• Title/Summary/Keyword: Synthetic mesh

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Comparing Complications of Biologic and Synthetic Mesh in Breast Reconstruction: A Systematic Review and Network Meta-Analysis

  • Young-Soo Choi;Hi-Jin You;Tae-Yul Lee;Deok-Woo Kim
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.3-9
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    • 2023
  • Background In breast reconstruction, synthetic meshes are frequently used to replace acellular dermal matrix (ADM), since ADM is expensive and often leads to complications. However, there is limited evidence that compares the types of substitutes. This study aimed to compare complications between materials via a network meta-analysis. Methods We systematically reviewed studies reporting any type of complication from 2010 to 2021. The primary outcomes were the proportion of infection, seroma, major complications, or contracture. We classified the intervention into four categories: ADM, absorbable mesh, nonabsorbable mesh, and nothing used. We then performed a network meta-analysis between these categories and estimated the odds ratio with random-effect models. Results Of 603 searched studies through the PubMed, MEDLINE, and Embase databases, following their review by two independent reviewers, 61 studies were included for full-text reading, of which 17 studies were finally included. There was a low risk of bias in the included studies, but only an indirect comparison between absorbable and non-absorbable mesh was possible. Infection was more frequent in ADM but not in the two synthetic mesh groups, namely the absorbable or nonabsorbable types, compared with the nonmesh group. The proportion of seroma in the synthetic mesh group was lower (odds ratio was 0.2 for the absorbable and 0.1 for the nonabsorbable mesh group) than in the ADM group. Proportions of major complications and contractures did not significantly differ between groups. Conclusion Compared with ADM, synthetic meshes have low infection and seroma rates. However, more studies concerning aesthetic outcomes and direct comparisons are needed.

A study on the Application of STS wire Mesh air Cleaner for the 2-Wheel Automotive (2륜 자동차 공기청정기의 STS적용에 관한 연구)

  • Yi, C.S.;Lee, Y.H.;Suh, J.S.;Chung, H.S.;Jeong, H.M.
    • Journal of Power System Engineering
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    • v.6 no.4
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    • pp.30-35
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    • 2002
  • This study represents the effects of the material of the air cleaner on the performance in a 4-stroke spark-ignition engine for motorcycles. This study is mainly focused on the possibility of the adopting the STS wire mesh air cleaner of a S.I engine. For investigating the possibility of that, the engine power, the fuel consumption and the exhaust gas analysis were carried out for the synthetic fiber air cleaner and the different size of 200 mesh, 250 mesh, 300 mesh of STS wire mash air cleaner. As the results of this study, the performance of STS wire air cleaner was similar to the fiber air cleaner at 9000 rpm but 300 mesh of STS air cleaner had a high engine power and torque at 9500 rpm. In the case of the synthetic fiber air cleaner the concentration of CO was low at 6500 rpm and in the case of the 300 mesh in STS wire mesh air cleaner the concentration of HC was lowest at all experimental regions.

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Usefulness of Muscle Plication and Synthetic Mesh in Breast Reconstruction Using TRAM Pedicled Flap (배곧은근피판을 이용한 유방재건 시 복벽의 주름형성과 합성그물을 이용한 복부성형술의 유용성)

  • Park, Jung Min;Park, Su Seong;Lee, Keun Cheol;Kim, Seok Kwun;Cho, Se Hyun
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.643-647
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    • 2006
  • Purpose: The transverse rectus abdominis myocutaneous(TRAM) flap has become a mainstay of breast reconstruction. The chief disadvantage of the TRAM flap is its potential to create a weakness in the abdominal wall. Nowadays true hernia is less frequent, but bulging that appears at the muscle donor site, or at the contralateral side, or at the epigastric area is still remained as a problem. To prevent this complications, we have used synthetic mesh as well as abdominal muscle plication. Now we report the result of our methods. Methods: We started to use synthetic mesh and muscle plication as supplementary reinforcement for entire abdominal wall, after TRAM flap harvesting, in an attempt to stabilize it and achieve a superior aesthetic result since 2002. We observed complications of TRAM flap donor site, and compared our results (from January, 2002 to January, 2006) with other operator's result (before 2001) at the same hospital in aspect of incidence of abdominal complications. Results: 42 consecutive patients have been performed routine reinforcement with the extended mesh technique and muscle plication from January, 2002 to January, 2006. Mean patient follow up was 25.2 months. No hernia or mesh related infection were encountered and only one patient had a mild abdominal bulging. Nevertheless the our good results, there were no significant statistical differences were observed between two groups. Conclusion: We recommend the using of synthetic mesh and muscle plication for donor site reconstruction after TRAM flap breast reconstruction to improve strength as well as aesthetic quality of the abdominal wall.

Successful management of absent sternum in an infant using porcine acellular dermal matrix

  • Semlacher, Roy Alfred;Nuri, Muhammand A.K.
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.470-474
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    • 2019
  • Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. The patient was a full-term male with trisomy 21, agenesis of corpus callosum, ventricular septal defect, patent ductus arteriosus, right-sided aortic arch, and congenital absence of sternum with no sternal bars. Following removal of the infected synthetic mesh, negative pressure wound therapy with instillation was used to manage the open wound and provide direct antibiotic therapy. When blood C-reactive protein levels declined to ${\leq}2mg/L$, the sternum was reconstructed using porcine acellular dermal matrix. At 21 months postoperative, the patient demonstrated no respiratory issues. Physical examination and computed tomography imaging identified good approximation of the clavicular heads and sternal cleft and forward curvature of the ribs. This case illustrates the benefits of negative pressure wound therapy and acellular dermal matrix for the reconstruction of absent sternum in the context of infected sternal surgical site previously repaired with synthetic mesh.

