Complicated sternal dehiscence treated with the strasbourg thoracic osteosyntheses system (STRATOS) and the transposition of greater omentum: a case report

Sternal dehiscence is a serious complication after cardiac surgery. Sternal refixation, performed by simple rewiring or techniqual modification of rewiring as described by Robicsek, can fail, overall when the bone quality is poor or the sternum is completely destroyed. The sternal closure systems, consisting of plates, screws or rib clips and titanium bars, have been recently introduced to treat the complicated sternal dehiscence. We describe for the first time the use of the Strasbourg Thoracic Osteosyntheses System (STRATOS) and the greater omentum, to treat a complicated sternal dehiscence, causing chest pain and respiratory failure

Analisi preliminari della risposta sismica di una diga in terra

Nella presente nota viene affrontata la modellazione numerica in campo statico e dinamico del prototipo di una diga in terra zonata il cui modello fisico in scala ridotta sarà successivamente testato attraverso prove statiche e dinamiche in centrifuga geotecnica. La modellazione numerica eseguita in PLAXIS 2D in condizioni di deformazione piana ha consentito di definire la configurazione geometrica che garantisce un prefissato margine di sicurezza in campo statico e un prefissato livello di danno durante la fase sismica

Seismic metamaterials based on isochronous mechanical oscillators

This Letter introduces a seismic metamaterial (SM) composed by a chain of mass-in-mass system able to filter the S-waves of an earthquake. We included the effect of the SM into the mono dimensional model for the soil response analysis. The SM modifies the soil behavior and in presence of an internal damping the amplitude of the soil amplification function is reduced also in a region near the resonance frequency. This SM can be realized by a continuous structure with inside a 3d-matrix of isochronous oscillators based on a sphere rolling over a cycloidal trajectory.Published1919037SR AMBIENTE – Servizi e ricerca per la societàJCR Journa

Air leak and intraoperative bleeding in thoracic surgery: a Delphi consensus among the members of Italian society of thoracic surgery

BACKGROUND: Persistent air leak and the management of intraoperative blood loss are common threats in thoracic surgical practice. The availability of new procedures, technology and materials is constantly evolving topical hemostats and surgical sealants must be added to this toolkit. Topical hemostats and surgical sealants differ according to their chemical nature and physical characteristics, to their origin and mechanism of action, regulatory/registration and vigilance paths. A Delphi consensus was set to highlight the different points of view on the use of topical haemostatic products and sealants among the members of Italian Society of thoracic surgery. METHODS: The board was formed by a group of five Italian experts; in the first phase after a careful review of the scientific literature and two rounds, the board finally generated 16 consensus statements for testing across a wider audience. During the second phase, the statements were collated into a questionnaire, which was electronically sent to a panel of 46 Italian surgeons, experts in the field. RESULTS: Out of 46 Italian surgeons, 33 (72%) panel members responded to the Delphi questionnaire. All the items reached a positive consensus, with elevated levels of agreement, as demonstrated by the presence of a 100% consensus for nine items. For the remaining 7 statements the minimum level of consent was 88% (29 participants approved the statement and 4 disagreed) and the maximum was 97% (32 participants approved the statement and 1 was in disagreement). CONCLUSIONS: The present Delphi analysis shows that air leak and intraoperative bleeding are clinical problems well known among thoracic surgeons. Nevertheless, the aim of the scientific societies and of the group of experts is to execute the education activities in the surgery community. This Delphi survey suggest the need of wider and updated scientific information about technical and registration characteristics of most recent technologic solutions, such as the of topical hemostats and surgical sealants to provide healthcare and administrative staff with the opportunity to work and interact through a common and shared language and eventually to guarantee minimal requirements of assistance