scholarly journals The three-point crossover technique for immediate reconstruction of the umbilicus

2021 ◽  
Vol 48 (2) ◽  
pp. 175-178
Author(s):  
Cho Long Lee ◽  
Ho Jik Yang

The umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a natural, three-dimensional appearance. We propose a simple method for immediate umbilical reconstruction with good long-term results. This technique was used successfully on a patient who underwent tumor excision. A 49-year-old woman presented with a large mass, measuring 5.8×4.0 cm, on her umbilicus. The mass, an epidermal cyst, developed after laparoscopic uterine myomectomy 5 years earlier. Complete excision of the mass resulted in a large defect, and immediate umbilical reconstruction was planned. Our procedure involved apposing and anchoring two opposing flaps onto the abdominal wall, so that the umbilicus would retain its depth over a long period of time. Negative-pressure wound therapy was applied for 72 hours as a mild compressive dressing. No complications were encountered. The healing process was uneventful and the aesthetic outcome was pleasing; a natural-appearing navel was created. The patient was satisfied with the end result. This technique provides a permanent and sufficient depression for the umbilicus.

2020 ◽  
Vol 25 (3) ◽  
pp. 36-38
Author(s):  
Alina Helgiu

AbstractSquamous cell carcinoma is the most common form of malignant tumour in the lower lip and its radical excision sometimes leads to complex defects. The treatment of squamous cell carcinoma of the lower lip is mainly surgical and consists of complete excision of the tumour, followed by immediate reconstruction. Although the nasolabial flap is a common flap used in the reconstruction of facial defects, it is an underestimated option in the reconstruction of the lower lip. We describe the reconstruction of a large defect of the lower lip that includes the bilateral commissures and ¼ of the upper lip, left side, in a 76-year-old male patient. Bilateral musculocutaneous nasolabial flap was used, with good functional results and an acceptable cosmetic result. We believe that the nasolabial flap is a good alternative for large lip defects both for patients with an affected general condition, but also as an alternative to existing flaps.


Molecules ◽  
2021 ◽  
Vol 26 (15) ◽  
pp. 4616
Author(s):  
Takashi Ikuno ◽  
Zen Somei

We have developed a simple method of fabricating liquid metal nanowire (NW) arrays of eutectic GaIn (EGaIn). When an EGaIn droplet anchored on a flat substrate is pulled perpendicular to the substrate surface at room temperature, an hourglass shaped EGaIn is formed. At the neck of the shape, based on the Plateau–Rayleigh instability, the EGaIn bridge with periodically varying thicknesses is formed. Finally, the bridge is broken down by additional pulling. Then, EGaIn NW is formed at the surface of the breakpoint. In addition, EGaIn NW arrays are found to be fabricated by pulling multiple EGaIn droplets on a substrate simultaneously. The average diameter of the obtained NW was approximately 0.6 μm and the length of the NW depended on the amount of droplet anchored on the substrate. The EGaIn NWs fabricated in this study may be used for three-dimensional wiring for integrated circuits, the tips of scanning probe microscopes, and field electron emission arrays.


2021 ◽  
Vol 10 (2) ◽  
pp. 184
Author(s):  
Maximilian Kerschbaum ◽  
Siegmund Lang ◽  
Florian Baumann ◽  
Volker Alt ◽  
Michael Worlicek

Insertion of sacro-iliac (SI) screws for stabilization of the posterior pelvic ring without intraoperative navigation or three-dimensional imaging can be challenging. The aim of this study was to develop a simple method to visualize the ideal SI screw corridor, on lateral two-dimensional images, corresponding to the lateral fluoroscopic view, used intraoperatively while screw insertion, to prevent neurovascular injury. We used multiplanar reconstructions of pre- and postoperative computed tomography scans (CT) to determine the position of the SI corridor. Then, we processed the dataset into a lateral two-dimensional slice fusion image (SFI) matching head and tip of the screw. Comparison of the preoperative SFI planning and the screw position in the postoperative SFI showed reproducible results. In conclusion, the slice fusion method is a simple technique for translation of three-dimensional planned SI screw positioning into a two-dimensional strict lateral fluoroscopic-like view.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Yangyang Gu ◽  
Peng Dai ◽  
Wen Zhang ◽  
Zhanwen Su

AbstractIn this work, we demonstrated a simple method for preparing three-dimensional interconnected carbon nanofibers (ICNF) derived from fish bone as an efficient and lightweight microwave absorber. The as-obtained ICNF exhibits excellent microwave absorption performance with a maximum reflection loss of –59.2 dB at the filler content of 15 wt%. In addition, the effective absorption bandwidth can reach 4.96 GHz at the thickness of 2 mm. The outstanding microwave absorption properties can be mainly ascribed to its well-defined interconnected nanofibers architecture and the doping of nitrogen atoms, which are also better than most of the reported carbon-based absorbents. This work paves an attractive way for the design and fabrication of highly efficient and lightweight electromagnetic wave absorbers.