Photorealistic Real-Time Dense 3D Mesh Mapping for AUV (자율 수중 로봇을 위한 사실적인 실시간 고밀도 3차원 Mesh 지도 작성)

  • Jungwoo Lee;Younggun Cho
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.188-195
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    • 2024
  • This paper proposes a photorealistic real-time dense 3D mapping system that utilizes a neural network-based image enhancement method and mesh-based map representation. Due to the characteristics of the underwater environment, where problems such as hazing and low contrast occur, it is hard to apply conventional simultaneous localization and mapping (SLAM) methods. At the same time, the behavior of Autonomous Underwater Vehicle (AUV) is computationally constrained. In this paper, we utilize a neural network-based image enhancement method to improve pose estimation and mapping quality and apply a sliding window-based mesh expansion method to enable lightweight, fast, and photorealistic mapping. To validate our results, we utilize real-world and indoor synthetic datasets. We performed qualitative validation with the real-world dataset and quantitative validation by modeling images from the indoor synthetic dataset as underwater scenes.

Thermal Characteristics Investigation of Space-borne Deployable Mesh Antenna according to the Mesh Weaving Density (OPI) (메쉬 제직 밀도(OPI)에 따른 우주용 전개형 메쉬 안테나의 열적 특성 분석)

  • Bong-Geon Chae;Hye-In Kim;Hyun-Kyu Baek;Hyun-Ung Oh
    • Journal of Aerospace System Engineering
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    • v.17 no.4
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    • pp.1-9
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    • 2023
  • Recently, as Synthetic Aperture Radar (SAR), communication, and signal surveillance missions of spacecraft have become more advanced, research has been actively conducted on the deployable large mesh antenna system with excellent storage efficiency compared to the deployment area, and light weight. Deployable Mesh antennae are characterized by an increase in the number of Openings Per Inch (OPI), which is a measure of mesh weaving density as the mission frequency band increases, and this OPI change directly affects the thermal optical properties of the mesh antenna, so research on this is required. In this paper, to verify the thermal relationship between the optical properties of the mesh and antenna reflector, thermal sensitivity analysis between the mesh and the antenna reflector is performed by in-orbit thermal analysis with various optical characteristics of the mesh based on existing overseas research cases. In addition, the temperature gradient effect of the mesh reflector is analyzed.

Two-Dimensional(2-D) Flood Inundation Modeling Considering Mesh Type and Resolution (격자유형과 해상도를 고려한 2차원 홍수범람 모델링)

  • Kim, Byunghyun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.2
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    • pp.247-256
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    • 2019
  • In this study, 2-D Godunov type finite volume model which can apply the mixed mesh including triangular and quadrilateral meshes for flood inundation modeling is used to compare and analyze the flood height, flood extent and model execution time according to mesh type and resolution. The study area is the Upton-upon Severn watershed in Great Britain, where the flood occurred for 22 days from October 29 to November 19, 2000. For the flood modeling, topographic data were constructed using high resolution LiDAR (Light Detection And Ranging). The results of the 2-D flood modeling by the mesh type and resolution were compared with four ASAR (Airborne Synthetic Aperture Radar) images captured during the flood period. This study has shown that flood height and extent can vary greatly depending on the mesh type and resolution, even if identical topography and boundary conditions are used, and that the selection of appropriate mesh type and resolution for the purpose and situation of the 2-D flood modeling is necessary.

Geographic information 3D Synthetic Model based on Regular Mesh (Regular Mesh 기반 지리정보 3D 합성모델)

  • Jung, Ji-Hwan;Hwang, Sun-Myung;Kim, Sung-Ho
    • Journal of Advanced Navigation Technology
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    • v.15 no.4
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    • pp.616-625
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    • 2011
  • There are two representative geometry rendering methods. One is Geometry Clipmaps, another is ROAM 2.0. We propose an extended Geometry Clipmaps algorithm which does not focus on CPU operation but the GPU for faster and wider visibility area. The extended algorithm presents mesh configuration method of each level by LOD, how to configurate Mesh network between levels, mesh block method for rendering optimization using VFC, and image mapping method to get high resolution up to 1 m.

Diffusion synthetic acceleration with the fine mesh rebalance of the subcell balance method with tetrahedral meshes for SN transport calculations

  • Muhammad, Habib;Hong, Ser Gi
    • Nuclear Engineering and Technology
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    • v.52 no.3
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    • pp.485-498
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    • 2020
  • A diffusion synthetic acceleration (DSA) technique for the SN transport equation discretized with the linear discontinuous expansion method with subcell balance (LDEM-SCB) on unstructured tetrahedral meshes is presented. The LDEM-SCB scheme solves the transport equation with the discrete ordinates method by using the subcell balances and linear discontinuous expansion of the flux. Discretized DSA equations are derived by consistently discretizing the continuous diffusion equation with the LDEM-SCB method, however, the discretized diffusion equations are not fully consistent with the discretized transport equations. In addition, a fine mesh rebalance (FMR) method is devised to accelerate the discretized diffusion equation coupled with the preconditioned conjugate gradient (CG) method. The DSA method is applied to various test problems to show its effectiveness in speeding up the iterative convergence of the transport equation. The results show that the DSA method gives small spectral radii for the tetrahedral meshes having various minimum aspect ratios even in highly scattering dominant mediums for the homogeneous test problems. The numerical tests for the homogeneous and heterogeneous problems show that DSA with FMR (with preconditioned CG) gives significantly higher speedups and robustness than the one with the Gauss-Seidel-like iteration.