TY  - JOUR
A1  - Novacek, V.
A1  - Tran, Thanh Ngoc
A1  - Klinge, U.
A1  - Tolba, R. H.
A1  - Staat, Manfred
A1  - Bronson, D. G.
A1  - Miesse, A. M.
A1  - Whiffen, J.
A1  - Turquier, F.
T1  - Finite element modelling of stapled colorectal end-to-end anastomosis : Advantages of variable height stapler design
JF  - Journal of Biomechanics
N2  - The impact of surgical staplers on tissues has been studied mostly in an empirical manner. In this paper, finite element method was used to clarify the mechanics of tissue stapling and associated phenomena. Various stapling modalities and several designs of circular staplers were investigated to evaluate the impact of the device on tissues and mechanical performance of the end-to-end colorectal anastomosis. Numerical simulations demonstrated that a single row of staples is not adequate to resist leakage due to non-linear buckling and opening of the tissue layers between two adjacent staples. Compared to the single staple row configuration, significant increase in stress experienced by the tissue at the inner staple rows was observed in two and three rows designs. On the other hand, adding second and/or third staple row had no effect on strain in the tissue inside the staples. Variable height design with higher staples in outer rows significantly reduced the stresses and strains in outer rows when compared to the same configuration with flat cartridge.
KW  - Variable height stapler design
KW  - Anastomotic leakage
KW  - Finite element modelling
KW  - End-to-end colorectal anastomosis
KW  - Surgical staplers
Y1  - 2012
U6  - http://dx.doi.org/10.1016/j.jbiomech.2012.07.021
SN  - 1873-2380
VL  - 45
IS  - 115
SP  - 2693
EP  - 2697
PB  - Elsevier
CY  - Amsterdam
ER  - 
TY  - JOUR
A1  - Nguyen, Nhu Huynh
A1  - Duong, Minh Tuan
A1  - Tran, Thanh Ngoc
A1  - Pham, Phu Tinh
A1  - Grottke, O.
A1  - Tolba, R.
A1  - Staat, Manfred
T1  - Influence of a freeze–thaw cycle on the stress–stretch curves of tissues of porcine abdominal organs
JF  - Journal of Biomechanics
N2  - The paper investigates both fresh porcine spleen and liver and the possible decomposition of these organs under a freeze–thaw cycle. The effect of tissue preservation condition is an important factor which should be taken into account for protracted biomechanical tests. In this work, tension tests were conducted for a large number of tissue specimens from twenty pigs divided into two groups of 10. Concretely, the first group was tested in fresh state; the other one was tested after a freeze-thaw cycle which simulates the conservation conditions before biomechanical experiments. A modified Fung model for isotropic behavior was adopted for the curve fitting of each kind of tissues. Experimental results show strong effects of the realistic freeze–thaw cycle on the capsule of elastin-rich spleen but negligible effects on the liver which virtually contains no elastin. This different behavior could be explained by the autolysis of elastin by elastolytic enzymes during the warmer period after thawing. Realistic biomechanical properties of elastin-rich organs can only be expected if really fresh tissue is tested. The observations are supported by tests of intestines.
KW  - Autolysis
KW  - Decomposition
KW  - Freeze–thaw process
KW  - Spleen
KW  - Liver
Y1  - 2012
U6  - http://dx.doi.org/10.1016/j.jbiomech.2012.07.008
SN  - 1873-2380
VL  - 45
IS  - 14
SP  - 2382
EP  - 2386
PB  - Elsevier
CY  - Amsterdam
ER  - 
TY  - CHAP
A1  - Tran, Thanh Ngoc
A1  - Staat, Manfred
ED  - Eberhardsteiner, J.
T1  - A primal-dual shakedown analysis of 3D structures using the face-based smoothed finite element method
T2  - Proceedings European Congress on Computational Methods in Applied Sciences and Engineering (ECCOMAS 2012)
Y1  - 2012
N1  - 6th European Congress on Computational Methods in Applied Sciences and Engineering (ECCOMAS 2012) Vienna, Austria, September 10-14, 2012
ER  -