BACKGROUND Proliferative myositis is a rare benign tumor that is typically self-limiting and does not become malignant.It can be cured by simple resection without reported recurrence.Due to its rapid growth,hard struc...BACKGROUND Proliferative myositis is a rare benign tumor that is typically self-limiting and does not become malignant.It can be cured by simple resection without reported recurrence.Due to its rapid growth,hard structure and ill-defined borders,it can however be mistaken for malignant tumors such as sarcomas.CASE SUMMARY We investigate the case of a 64-year-old male with proliferative myositis of the abdominal wall,who was preoperatively administered a needle aspiration biopsy and given a simple excision and patch repair.We then compared it with other similar cases to determine the effectiveness of this treatment method.CONCLUSION Resection with follow-up observation has shown to be an effective treatment method for proliferative myositis.To avoid unnecessarily extended or destructive resection,a thorough and conclusive diagnosis is crucial,which requires adequate imaging and pathological knowledge.展开更多
Advantages of polyethylene pipes over traditional steel or metal pipes have increased industry interest in the use of polyethylene(PE)pipelines for underground applications and especially in gas distribution networks....Advantages of polyethylene pipes over traditional steel or metal pipes have increased industry interest in the use of polyethylene(PE)pipelines for underground applications and especially in gas distribution networks.In this study,finite element analysis is used to calculate the stress distribution in a patch repaired defective gas pipe under internal pressure.The pipe is assumed to be buried at a depth of 125 cm.The material is assumed to be medium density PE80B,where the patch material was selected from high density polyethylene(HDPE).During the loading process,the seasonal pipe temperature changes,surcharge loads,soil column weight,and soil-pipe interaction were included in the analysis.Four types of patch arrangements were selected to repair the damaged pipe.The shape of the defect hole was deemed as circular or elliptic.With respect to elliptic defects,various minor to major diameter ratios,a/b,were selected to simulate a circular to a crack shaped defect.Based on the results,the semi-circular and saddle fusion patches decrease the peak von Mises stress in the pipe by almost the same amount.However,the minimum peak von Mises stress in the patch corresponds to the saddle fusion repair arrangement.Based on the results,with respect to a saddle fusion repair,when the shape of the defect approaches a crack,the peak von Mises stress in the pipe almost doubles and exceeds the pipe allowable stress for a working life of 50 years.With respect to higher values of a/b,the stress level in the patch repaired pipe is significantly below its limiting value for the same life expectancy.展开更多
This paper seeks to outline a novel three-layer model and a new birth-dteath element solution technique to evaluate static strength of notched metallic panel repaired with bonded com- posite patch and to optimize mate...This paper seeks to outline a novel three-layer model and a new birth-dteath element solution technique to evaluate static strength of notched metallic panel repaired with bonded com- posite patch and to optimize material parameters. The higher order 3D, 8-node isotropic solid ele- ment and 8-node anisotropic layered solid element with three degrees of freedom per node are respectively implemented to model substrate panel, adhesive layer and composite patch to establish three-layer model of repaired panel. The new solving technique based on birth-death element is developed to allow solution of the stress pattern of repaired panel for identifying failure mode. The new model and its solution are used to model failure mode and residual strength of repaired panel, and the obtained results have a good agreement with the experimental findings. Finally, the influences of material parameter of adhesive layer and composite patch on the residual strength of repaired panel are investigated for optimizing material properties to meet operational and envi- ronmental constraints.展开更多
BACKGROUND Laparoscopic pancreatoduodenectomy (LPD) has been developed gradually with the advances in surgical laparoscopic techniques. It is technically challenging to perform LPD with portal vein resection and recon...BACKGROUND Laparoscopic pancreatoduodenectomy (LPD) has been developed gradually with the advances in surgical laparoscopic techniques. It is technically challenging to perform LPD with portal vein resection and reconstruction. CASE SUMMARY A 71-year-old female patient was diagnosed with distal cholangiocarcinoma. After preoperative examination and rigorous preoperative preparation, the patient underwent LPD using 3D laparoscopy on July 17, 2018. During the surgery, we found that the tumor invaded the right wall of the portal vein;thus, pancreaticoduodenectomy combined with partial portal vein wall resection was performed. The defect of the portal vein wall was approximately 2.5 cm × 1.0 cm. The hepatic ligamentum teres was excised by laparoscopy and then recanalized in vitro. Following recanalization, the hepatic ligamentum teres was cut longitudinally and then trimmed into vascular patches that were then used to reconstruct the defect of the portal vein through 3D laparoscopy. The operative time was 560 min, and intraoperative blood loss was 100 mL. The duration of the blood occlusion time was 63 min. No blood transfusion was required. The patient underwent enhanced recovery after surgery procedures after the operation. The patient was discharged on postoperative day 11. Follow-up for 6 months after discharge showed no stenosis of the portal vein and good patency of blood flow. CONCLUSION It is safe and feasible to use the hepatic ligamentum teres patch to repair portal vein in LPD. However, the long-term patency of this technique for venous reconstruction requires further investigation.展开更多
