Mechanical behaviour of the implant used in human hernia repair under physiological loads

• Autorzy: Szepietowska K. , Lubowiecka I.
• Języki publikacji: EN

Abstrakty

EN

In laparoscopic operations of abdominal hernias some recurrences still take place, even when applying a surgical mesh. This is usually caused by a failure of the connection between the tissue and the implant. The study deals with the influence of an implant’s orientation on forces in joints, which connect the mesh to human tissues. In the paper, the implant is modelled as a membrane structure within framework of the Finite Element Method. Two models are analysed: in the first one interaction between the mesh and a fascia is taken into account, in the second this interaction is not considered. Computations are conducted for two different material types of the implants: one with isotropic properties and second one with orthotropic properties. The models are validated by comparing dynamic numerical analysis with experimental outcomes, where load was simulating intraabdominal pressure during postoperative cough. Due to displacements of joints during activities like bending sideways or torsion of an abdomen, influence of kinematic extortions on forces in the joints is analysed. The outcome shows that position of the orthotropic implants is crucial and may strongly change the level of forces in the joints.

Słowa kluczowe

EN

finite element modelling; hernia repair; implants; membrane structure

PL

metoda elementów skończonych; implanty; konstrukcja membranowa

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2013
• Tom: Vol. 15, no. 3
• Strony: 89--96
• Opis fizyczny: Bibliogr. 29 poz., rys., tab., wykr.

Twórcy

autor

Szepietowska K.

• Department of Structural Mechanics and Bridges, Faculty of Civil and Environmental Engineering, Gdańsk University of Technology, Gdańsk, Poland

autor

Lubowiecka I.

• Department of Structural Mechanics and Bridges, Faculty of Civil and Environmental Engineering, Gdańsk University of Technology, Gdańsk, Poland

