supported by the National Natural Science Foundation of China(Grant Nos.91441125,51106113,51006075)the Key Project of the Shanghai Synchrotron Radiation Facility(Grant No.2016-SSRF-ZD-004512)Tongji University Outstanding Young Talents Project(Grant No.2015KJ037)
文摘The design of fuel nozzle orifices at micrometer scales is crucial for generating desired fuel spray patterns, and consequently optimizing fuel combustion and emission in internal combustion engines. Although there have been several recent advancements in the characterization of orifice internal geometries, quantitative studies on the orifice internal wall surface characteristics are still challeges due to the lack of effective measuring methods. A new method for quantifying the internal wall surface characteristics of fuel nozzle micro-orifices is presented in this study to achieve a better understanding and prediction of spray characteristics: Firstly, by using the synchrotron X-ray micro CT technology, a three-dimensional digital model of the fuel nozzle tip was constructed. Secondly, a data post-processing technique was then applied to unfold the orifice internal wall surface to a flat base plane. Finally, the conventional surface characteristic quantification techniques can be used to evaluate the wall surface characteristics. Two diesel nozzles with identical orifice geometry design but different hydraulic grinding time were measured using this method. One nozzle was hydro-ground for 2 s while the other was not. The internal wall surfaces of the two orifices were successfully unfolded to base planes and their surface characteristics were respectively analyzed. The surface fluctuation data were perfectly reproduced by a Gaussian distribution function. The standard deviations of the distribution demonstrate the fluctuation range and the distribution of the entire surface fluctuation profiles. As an effective parameter to evaluate the hydraulic grinding process and the spray behaviors, the standard deviation was considered feasible for the analysis of the orifice internal wall surface characteristics.
文摘The present work deals with the computation of the gas-solid two-phase flow pressure drop across thin and thick orifices for a vertically downward flow configuration at the higher limits of a dilute phase flow situation(0.01≤αs,in≤0.10).The Eulerian-Eulerian(two-fluid)model has been used in conjunction with the kinetic theory of granular flow with a four-way coupling approach.The validation of the solution process has been performed by comparing the computational result with the existing experimental data.It is observed that the two-phase flow pressure drop across the orifice increases with an increase in the thickness of the orifice,and the effect is more prominent at higher solid loading.The pressure drop is found to increase with an increase in the solid volume fraction.An increase in the Reynolds number or the area ratio increases the pressure drop.An increase in the size of the particles reduces the pressure drop across the orifice at both small and relatively large solid volume fractions.Finally,a two-phase multiplier has been proposed in terms of the relevant parameters,which can be useful to evaluate the gas-solid two-phase flow pressure drop across the orifice and can subsequently help to improve the system performance.
文摘A steady,axisymmetric vortex at an entrance of horizontal orifice,with an air- core,was formed within a special apparatus.The tangential,radial and axial velocities and their fluctuation strengths were measured in detail.The results were given in terms of formulas or curves.It shows a clear picture of vortex flow-field.
基金Supported by the 2022 Provincial Quality Engineering Project for Higher Education Institutions,No.2022sx031the 2023 Provincial Quality Engineering Project for Higher Education Institutions,No.2023jyxm1071.
文摘BACKGROUND Inguinal hernias are common after surgery.Tension-free repair is widely accepted as the main method for managing inguinal hernias.Adequate exposure,coverage,and repair of the myopectineal orifice(MPO)are necessary.However,due to differences in race and sex,people’s body shapes vary.According to European guidelines,the patch should measure 10 cm×15 cm.If any part of the MPO is dissected,injury to the nerves,vascular network,or organs may occur during surgery,thereby leading to inguinal discomfort,pain,and seroma formation after surgery.Therefore,accurate localization and measurement of the boundary of the MPO are crucial for selecting the optimal patch for inguinal hernia repair.AIM To compare the size of the MPO measured on three-dimensional multislice spiral computed tomography(CT)with that measured via laparoscopy and explore the relevant factors influencing the size of the MPO.METHODS Clinical data from 74 patients who underwent laparoscopic tension-free inguinal hernia repair at the General Surgery Department of the First Affiliated Hospital of Anhui University of Science and Technology between September 2022 and July 2024 were collected and analyzed retrospectively.Transabdominal preperitoneal was performed.Sixty-four males and 10 females,with an average age of 58.30±12.32 years,were included.The clinical data of the patients were collected.The boundary of the MPO was measured on three-dimensional CT images before surgery and then again during transabdominal preperitoneal.All the preoperative and intraoperative data were analyzed via paired t-tests.A t-test was used for comparisons of age,body mass index,and sex between the groups.In the comparative analysis,a P value less than 0.05 indicated a significant difference.RESULTS The boundaries of the MPO on 3-dimensional CT images measured 7.05±0.47 cm and 6.27±0.61 cm,and the area of the MPO was 19.54±3.33 cm^(2).The boundaries of the MPO during surgery were 7.18±0.51 cm and 6.17±0.40 cm.The errors were not statistically significant.However,the intraoperative BD(the width of the MPO,P=0.024,P<0.05)and preoperative AC(the length of the MPO,P=0.045,P<0.05)significantly differed according to sex.The AC and BD measurements before and during surgery were not significantly different according to age,body mass index,hernia side or hernia type(P>0.05).CONCLUSION The application of this technology can aid in determining the most appropriate dissection range and patch size.
