scholarly journals Safety in Electrosurgery as an Essential Skill in the Training of Surgeons

2021 ◽  
Vol 1 (3) ◽  
pp. 130-131
Author(s):  
L. A. Otdelnov ◽  
A. S. Mukhin ◽  
O. V. Gorokh

The analysis of 19 videotapes of laparoscopic cholecystectomy performed by accredited on the virtual simulator "LapSim" during the passage of the station "Planned Surgery" within the framework of primary specialized accreditation in the specialty "Surgery" was carried out. The mistakes made by those accredited in the application of high-energy methods at the stage of isolation of the elements of the hepatoduodenal ligament have been studied. Mistakes when using high-energy methods were made by 14 out of 19 accredited. The importance of training surgeons in the basics of electrosurgical safety is emphasized.

2018 ◽  
Vol 85 (4) ◽  
pp. 9-11
Author(s):  
О. V. Ogurtsov ◽  
О. V. Lukavetskyy

Objective. To determine efficacy of intraoperative visualization of biliary tree, using fluorescent cholangiography (FCH) and a high–energy visible laparoscopy vison (HEV LapVison) while laparoscopic cholecystectomy performance (LCHE). Маterials and methods. In 25 patients LCHE was performed. Preoperatively fluorescein was injected intravenously for guaranteeing of the FCH performance. HEV LapVison was applied for intraoperative visualization of fluorescence. Results. Visualization of the cystic duct and its inflow into common biliary duct was guaranteed in 90% patientsх. In 13 (52%) patients the anatomic picture was typical while in 7 (28%) some variants were observed: a parallel course of cystic duct and common biliary duct, and low level of the cystic duct inflow into hepaticocholedochus. Conclusion. FCH is a simple procedure for intraoperative navigation doing and guaranteeing of «critical view on security» while performance of LCHE. FCH together with HEV LapVison constitutes a new surgical procedure, making possible revealing of extrahepatic biliary ducts. This method may be applied as additional one while doing LCHE, preventing damage of biliary ducts.


2021 ◽  
Author(s):  
Dowon Ahn ◽  
Lynn Stevens ◽  
Kevin Zhou ◽  
Zachariah Page

With 3D printing we desire to be “limited only by our imagination”, and although remarkable advancements have been made in recent years the scope of printable materials remains narrow compared to other forms of manufacturing. Light-driven polymerization methods for 3D printing are particularly attractive due to unparalleled speed and resolution, yet the reliance on high energy UV/violet light in contemporary processes limits the number of compatible materials due to pervasive absorption, scattering, and degradation at these short wavelengths. Such issues can be addressed with visible light photopolymerizations. However, these lower-energy methods often suffer from slow reaction times and sensitivity to oxygen, precluding their utility in 3D printing processes that require rapid hardening (curing) to maximize build speed and resolution. Herein, multifunctional thiols are identified as simple additives to enable rapid high resolution visible light 3D printing under ambient (atmospheric O<sub>2</sub>) conditions that rival modern UV/violet-based technology. The present process is universal, providing access to commercially relevant acrylic resins with a range of disparate mechanical responses from strong and stiff to soft and extensible. Pushing forward, the insight presented within this study will inform the development of next generation 3D printing materials, such as multicomponent hydrogels and composites.


2021 ◽  
Author(s):  
Dowon Ahn ◽  
Lynn Stevens ◽  
Kevin Zhou ◽  
Zachariah Page

With 3D printing we desire to be “limited only by our imagination”, and although remarkable advancements have been made in recent years the scope of printable materials remains narrow compared to other forms of manufacturing. Light-driven polymerization methods for 3D printing are particularly attractive due to unparalleled speed and resolution, yet the reliance on high energy UV/violet light in contemporary processes limits the number of compatible materials due to pervasive absorption, scattering, and degradation at these short wavelengths. Such issues can be addressed with visible light photopolymerizations. However, these lower-energy methods often suffer from slow reaction times and sensitivity to oxygen, precluding their utility in 3D printing processes that require rapid hardening (curing) to maximize build speed and resolution. Herein, multifunctional thiols are identified as simple additives to enable rapid high resolution visible light 3D printing under ambient (atmospheric O<sub>2</sub>) conditions that rival modern UV/violet-based technology. The present process is universal, providing access to commercially relevant acrylic resins with a range of disparate mechanical responses from strong and stiff to soft and extensible. Pushing forward, the insight presented within this study will inform the development of next generation 3D printing materials, such as multicomponent hydrogels and composites.


Author(s):  
Piotr Wyzga ◽  
Tsutomu Mashimo ◽  
Akira Yoshiasa ◽  
Lucyna Jaworska ◽  
Piotr Klimczyk

2015 ◽  
Vol 1085 ◽  
pp. 192-196
Author(s):  
Nadejda N. Morozova ◽  
Konstantin V. Sosnin ◽  
Elizaveta A. Petrikova ◽  
Anton D. Teresov ◽  
Yury F. Ivanov

The alloying of the titanium layer by yttrium is carried out with the combined method of electroexplosive alloying and the subsequent radiation by a high-intensity electron beam. The research of structure, element and phase composition, mechanical and tribological properties of the alloyed layer is executed. The saturation of the titanium layer by atoms of yttrium, oxygen and carbon that leads to formation of oxides and carbides of the titanium and yttrium is revealed. The formation of two types of an eutectic is established. It is shown that the eutectic enriched with the titanium has a globular form when the eutectic enriched with yttrium has a plated one. The multiple increasing of microhardness, decreasing of friction coefficient and the wear rate of the alloyed layer is revealed.


2019 ◽  
Vol 21 (2) ◽  
pp. 124-135
Author(s):  
Zhanna Kovalevskaya ◽  
◽  
Yurii Sharkeev ◽  
Margarita Khimich ◽  
Anna Eroshenko ◽  
...  
Keyword(s):  

2013 ◽  
Vol 50 (8) ◽  
pp. 812-820 ◽  
Author(s):  
A. G. Alvarado ◽  
L. A. Pérez-Carrillo ◽  
M. Arellano ◽  
M. Rabelero ◽  
I. Ceja ◽  
...  

2015 ◽  
Vol 756 ◽  
pp. 243-249
Author(s):  
Yuriy F. Ivanov ◽  
Elizaveta A. Petrikova ◽  
Anton D. Teresov ◽  
Anatolyi A. Klopotov ◽  
Victor E. Gromov ◽  
...  

A surface alloy of the yttrium/titanium system, enriched with oxygen atoms, has been developed using high-energy methods. Formation of a multilayer multiphase submicron-and nanoscale structure has been revealed. A substantial increase in the microhardness (by ≈3 times), a decrease in the friction coefficient (more than by 2 times) and the wear rate (by ≈3 times) of the doped layer have been revealed.


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