BACKGROUND Gastric ulcer perforation is a critical condition that can lead to significant morbidity and mortality if not promptly addressed.It is often the result of chronic peptic ulcer disease,which is characterized...BACKGROUND Gastric ulcer perforation is a critical condition that can lead to significant morbidity and mortality if not promptly addressed.It is often the result of chronic peptic ulcer disease,which is characterized by a breach in the gastric wall due to ulceration.Surgical intervention is essential for managing this life-threatening complication.However,the optimal surgical technique remains debatable among clinicians.Various methods have been employed,including simple closure,omental patch repair,and partial gastrectomy,each with distinct advantages and disadvantages.Understanding the comparative efficacy and postoperative outcomes of these techniques is crucial for improving patient care and surgical decision-making.This study addresses the need for a comprehensive analysis in this area.AIM To compare the efficacy and postoperative complications of different surgical methods for the treatment of gastric ulcer perforation.METHODS A retrospective analysis was conducted on 120 patients who underwent surgery for gastric ulcer perforation between September 2020 and June 2023.The patients were divided into three groups based on the surgical method:Simple closure,omental patch repair,and partial gastrectomy.The primary outcomes were the operative success rate and incidence of postoperative complications.Secondary outcomes included the length of hospital stay,recovery time,and long-term quality of life.RESULTS The operative success rates for simple closure,omental patch repair,and partial gastrectomy were 92.5%,95%,and 97.5%,respectively.Postoperative complications occurred in 20%,15%,and 17.5%of patients in each group,respectively.The partial gastrectomy group showed a significantly longer operative time(P<0.001)but the lowest rate of ulcer recurrence(2.5%,P<0.05).The omental patch repair group demonstrated the shortest hospital stay(mean 7.2 days,P<0.05)and fastest recovery time.CONCLUSION While all three surgical methods showed high success rates,omental patch repair demonstrated the best overall outcomes,with a balance of high efficacy,low complication rates,and shorter recovery time.However,the choice of the surgical method should be tailored to individual patient factors and the surgeon’s expertise.展开更多
The interfacial debonding in fiber-reinforced plastic(FRP)strengthened repair material will affect the bonding strength and lead to failure of the repair without warning.Unfortunately the interfacial damage is normall...The interfacial debonding in fiber-reinforced plastic(FRP)strengthened repair material will affect the bonding strength and lead to failure of the repair without warning.Unfortunately the interfacial damage is normally invisible and often in the form of a patch rather than a through-width crack.Therefore,a debonding patch detection technique based on fiber optic interferometry is proposed.A quasi-impulse loading is applied with a rubberhead hammer and the total elongation of a surface-mounted optical fiber along the length of the repair material is measured as a function of load position.When a debonding patch is present,the induced sudden slope or sign change on the plot of fiber integral strain v.s.load position will reveal the extent and the location of the debonded area.The results of the study indicate that the proposed technique is applicable for debonding patch detection in repaired members under various support conditions.展开更多
基金Supported by Yonghua Mou’s Famous Doctor Studio,No.2020-42.
文摘BACKGROUND Proliferative myositis is a rare benign tumor that is typically self-limiting and does not become malignant.It can be cured by simple resection without reported recurrence.Due to its rapid growth,hard structure and ill-defined borders,it can however be mistaken for malignant tumors such as sarcomas.CASE SUMMARY We investigate the case of a 64-year-old male with proliferative myositis of the abdominal wall,who was preoperatively administered a needle aspiration biopsy and given a simple excision and patch repair.We then compared it with other similar cases to determine the effectiveness of this treatment method.CONCLUSION Resection with follow-up observation has shown to be an effective treatment method for proliferative myositis.To avoid unnecessarily extended or destructive resection,a thorough and conclusive diagnosis is crucial,which requires adequate imaging and pathological knowledge.
文摘Advantages of polyethylene pipes over traditional steel or metal pipes have increased industry interest in the use of polyethylene(PE)pipelines for underground applications and especially in gas distribution networks.In this study,finite element analysis is used to calculate the stress distribution in a patch repaired defective gas pipe under internal pressure.The pipe is assumed to be buried at a depth of 125 cm.The material is assumed to be medium density PE80B,where the patch material was selected from high density polyethylene(HDPE).During the loading process,the seasonal pipe temperature changes,surcharge loads,soil column weight,and soil-pipe interaction were included in the analysis.Four types of patch arrangements were selected to repair the damaged pipe.The shape of the defect hole was deemed as circular or elliptic.With respect to elliptic defects,various minor to major diameter ratios,a/b,were selected to simulate a circular to a crack shaped defect.Based on the results,the semi-circular and saddle fusion patches decrease the peak von Mises stress in the pipe by almost the same amount.However,the minimum peak von Mises stress in the patch corresponds to the saddle fusion repair arrangement.Based on the results,with respect to a saddle fusion repair,when the shape of the defect approaches a crack,the peak von Mises stress in the pipe almost doubles and exceeds the pipe allowable stress for a working life of 50 years.With respect to higher values of a/b,the stress level in the patch repaired pipe is significantly below its limiting value for the same life expectancy.