1990 ◽  
Author(s):  
A. Kirschner ◽  
H. Stoff

A cascade design-method is presented which complements the meridional through-flow design procedure of turbomachines. Starting from an axisymmetric flow field and the streamline geometry in the meridional plane this simple method produces a solution for the quasi three-dimensional flow field and the blade-element geometry on corresponding stream surfaces. In addition, it provides intra-blade data on loss and turning required for a consistent design and a convenient means of optimizing blade loading. The purpose of this paper is to describe the theoretical basis of the method and to illustrate its application in the design of transonic compressors.


2021 ◽  
Author(s):  
Ge Cheng ◽  
David Grawe ◽  
K. Heinke Schlünzen

<p>Nudging is a simple method that aims to dynamically adjust the model toward the observations by including an additional feedback term in the model governing equation. This method is widely applied in data assimilation due to its simple implementation and reasonable model results. The basic concept of nudging is similar to that of urban canopy parameterization, in which additional terms are usually added in the conservation equations of momentum and energy aiming to simulate the canopy effects. However, few studies have investigated the implementation of nudging methods in urban canopy parameterizations. In this study we developed a multi-layer urban canopy parameterization (UCP) by using a nudging approach to represent the impacts of vegetated urban canopies on temperatures and winds in mesoscale models.</p><p>The difficulty of developing UCP by using a nudging method lies in defining appropriate values for the nudging coefficients and the forcing fields (e.g. indoor temperature fields for temperature nudging). To determine nudging coefficients, we use three major urban canopy morphological parameters: building height, frontal area density and building density. The ranges of these parameters are taken from the values for the Local Climate Zones datasets, in our case for the city of Hamburg. The UCP is employed in the three -dimensional atmospheric mesoscale model METRAS. Results show that this UCP can well simulate wind-blocking effects induced from obstacles as buildings and trees and urban heat island phenomenon for cities. Thus, nudging is an efficient and effective method that can be used for urban canopy parameterizations. However, as well known for nudging, it is not conserving energy. Therefore, we investigated the energy loss by tracking the reduced kinetic energy and internal energy. The UCP and model results will be presented.</p>


Biomedicines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1153
Author(s):  
Verena Schneider ◽  
Daniel Kruse ◽  
Ives Bernardelli de Mattos ◽  
Saskia Zöphel ◽  
Kendra-Kathrin Tiltmann ◽  
...  

Burns affect millions every year and a model to mimic the pathophysiology of such injuries in detail is required to better understand regeneration. The current gold standard for studying burn wounds are animal models, which are under criticism due to ethical considerations and a limited predictiveness. Here, we present a three-dimensional burn model, based on an open-source model, to monitor wound healing on the epidermal level. Skin equivalents were burned, using a preheated metal cylinder. The healing process was monitored regarding histomorphology, metabolic changes, inflammatory response and reepithelialization for 14 days. During this time, the wound size decreased from 25% to 5% of the model area and the inflammatory response (IL-1β, IL-6 and IL-8) showed a comparable course to wounding and healing in vivo. Additionally, the topical application of 5% dexpanthenol enhanced tissue morphology and the number of proliferative keratinocytes in the newly formed epidermis, but did not influence the overall reepithelialization rate. In summary, the model showed a comparable healing process to in vivo, and thus, offers the opportunity to better understand the physiology of thermal burn wound healing on the keratinocyte level.


1958 ◽  
Vol 25 (2) ◽  
pp. 210-213
Author(s):  
L. E. Goodman ◽  
A. R. Robinson

Abstract The well-known noncommutativity of three-dimensional finite rotations has long been a curiosity in mechanics since, in actual solution of dynamical problems, the angular velocity, which is conveniently representable as a vector, plays a more natural role. In modern inertial guidance systems, however, the orientation of a body in space, i.e., a rotation, is of primary engineering interest. In this paper a simple method of determining orientation from the time history of three body components of angular velocity is developed by means of a new theorem in kinematics. As a special case of this theorem it is shown that a gyro subjected to a regime of rotations which returns it to the original space orientation will, in general, produce a residual signal. It will have experienced a nonzero and easily calculated mean angular velocity about its input axis. Some implications of the theorem for the design of inertial guidance systems and for the testing of gyros are discussed.


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