Background
Instruments that apply energy to cut, coagulate and dissect tissue with minimal bleeding facilitate surgery. The improper use of energy devices may increase patient morbidity and mortality. The current article reviews various energy sources in terms of their common uses and safe practices.
Methods
For the purpose of this review, a general search was conducted through NCBI, SpringerLink and Google. Articles describing laparoscopic or minimally invasive surgeries using a single or multiple energy sources are considered, as are the articles comparing various commercial energy devices in laboratory settings. Keywords such as ‘laparoscopy’, ‘energy’, ‘laser’, ‘electrosurgery’, ‘monopolar’, ‘bipolar’, ‘harmonic’, ‘ultrasonic’, ‘cryosurgery’, ‘argon beam’, ‘laser’, ‘complications’, and ‘death’ were used in the search.
Results and Conclusion
A review of the literature shows that the performance of the energy devices depends upon the type of procedure. There is no consensus as to which device is optimal for a given procedure. The technical skill level of the surgeon and the knowledge about the devices are both important factors in deciding safe outcomes. As new energy devices enter the market increases, surgeons should be aware of their indicated use in laparoscopic, endoscopic and open surgery.
The time-dependent behavior of bulk polymer film and wire with polymer insulation is studied using indentation. The indenter is displaced into the material at a constant rate and then held at a fixed indentation depth to monitor load relaxation. A finite element simulation of the experiment is performed; this analysis is parameterized in terms of the unknown shear compliance modeled as a Prony series. An optimization method is then presented to determine the unknown material parameters by minimizing the RMS error between the model and the experimental data. The method is demonstrated with poly (vinyl chloride) (PVC) films after thermal aging and pristine polyethylene sheet; excellent agreement between the model and the data is demonstrated. The method is also demonstrated to successfully characterize the material properties for the compression of a wire with PVC insulation; the resulting properties are then shown to adequately predict the crossed-cylinder indentation behavior of the same wire using a 3D finite element model. The chief benefit of the method is that an analytical solution method is not required for its implementation; as such, the optimization approach can be readily applied to the determination of material properties from arbitrarily complex experimental geometries.
It has always been a challenge to implement the natural flyer and swimmer kinematics into human-made aero/hydro vehicles for the enhancement of their performance. The propulsive performance of underwater vehicles can be enhanced by following the fishtailed kinematics. In the present study, a two-dimensional simulation has been performed on a tandem flapping foil by altering the simple flapping trajectory motion to a fishtailed trajectory by varying the Strouhal number ( St) in the range of 0.1–0.5. The effect of the inter-foil spacing and phasing between the foils on wake interaction is also investigated. The results show that fishtailed trajectory motion and inter-foil spacing of 2 cm–3 cm (where cm is the mean chord length) between the foils would enhance the propulsive efficiency of the downstream foil by up to 41%. The unfavorable spacing between the foils results in adverse wake interaction, which reduces the propulsive efficiency compared to solo flapping foil.
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