145 research outputs found
A method of processing the cult of the cystic duct and artery during laparoscopic cholecystectomy = Способы обработки культи пузырного протока и артерии при лапароскопической холецистэктомии
No full textKashtalyan M. A., Kolotvin A. A., Kvasnevsky Ye. A., Kvasnevsky A. A. A method of processing the cult of the cystic duct and artery during laparoscopic cholecystectomy = Способы обработки культи пузырного протока и артерии при лапароскопической холецистэктомии. Journal of Education, Health and Sport. 2015;5(4):17-22. ISSN 2391-8306. DOI: 10.5281/zenodo.16538
http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%284%29%3A17-22
https://pbn.nauka.gov.pl/works/552853
http://dx.doi.org/10.5281/zenodo.16538
Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive
Deklaracja.
Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.
Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.
The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).
© The Author (s) 2015;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,
provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License
(http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 20.01.2014. Revised 27.02.2015. Accepted: 15.03.2015.
A method of processing the cult of the cystic duct and artery
During laparoscopic cholecystectomy
Способы обработки культи пузырного протока и артерии
при лапароскопической холецистэктомии
М. А. Каштальян, А. А. Колотвин, Е. А. Квасневский, А. А. Квасневский
M. A. Kashtalyan, A. A. Kolotvin, Ye. A. Kvasnevsky, A. A. Kvasnevsky
Odessa national medical university, Odessa
Одесский национальный медицинский университет, Одесса
Abstract
The differentiated using of different ways of treatment of stump of cystic channel and artery for laparoscopic cholecystectomia favourably influences on the flow of postoperative period. It is well-proven. That the most optimal method of treatment of cystic channel and artery is application of polymeric ligature clips, because duration of operation was 35,3 ± 10,3 min, complications were not observed, that assisted more rapid postoperative rehabilitation of these patients and reduction of terms of stationary treatment.
Keywords: laparoscopic cholecystectomia, cholelithiasis, polymeric clips.
Резюме
Дифференцированное использование различных способов обработки культи пузырного протока и артерии при лапароскопической холецистэктомии благоприятно влияет на течение послеоперационного периода. Доказано, что наиболее оптимальным способом обработки пузырного протока и артерии является применение нерассасывающих полимерных лигатурных клипов, так как продолжительность операции составила 35,3 ± 10,3 мин., осложнений не наблюдалось, что способствует более быстрой послеоперационной реабилитации этих больных и сокращению сроков стационарного лечения.
Ключевые слова: желчекаменная болезнь, лапароскопическая холецистэктомия, нерассасывающие полимерные клипы
Predicting residual stiffness of cracked composite laminates subjected to multi-axial inplane loading
No full textThis is a contribution to the exercise that aims to benchmark and validate the current continuum damage and fracture mechanics methodologies used for predicting the mechanical behaviour of fibre-reinforced plastic composites under complex loadings. The paper describes an analytical approach to predict the effect of intra- (matrix cracking and splitting) and inter-laminar (delamination) damage on the residual stiffness properties of the laminate, which can be used in the post-initial failure analysis, taking full account of damage mode interaction. The approach is based on a two-dimensional shear lag stress analysis and the equivalent constraint model of the damaged laminate with multiple damaged plies. The application of the approach to predicting degraded stiffness properties of a multidirectional laminate with multilayer intra- and inter-laminar damage is demonstrated for [0/90/0] and [0/908/0] cross-ply laminates made from a specific glass/epoxy system under in-plane uniaxial and biaxial loading damaged by transverse and longitudinal matrix cracks and crack-induced transverse and longitudinal delamination. © The Author(s) 2013
Original variant of laparoscopic cholecystectomy
No full textАвтором оперирован 4091 больной с калькулезным холециститом, из них лапароскопическая холецистэктомия выполнена 3745 больным. 24 больным лапароскопическая холецистэктомия выполнена с помощью одного 10 мм и двух 5 мм портов. 14 больным операция выполнена с помощью одного 10 мм и одного 5 мм порта с применением оригинального крючка. Данная методика обеспечивает хорошие косметические результаты с помощью обычных инструментов и сохраняет все преимущества лапароскопической холецистэктомииThe author presents his experience with management of 4091 patient with cholelithiasis who were operated. Laparoscopic cholecystectomy was performed in 3745 patients. 24 laparoscopic cholecystectomies were performed by one 10 mm and two 5 mm ports. 14 patients underwent laparoscopic cholecystectomy throw one 10 mm and one 5 mm of port with the using of original hook. This method provides good cosmetic results by ordinary instruments and saves all the advantages of laparoscopic cholecystectomy
Strain energy release rate for crack tip delaminations in angle-ply continuous fibre reinforced composite laminates
No full textThe expressions for the strain energy release rate associated with local delaminations growing from the tips of angle ply matrix cracks in orthotropic laminates loaded in tension are presented. Strain energy release rate and the laminate residual stiffness properties are predicted as functions of matrix crack density and delamination length. © 2003 Elsevier Ltd. All rights reserved
Three-dimensional elastic deformation of a functionally graded coating/substrate system
No full textAbstractThe concept of functionally graded material (FGM) is actively explored in coating design for the purpose of eliminating the mismatch of material properties at the coating/substrate interface, typical for conventional coatings, which can lead to cracking, debonding and eventual functional failure of the coating. In this paper, an FGM coating/substrate system of finite thickness subjected to transverse loading is analysed within the context of three-dimensional elasticity theory. The Young’s modulus of the coating is assumed to vary exponentially through the thickness, and the Poisson’s ratio is assumed to be constant. A comparative study of FGM versus homogeneous coating is conducted, and the dependence of stress and displacement fields in the coating substrate/system on the type of coating, geometry and loading is examined and discussed
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