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Transumbilical single-port laparoscopy is widely used in gynecological surgery. However, it is rarely used in the treatment of deep infiltrating endometriosis due to its own shortcomings and the complex condition of deep infiltrating endometriosis. The study aims to introduce a transumbilical single-port laparoscopic surgery based on retroperitoneal pelvic spaces anatomy, which can complete the operation of deep infiltrating endometriosis more easily. A retrospective analysis of 63 patients with deep infiltrating endometriosis treated by transumbilical single-port laparoscopy using this method was conducted. The operation duration was 120.00 (85.00 ± 170.00) (35–405) min, the estimated blood loss was 68.41 ± 39.35 ml, the postoperative hospital stay was 5.00 (4.00–6.00) days, and the incidence of postoperative complications was 4.76% (3/63). 1 patient was found to have intestinal injury during operation, 1 patient had ureteral injury after operation, and 1 patient had postoperative pelvic infection, with a recurrence rate of 9.52%. The postoperative scar score was 3.00 (3.00–4.00) and the postoperative satisfaction score was 9.00 (8.00–10.00). In summary, this study demonstrates the feasibility of transumbilical single-port laparoscopic surgery for deep infiltrating endometriosis based on retroperitoneal pelvic spaces anatomy. Hysterectomy, adenomyosis resection, etc. are also feasible with this method, boasting more obvious advantages. This method can make transumbilical single-port laparoscopy more widely used in deep infiltrating endometriosis. [ABSTRACT FROM AUTHOR]

Shear behavior of rock mass greatly depends upon the rock joint roughness which is generally characterized by anisotropy, scale effect and interval effect. A new index enabling to capture all the three features, namely brightness area percentage (BAP), is presented to express the roughness based on synthetic illumination of a digital terrain model derived from terrestrial laser scanner (TLS). Since only tiny planes facing opposite to shear direction make contribution to resistance during shear failure, therefore these planes are recognized through the image processing technique by taking advantage of the fact that they appear brighter than other ones under the same light source. Comparison with existing roughness indexes and two case studies were illustrated to test the performance of BAP description. The results reveal that the rock joint roughness estimated by the presented description has a good match with existing roughness methods and displays a wider applicability. [ABSTRACT FROM AUTHOR]