27 research outputs found

    Computational study of reservoir sand production mechanisms

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    A numerical model is developed to simulate fluid flow conditions around a wellbore and to evaluate mechanisms governing fluid flow, pressure gradients, rock failure and the ensuing sand production. The rock material behaviour matches sandstone described by the Drucker–Prager material failure model. Conditions for erosion are governed through two criteria: a material failure criterion described by the Drucker–Prager model and a sanding criterion expressed by an eroded solid mass generation model. The interplay between controlling operating and reservoir conditions is assessed. In addition, contributions of the following key factors to interstitial fluid velocity, plastic strain, pore pressure variation and sand production are appraised: drawdown, wellbore perforation depth, mud pressure and erosion criteria. Despite a decrease in pore fluid velocity at the vicinity of the wellbore at increasing depth, sand production increases with wellbore/perforation depth. Likewise, at constant drawdown, sand production is aggravated as wellbore/perforation depth increases. The rate of increase in the plastic zone following the onset of sand production is inconstant. Furthermore, mud pressure is demonstrated as an effective tool for attenuating sand production. An understanding of interactions between key parameters governing reservoir responses and the effect on sanding during oil/gas production is imperative if extraction operations are to be optimised.Published onlin

    The inSIGHT study: costs and effects of routine hysteroscopy prior to a first IVF treatment cycle. A randomised controlled trial.

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    Contains fulltext : 109856.pdf (publisher's version ) (Open Access)ABSTRACT: BACKGROUND: In in vitro fertilization (IVF) and intracytoplasmatic sperm injection (ICSI) treatment a large drop is present between embryo transfer and occurrence of pregnancy. The implantation rate per embryo transferred is only 30%. Studies have shown that minor intrauterine abnormalities can be found in 11-45% of infertile women with a normal transvaginal sonography or hysterosalpingography. Two randomised controlled trials have indicated that detection and treatment of these abnormalities by office hysteroscopy after two failed IVF cycles leads to a 9-13% increase in pregnancy rate. Therefore, screening of all infertile women for intracavitary pathology prior to the start of IVF/ICSI is increasingly advocated. In absence of a scientific basis for such a policy, this study will assess the effects and costs of screening for and treatment of unsuspected intrauterine abnormalities by routine office hysteroscopy, with or without saline infusion sonography (SIS), prior to a first IVF/ICSI cycle. METHODS/DESIGN: Multicenter randomised controlled trial in asymptomatic subfertile women, indicated for a first IVF/ICSI treatment cycle, with normal findings at transvaginal sonography. Women with recurrent miscarriages, prior hysteroscopy treatment and intermenstrual blood loss will not be included. Participants will be randomised for a routine fertility work-up with additional (SIS and) hysteroscopy with on-the-spot-treatment of predefined intrauterine abnormalities versus the regular fertility work-up without additional diagnostic tests. The primary study outcome is the cumulative ongoing pregnancy rate resulting in live birth achieved within 18 months of IVF/ICSI treatment after randomisation. Secondary study outcome parameters are the cumulative implantation rate; cumulative miscarriage rate; patient preference and patient tolerance of a SIS and hysteroscopy procedure. All data will be analysed according to the intention-to-treat principle, using univariate and multivariate logistic regression and cox regression. Cost-effectiveness analysis will be performed to evaluate the costs of the additional tests as routine procedure. In total 700 patients will be included in this study. DISCUSSION: The results of this study will help to clarify the significance of hysteroscopy prior to IVF treatment. TRIAL REGISTRATION: NCT01242852
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