文摘Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic mucosal resection(EMR)serve as alternative treatments for lesions at the appendiceal orifice(AO).However,EMR is not appropriate when the lesion margin within the AO cannot be visualized.When lesions extend into the lumen,extended laparoscopic appendectomy(ELA)or combined surgery can be used to resect the lesions.Compared with traditional surgery and EMR,ELA or combined surgery is a safer and more precise option that preserves the function of the ileocecal region.However,the need for coordination between surgeons and endoscopists,along with the requirement for staged procedures and multiple bowel preparations,increases the complexity of the treatment.In recent years,with the advancement of endoscopic full-thickness resection,endoscopic transcecal appendectomy(ETA)has been used to treat SSLs involving the AO.The use of choledochoscopy in conjunction with ETA can further enhance treatment precision.This integrated approach holds promise for replacing the combined endoscopic and laparoscopic surgical techniques.However,additional data are required to confirm its safety and efficacy.
文摘Zhang et al highlighted the importance of three-dimensional computed tomography reconstruction and myopectineal orifice measurement in laparo-scopic inguinal hernia repair.Their findings indicated that preoperative three-dimensional computed tomography provides precise anatomical mapping,allowing surgeons to optimize mesh selection and reduce recurrence rates.Recent studies have corroborated these results,demonstrating that a personalized mesh size based on myopectineal orifice dimensions leads to superior patient outcomes.This article discusses the clinical significance of these advancements in hernia surgery,and emphasises their impact on improving precision,reducing complic-ations,and optimizing surgical planning.
基金financially supported by the National Natural Science Foundation of China(No.51934001)。
文摘Gas rapid unloading(GRU)is an innovative technology for ore comminution.Increasing the production of fine powder in each ore grinding cycle is vital for scaling up the GRU method to industrial applications.This study utilizes laboratory experiments to demon-strate that moderately reducing the orifice size significantly enhances pulverization and increases fine particle yield.Numerical simulations suggest that smaller orifices improve pulverization by increasing jet speed,reducing pressure drop,and creating a larger pressure difference inside and outside the unloading orifice.The orifice size should be optimized based on feed size to ensure efficient ore discharge.Reducing the unloading orifice size improves GRU grinding efficiency and energy use,offering guidance for the design of ore discharge ports in future industrial-scale equipment.
基金Supported by Jinhua City Science and Technology Plan Projects“Improve the Polarization of Cancer-related Fatigue:Clinical Efficacy Study”,No.2018-4-049.
文摘BACKGROUND Low-grade appendiceal mucinous neoplasms(LAMNs)are a class of histolo-gically well-differentiated adenomas that can proliferate outside the appendix in the form of malignant tumours,resulting in the accumulation of external appen-diceal mucus.They may present as an extra-appendiceal mass-like bulge,mucus or polypoid tissue at the appendiceal orifice,or even with abdominal dissem-ination.The surgical approach is usually appendectomy,ileocecal resection or right hemicolectomy.It is essential to raise awareness of LAMNs and choose an appropriate treatment.CASE SUMMARY A 68-year-old man underwent a routine physical examination at our hospital on May 17,2022.The patient had no symptoms of abdominal pain,bloating,or weight loss,and his tumour marker levels were normal.The faecal occult blood test was negative,and no abnormalities were identified on physical examination.Colonoscopy revealed a submucosal protrusion at the appendiceal orifice.During endoscopic ultrasound,uneven echoes were observed in the appendix cavity.A contrast-enhanced computed tomography scan of the abdomen revealed a nodular thickening at the base of the appendix,with a diameter of approximately 1 cm.When all the examination results were considered,we suspected the lesion to be an appendiceal mucinous tumour.Laparoscopic surgery was performed using the double purse-string suture method.Postoperative pathology suggested a low-grade mucinous cystadenoma of the appendix with no involvement of the margins.A repeat colonoscopy 18 months after surgery revealed no significant abnormality at the appendiceal orifice.A contrast-enhanced computed tomography scan of the abdomen suggested only postoperative changes.CONCLUSION This study describes a case of LAMN that was treated by resecting the mass at the appendiceal orifice via the double purse-string suture technique and provides new insights on the diagnosis and treatment of LAMNs.
基金Supported by Natural Science Foundation of Fujian Province,China,No.2021J01545.
文摘BACKGROUND Secure transluminal closure remains a fundamental barrier to endoscopic surgery.It has been reported that through-the-scope clips were used to secure the incision of the gallbladder during natural orifice transluminal endoscopic cholecystolithotomy and were left in the body post-operation.The over-the-scope clip(OTSC)is favored for its rapid deployment and strong anchoring capabilities.Nevertheless,OTSCs are difficult to remove once implanted.The Senscure Biotechnology in China has developed a detachable over-the-scope clip(D-OTSC)for this purpose.Here,we utilized the D-OTSC to successfully close a full-thickness sigmoid defect exceeding 1 cm in diameter.Subsequently,the clip was completely removed postoperatively,yielding favorable clinical outcomes.CASE SUMMARY We present the case of a 51-year-old female patient who underwent natural orifice transluminal endoscopic cholecystolithotomy.The sigmoid incision was closed using a D-OTSC.Postoperative recovery was uneventful,with no abdominal infection or bleeding.The D-OTSC was subsequently removed via enteroscopy in the outpatient department one month later.CONCLUSION The utilization of D-OTSC presents a viable option for closing colonic mucosal incisions ranging from 1 cm to 2 cm.
