The Impact of Double Fixation with Titanium Tack and N-Butyl Cyanoacrylate Glue (NBCG) Mesh Fixation versus NBCG Fixation Only in Totally Extra-Peritoneal Hernioplasty with 3-Dimensional Configured Polyester Mesh: A Comparative Study

Kejin CHEN,Jianwen LIU,Xuefei YANG,Joe King Man Fan 대한내시경복강경외과학회 2018 Journal of Minimally Invasive Surgery Vol.21 No.3

Purpose: Our aim is to compare 3-dimensional mesh fixation using titanium tacks combine with n-butyl cyanoacrylate glue (NBCG) (COMBINE group) versus NBCG only (NBCG group) in totally extraperitoneal inguinal hernioplasty (TEP).Methods: This is a retrospectively study of patients diagnosed with unilateral inguinal hernia and underwent TEP with 3-dimensional configured polyester mesh fixation using titanium tacks combine NBCG or NBCG only at the University of Hong Kong-Shenzhen Hospital with data prospectively collected. Operative details and outcomes were compared including: operating time, size of defect, total hospital cost, post-operative pain scores and recurrence.Results: From 08.2013 to 03.2016 a total of 219 patients were included. There was no significant difference between COMBINE group and NBCG group in mean age (52.5 years versus 48.2 years), mean size of defects (2.4 cm versus 2.6 cm), and operating time (121 mins versus 111 mins). There were significant differences between COMBINE group and NBCG group in total hospital cost (3035 USD versus 2022 USD), post-operative pain score on day 2 to day 4 (VAS: 1.4 versus 1.0, 1.0 versus 0.4, 0.5 versus 0.2). There was one recurrence in COMBINE group (p=0.276) with overall recurrence of 0.46%.Conclusion: Patients with inguinal hernia underwent TEP with 3-dimensional configured polyester mesh with NBCG fixation only having comparative surgical outcome to COMBINE group. A recurrence of 0.46% can be achieved with this combination. Tacks fixation may cause more post-operative pain and increase hospital cost. Use of N-butyl cyanoacrylate glue in TEP is safe and effective in our clinical series.

Electroacupuncture-Modulated MiR106b-5p Expression Enhances Autophagy by Targeting Beclin-1 to Promote Motor Function Recovery After Spinal Cord Injury in Rats

Shuhui Guo,Jianmin Chen,Ye Yang,Xiaolu Li,Yun Tang,Yuchang Gui,Jianquan Chen,Jianwen Xu 대한척추신경외과학회 2023 Neurospine Vol.20 No.3

Objective: Electroacupuncture (EA) has a definite effect on the treatment of spinal cord injuries (SCIs), but its underlying molecular mechanism remains unclear. Meanwhile, MiR-106b-5p is an autophagy- and apoptosis-related microribonucleic acid, but whether it regulates the progression of autophagy and apoptosis in SCIs is yet undetermined. As such, this study aimed to elucidate the involvement of miR-106b-5p in the EA treatment of an SCI. Methods: The miR-106b-5p level was detected by quantitative real-time polymerase chain reaction. In vitro, SH-SY5Y cells were transfected with miR-106b-5p mimics or inhibitors to regulate the miR-106b-5p expression, while in vivo, SCI rats were treated with EA for 7 days at the bilateral Zusanli (ST36) and Jiaji (EX-B2) acupoints. The motor function was evaluated using the Basso-Beattie-Bresnahan (BBB) criteria. Further, autophagic vacuoles, pathological damage, and neuronal cell morphology were observed by transmission electron microscopy, as well as by hematoxylin and eosin and Nissl staining, respectively. Results: The miR-106b-5p level, which can interact directly with Beclin-1 by influencing its expression, as well as the expressions of P62, Caspase-3, and Bax, was upregulated after an SCI, but it decreased after EA. Moreover, the ratio of LC3-II to LC3-I was upregulated after EA. EA can enhance autophagy, reduce neuronal apoptosis, and minimize motor dysfunction and histopathological deficits after an SCI. More importantly, however, all the above effects induced by EA can be reversed after an injection of miR-106-5p agomir to produce an overexpression of miR-106b-5p. Conclusion: EA treatment could downregulate miR-106b-5p to alleviate SCI-mediated injuries by promoting autophagy and inhibiting apoptosis.