基金supported by the National Natural Science Foundation (No. 51075019)Aeronautical Science Foundation of China (No. 20095251024)
文摘This paper seeks to outline a novel three-layer model and a new birth-dteath element solution technique to evaluate static strength of notched metallic panel repaired with bonded com- posite patch and to optimize material parameters. The higher order 3D, 8-node isotropic solid ele- ment and 8-node anisotropic layered solid element with three degrees of freedom per node are respectively implemented to model substrate panel, adhesive layer and composite patch to establish three-layer model of repaired panel. The new solving technique based on birth-death element is developed to allow solution of the stress pattern of repaired panel for identifying failure mode. The new model and its solution are used to model failure mode and residual strength of repaired panel, and the obtained results have a good agreement with the experimental findings. Finally, the influences of material parameter of adhesive layer and composite patch on the residual strength of repaired panel are investigated for optimizing material properties to meet operational and envi- ronmental constraints.
文摘BACKGROUND Laparoscopic pancreatoduodenectomy (LPD) has been developed gradually with the advances in surgical laparoscopic techniques. It is technically challenging to perform LPD with portal vein resection and reconstruction. CASE SUMMARY A 71-year-old female patient was diagnosed with distal cholangiocarcinoma. After preoperative examination and rigorous preoperative preparation, the patient underwent LPD using 3D laparoscopy on July 17, 2018. During the surgery, we found that the tumor invaded the right wall of the portal vein;thus, pancreaticoduodenectomy combined with partial portal vein wall resection was performed. The defect of the portal vein wall was approximately 2.5 cm × 1.0 cm. The hepatic ligamentum teres was excised by laparoscopy and then recanalized in vitro. Following recanalization, the hepatic ligamentum teres was cut longitudinally and then trimmed into vascular patches that were then used to reconstruct the defect of the portal vein through 3D laparoscopy. The operative time was 560 min, and intraoperative blood loss was 100 mL. The duration of the blood occlusion time was 63 min. No blood transfusion was required. The patient underwent enhanced recovery after surgery procedures after the operation. The patient was discharged on postoperative day 11. Follow-up for 6 months after discharge showed no stenosis of the portal vein and good patency of blood flow. CONCLUSION It is safe and feasible to use the hepatic ligamentum teres patch to repair portal vein in LPD. However, the long-term patency of this technique for venous reconstruction requires further investigation.
文摘BACKGROUND Gastric ulcer perforation is a critical condition that can lead to significant morbidity and mortality if not promptly addressed.It is often the result of chronic peptic ulcer disease,which is characterized by a breach in the gastric wall due to ulceration.Surgical intervention is essential for managing this life-threatening complication.However,the optimal surgical technique remains debatable among clinicians.Various methods have been employed,including simple closure,omental patch repair,and partial gastrectomy,each with distinct advantages and disadvantages.Understanding the comparative efficacy and postoperative outcomes of these techniques is crucial for improving patient care and surgical decision-making.This study addresses the need for a comprehensive analysis in this area.AIM To compare the efficacy and postoperative complications of different surgical methods for the treatment of gastric ulcer perforation.METHODS A retrospective analysis was conducted on 120 patients who underwent surgery for gastric ulcer perforation between September 2020 and June 2023.The patients were divided into three groups based on the surgical method:Simple closure,omental patch repair,and partial gastrectomy.The primary outcomes were the operative success rate and incidence of postoperative complications.Secondary outcomes included the length of hospital stay,recovery time,and long-term quality of life.RESULTS The operative success rates for simple closure,omental patch repair,and partial gastrectomy were 92.5%,95%,and 97.5%,respectively.Postoperative complications occurred in 20%,15%,and 17.5%of patients in each group,respectively.The partial gastrectomy group showed a significantly longer operative time(P<0.001)but the lowest rate of ulcer recurrence(2.5%,P<0.05).The omental patch repair group demonstrated the shortest hospital stay(mean 7.2 days,P<0.05)and fastest recovery time.CONCLUSION While all three surgical methods showed high success rates,omental patch repair demonstrated the best overall outcomes,with a balance of high efficacy,low complication rates,and shorter recovery time.However,the choice of the surgical method should be tailored to individual patient factors and the surgeon’s expertise.
基金supported by the National Natural Science Foundation of China(No.51278156)the Basic Project of Shenzhen Science & Technology Program(No.JCYJ2017030155815876)
文摘The interfacial debonding in fiber-reinforced plastic(FRP)strengthened repair material will affect the bonding strength and lead to failure of the repair without warning.Unfortunately the interfacial damage is normally invisible and often in the form of a patch rather than a through-width crack.Therefore,a debonding patch detection technique based on fiber optic interferometry is proposed.A quasi-impulse loading is applied with a rubberhead hammer and the total elongation of a surface-mounted optical fiber along the length of the repair material is measured as a function of load position.When a debonding patch is present,the induced sudden slope or sign change on the plot of fiber integral strain v.s.load position will reveal the extent and the location of the debonded area.The results of the study indicate that the proposed technique is applicable for debonding patch detection in repaired members under various support conditions.