Bibliografia

• [1] DEEKEN C.R., ABDO M.S., FRISELLA M.M., MATHEWS B.D., Physicomechanical evaluation of absorbable and nonabsorbable barrier composite meshes for laparoscopic ventral hernia repair, Surg. Endosc., 2011, Vol. 25, 1541–1522.
• [2] SABERSKI E.R., ORENSTEIN S.B., NOVITSKY Y.W., Anisotropic evaluation of synthetic surgical meshes, Hernia, 2011, Vol. 15, 47–52.
• [3] TWARDOWSKI Z.J., KSANNA R., NOSPS K.D., Intraabdominal pressures during natural activities in patients treated with CAPD, Nephron, 1986, Vol. 44, 129–135.
• [4] SZYMCZAK C., LUBOWIECKA I., TOMASZEWSKA A., ŚMIETAŃSKI M., Modeling of the fascia-mesh system and sensitivity analysis of a junction force after a laparoscopic ventral hernia repair, Journal of Theoretical and Applied Mechanics, 2010, Vol. 48(4), 993–950.
• [5] LUBOWIECKA I., WOŹNICA K., FEM modelling of membrane structure in human hernia repair, CMM 2011, 9–12 May 2011, Warsaw, Poland.
• [6] SZEPIETOWSKA K, Numerical simulation of membrane structure used in the treatment of abdominal hernia, Aktualne Problemy Biomechaniki, 2011, Vol. 5, 159–164, (in Polish).
• [7] TOMASZEWSKA A., LUBOWIECKA I., SZYMCZAK CZ., ŚMIETAŃSKI M., KŁOSOWSKI P., MERONK B., BURY K., Experiments and simulations for laparoscopic ventral hernia repair improvement, Journal of Biomechanics, 2012, Vol. 45(Sup1), S346.
• [8] LUBOWIECKA I., Dynamics of Mechanical Model of Implant-Tissue System in Ventral Hernia Repair, Vibrations in Physical Systems, 2012, Vol. 25, 261–266.
• [9] HERNÁNDEZ-GASCÓN B., ESPÉS N., PEÑA E., PASCUAL G., BELLÓN J.M., CALVO B., Computational framework to model and design surgical meshes for hernia, Computer Methods in Biomechanics and Biomedical Engineering, 2012, DOI: 0.10.80/10255842.2012.736967.
• [10] WOJNICZ W., WITTBRODT E., Analysis of muscles behaviour. Part I. The computational model of muscle, Acta of Bioengineering and Biomechanics, 2009, Vol. 11(4), 15–21.
• [11] WOJNICZ W., WITTBRODT E., Analysis of muscles’ behaviour. Part II. The computational model of muscle’s group acting on the elbow joint, Acta of Bioengineering and Biomechanics, 2010, Vol. 12(1), 3–10.
• [12] WOJNICZ W., WITTBRODT E., Application of muscle model to the musculoskeletal modeling, Acta of Bioengineering and Biomechanics, 2012, Vol. 14(3), 29–39.
• [13] HERNÁNDEZ-GASCÓN B., MENA A., PEÑA E., PASCUAL G., BELLÓN J.M., CALVO B., Understanding the Passive Mechanical Behavior of the Human Abdominal Wall, Annals of Biomedical Engineering, 2013, Vol. 41(2), 433–444.
• [14] GRÄßEL D., PRESCHER A., FITZEK S., graf v. KEYSERLINGK D., AXER H., Anisotropy of Human Linea Alba: A Biomechanical Study, Journal of Surgical Research, 2005, Vol. 124, 118–125.
• [15] JUNGE K., KLINGE U., PRESCHER A., GIBONI P., NIEWIERA M., SCHUMPELICK V., Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants, Hernia, 2001, Vol. 5, 113–118.
• [16] PODWOJEWSKI F., OTTÉNIO M., BEILLAS P., GUÉRIN G., TURQUIER F., MITTON D., Mechanical response of animal abdominal wall in vitro: Evaluation of the influence of a hernia defect and a repair with a mesh implanted intraperitoneally, Journal of Biomechanics, 2013, Vol. 46(3), 561–566.
• [17] HERNÁNDEZ-GASCÓN B., PEÑA E., PASCUAL G., RODRÍGEZ M., CALVO B., DOBLARÉ M.P., BELLÓN J.M., Mechanical and histological characterization of the abdominal muscle. A previous step to modelling hernia surgery, Journal of the Mechanical Behaviour of Biomedical Materials, 2011, Vol. 4, 392–404.
• [18] RUTKOWSKA-KUCHARSKA A., SZPALA A., PIECIUK E., Symmetry of muscle activity during abdominal exercises, Acta of Bioengineering and Biomechanics, 2009, Vol. 11(1), 25–30.
• [19] HERNÁNDEZ-GASCÓN B., PEÑA E., MELERO H., PASCUAL G., DOBLARÉ M., GINEBRA M.P., BELLÓN J.M., CALVO B., Mechanical behaviour of synthetic surgical meshes: Finite element simulation of the herniated abdominal wall, Acta Biomaterialia, 2011, 3905–3913.
• [20] ŻAK M., KUROPKA P., KOBIELARZ M., DUDEK A., KALETAKURATEWICZ K., SZOTEK S., Determination of the mechanical properties of the skin of pig foetuses with respect to its structure, Acta of Bioengineering and Biomechanics, 2011, Vol. 13(2), 37–43.
• [21] SZYMCZAK C., LUBOWIECKA I., TOMASZEWSKA A., ŚMIETAŃSKI M., Investigation of abdomen surface deformation due to life excitation: Implications for implant selection and orientation in laparoscopic ventral hernia repair, Clinical Biomechanics, 2012, Vol. 27, 105–110.
• [22] ŚMIETAŃSKI M., BURY K., TOMASZEWSKA A., LUBOWIECKA I., SZYMCZAK Cz., Biomechanics of the front abdominal wall as a potential factor leading to recurrence with laparoscopic ventral hernia repair, Surg. Endosc., 2012, Vol. 26, 1461–1467.
• [23] ANUROV M.V., TIKOVA S.M., OETTINGER A.P., Biomechanical compatibility of surgical mesh and fascia being reinforced: dependence of experimental hernia defect repair results on anisotropic surgical mesh positioning, Hernia, 2012, Vol. 16, 199–210.
• [24] MSC.Marc® Mentat® Help Reference.
• [25] SZYMCZAK C., ŚMIETAŃSKI M., Selected problems of laparoscopic ventral hernia repair – modeling and simulation, Alfa-Medica Press, Gdańsk, 2012
• [26] KOŁAKOWSKI Z., Podstawy wytrzymałości i stateczności płytowych konstrukcji kompozytowych, Politechnika Łódzka, Łódź 2008.
• [27] LUBOWIECKA I., Orthotropic membrane as a mechanical model of surgical implant in abdominal hernia repair, TASK Quarterly, 2012, Vol. 16(1), 23–31.
• [28] SZEPIETOWSKA K., Mechanical modelling of implant used in the treatment of abdominal hernias, Master’s Thesis, Gdańsk University of Technology, 2012, Gdańsk, (in Polish).
• [29] LUBOWIECKA I., Behaviour of orthotropic surgical implant in hernia repair due to material orientation and abdomen surface deformation, Computer Methods in Biomechanics and Biomedical Engineering, 2013, DOI: 10.1080/10255642.2013.789102