Effect of heat treatment on the electrochemical performance of V2O5.nH2O as a cathode material for aqueous rechargeable zinc ion batteries

Jiaqi Li,Yanwei Li,Jinhuan Yao,Bin Huang,Jiqiong Jiang,Jianwen Yang 한국공업화학회 2022 Journal of Industrial and Engineering Chemistry Vol.115 No.-

The influence of heat treatment (100 °C, 150 °C, 200 °C, 300 °C, and 400 °C) on the structure and the zinc ion storage performance of V2O5·nH2O is explored. The results show that the interlayer water content, interlayer distance, and V4+ content in V2O5·nH2O can be regulated by heat treatment. Electrochemical characterization demonstrates that the as-prepared vanadium pentoxide without heat treatment shows rather poor cycling stability (only 56 m Ah g−1 after 600 cycles at 0.5 A/g). After being heat treated in the temperature range of 100 to 200 °C, the zinc ion storage performance of vanadium pentoxide can be enhanced dramatically. Particularly, the vanadium pentoxide after being heat-treated at 150 °C exhibits the best cycling stability (179 mA h g−1 after 600 cycles at 0.5 A/g), superior high-rate capability (117 mA h g−1 at 3.0 A/g), and faster electrochemical reaction kinetics. The results reported in this work could provide clues for regulating and optimizing the electrochemical performance of vanadium pentoxide as a cathode material for ZIBs.

Minimally Invasive Approach to Supra-pubic and Non-Midline Lower Abdominal Ventral Hernia – An Extended Indication of TAPE Technique

Joe King Man FAN,Jeremy YIP,Matrix Fung,Oswens Siu Hung LO,Jianwen LIU,Xuefei YANG,Kejin CHEN,Wai Lun LAW 대한내시경복강경외과학회 2017 Journal of Minimally Invasive Surgery Vol.20 No.3

Repair of lower abdominal incisional hernia is always a surgical challenge. TAPE technique has been described for the repair of supra-pubic midline incisional hernia with satisfactory outcome. Its indication can be extended for treatment of non-midline lower abdominal hernia. Peritoneal incision is created just below the hernia defect with pre-peritoneal dissection to expose supra-pubic preperitoneal space with Cooper’s ligament exposed. Non-adhesive mesh then placed over preperitoneal space and partially intra-peritoneally, and cover the whole extra-peritoneal space prepared to ensure enough overlapping. Mesh is fixed by tackers for intra-peritoneal part, most inferior fixation points were at peritoneal incision line. Extra-peritoneal part of meshes is fixed at the safety zone and covered up by the peritoneal flap to avoid mesh migration. Fixation of the meshes at the lateral aspects were facilitated by the peritoneal flap and subsequent fibrosis and adhesion to the extra-peritoneal structures in cases of lateral lower abdominal hernia. Repair of midline and lateral lower abdominal incisional hernia with this novel modified technique with prosthetic mesh is safe and effective. A larger case series and longer follow-up is required for validation of this technique.

Amorphous FePO4/reduced graphene oxide composite prepared from jarosite residue and its application as a novel anode material for lithium-ion batteries

Yanwei Li,Wenhan Xu,Jinhuan Yao,Bin Huang,Shunhua Xiao,Jianwen Yang 한국공업화학회 2023 Journal of Industrial and Engineering Chemistry Vol.125 No.-

Rational utilization of jarosite residue is significantly important from the view of environmental protectionand resource recycling. Herein, we report a facile preparation of porous amorphous FePO4/reducedgraphene oxide (rGO) composite by utilizing the iron resource in jarosite residue with a selective chemicalprecipitation method, and demonstrate its great potential as a high-performance anode material oflithium-ion batteries (LIBs). The FePO4/rGO composite exhibits superior cyclic performance(812.7 mA h g1 over 300 cycles at 500 mA g1) and high-rate capability (335.2 mA h g1 even at a highcurrent density of 10 A g1) in a half cell. More importantly, the full LIB assembled with FePO4/rGO anodeand commercial Li(Ni0.5Co0.2Mn0.3)O2 (NCM523) cathode still delivers a high and stable capacity of 674. 9/528.7 mA h g1 upon 100/300 cycles at 200/500 mA g1, indicating the great potential of this FePO4/rGO composite as a new anode material with high lithium storage performance. This work proposes asimple, feasible, and cost-effective strategy for the high-valued utilization of jarosite residue and providesa reference for the design and development of FePO4-based anode materials for LIBs.