scholarly journals 180 Improving Wall Access When Using Double Clamps for Microsurgical Anastomosis – A New Technique

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Faderani ◽  
S Ali ◽  
D Masud ◽  
R Haywood

Abstract Microvascular techniques and instrumentation have continually evolved since the advent of clinical microsurgery in the 1970’s. These refinements and improved patient selection have led to increased vessel patency and flap survival rates. However, a fundamental principle which has not changed over this time period is comfort and proper operating microscope set-up. Both these factors were described as a precondition of microsurgical success by the late pioneer of microsurgery himself, Robert Acland. Suboptimal comfort or set-up can negatively impact on access to the surgical field leading to improper technique and if significant enough, anastomotic thrombosis. We describe a new technique aimed at improving wall access when using double clamps for microsurgical anastomosis.

2011 ◽  
Vol 264-265 ◽  
pp. 337-342 ◽  
Author(s):  
Xing Zhong Zhang ◽  
Hong Tao Zhu ◽  
A. Kiet Tieu ◽  
Hai Bo Xie ◽  
Xiao Zhong Du ◽  
...  

In this paper, a new technique to set up non-sinusoidal oscillations of the mold in continuous casting is presented. The waveform functions of this non-sinusoidal oscillation technique and operational parameters are analyzed and the design to realize the non-sinusoidal oscillation of mold is presented. It is anticipated that this technique will be widely applied as it has many advantages such as lower investment and maintenance cost, simple equipment which is easy to manufacture and maintain.


2011 ◽  
Vol 126 (2) ◽  
pp. 168-174 ◽  
Author(s):  
V Leelamanit ◽  
W Sinkijcharoenchai

AbstractObjectives:To study the effect of a new technique for closed reduction of dislocated arytenoids.Methods:The study included 21 females (72.4 per cent) and eight males (27.6 per cent) with a diagnosis of arytenoid dislocation. There were 18 cases of left arytenoid dislocation and 11 of right arytenoid dislocation.Twenty-eight cases had anteromedial dislocation and one had posterolateral dislocation. All patients were treated with closed reduction using custom-made metal rods and an operating microscope, under general anaesthesia.Results:Post-operatively, 21 patients’ voices returned completely to normal (including full vocal fold mobility), five had an improved voice and three failed to show any improvement. There were no post-operative complications.Conclusion:This new closed reduction technique is a safe procedure for patients with dislocated arytenoids. It is repeatable and the outcome is reliable and effective. Closed reduction can be a useful treatment for arytenoid dislocation.


Author(s):  
Priyanka Singh ◽  
Surendra Kumar Yadav ◽  
Lokendra Pall

CRM is a new technique in market where the dealer tries to develop long connection with their clients. CRM attempts to make their client climb up the stepladder of reliability. CRM purposes to make customer for life time. Company first tries to begin set-up with the publics who have a tough attention in the merchandise and ready to pay for it. Company try to change lookout of customer so that they can repeat their customers for life time.z`


1982 ◽  
Vol 17 (3) ◽  
pp. 133-138 ◽  
Author(s):  
Y Takeuti ◽  
Y Tanigawa

It is well known that the thermoelastic coupling term and the inertia term have to be taken into account for a rigorous treatment of a sudden change of temperature in a elastic body. It is now well understood that the inertia effect may disappear in pure thermal stress problems on the stress distribution for realistic materials. In the present paper, we propose a new technique for the coupled thermoelastic fields by introducing an additive harmonic function. Thus, we can obtain exact solution for all the time period. The effect of thermoelastic coupling on the temperature and the stress distributions is shown in the numerical example.


Author(s):  
Xiaomao Wan ◽  
Chun-sheng Zhao

Abstract In this paper, a new technique using optimum complex envelope spectrum is proposed in order to diagnose the gearbox fault, and its fundamental principle is described. The result of simulated tests illustrates that method proposed is excellently sensitive to the gearbox fault and is more effective than both the power spectrum analysis and the cepstrum analysis.


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