• Title/Summary/Keyword: 소절

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Mini open repair of the rotator cuff tear (회전근개 파열에 대한 소절개를 이용한 봉합술)

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    • 대한정형외과스포츠의학회:학술대회논문집
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    • 2004.12a
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    • pp.31-33
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    • 2004
  • 소절개 봉합술은 관혈적 봉합술에 비해 동반된 상완관절와 관절(glenohumeral joint)내의 병변을 확인하고 이에 대한 처치를 시행할 수 있으며, 견봉하 감압술과 함께 동반된 견봉 쇄골 관절의 병변을 치료할 수 있다. 또한 삼각근 기시부에 대한 손상을 최소화하기 때문에 마른 재활과 조기 퇴원을 시행할 수 있는 둥의 장점이 있다. 관절경적 봉합술에 비해서는 수술 술기가 어렵지 않기 때문에 항상 좋은 결과를 기대할 수 있다. 회전근개 파열에 대한 수술을 시행할 때 관절경적 봉합술이 모든 경우에서 관혈적 또는 소절개 봉합술에 비해 좋은 결과를 나타내는 것은 아니다. 환자가 심한 골다공증이 있는 경우, 기술적 문제가 있는 경우, 봉합후 회전근개에 지나친 긴장이 염려될 때는 항상 소절개 봉합술로의 전환을 시도하여야 한다. 소절개 봉합술을 시행한 경우에도 관절경적 봉합술시와 비슷한 좋은 결과를 얻을 수 있고, 치료의 결과는 수술의 종류보다는 정확한 술기 및 술전 환자의 상태에 좌우된다고 하겠다.

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Mini open repair of the rotator cuff tear (회전근 개 파열에 대한 소절개를 이용한 봉합술)

  • Rhee Yong Girl
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.2
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    • pp.98-99
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    • 2004
  • 소절개 봉합술은 관혈적 봉합술에 비해 동반된 관절와 상완 관절(glenohumeral joint) 내의 병변을 확인하고 이에 대한 처치를 시행할 수 있으며, 견봉하 감압술과 함께 동반된 견봉 쇄골 관절의 병변을 치료할 수 있다. 또한 삼각근 기시부에 대한 손상을 최소화하기 때문에 빠른 재활과 조기 퇴원을 시행할 수 있는 등의 장점이 있다 관절경적 봉합술에 비해서는 수술 술기가 어렵지 않기 때문에 항상 좋은 결과를 기대할 수 있다 회전근 개 파열에 대한 수술을 시행할 때 관절경적 봉합술이 모든 경우에서 관혈적 또는 소절개 봉합술에 비해 좋은 결과를 나타내는 것은 아니다. 환자가 심한 골다공증이 있는 경우, 기술적 문제가 있는 경우, 봉합 후 회전근 개에 지나친 긴장이 염려될 때는 항상 소절개 봉합술로의 전환을 시도하여야 한다. 소절개 봉합술을 시행한 경우에도 관절경적 봉합술시와 비슷한 좋은 결과를 얻을 수 있고, 치료의 결과는 수술의 방법보다는 정확한 술기 및 수술 전 환자의 상태에 좌우된다고 하겠다.

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A Study on Hereditary Version of Sasojeol (『사소절』 현전본에 대한 연구)

  • Han, Mi-kyung
    • Journal of the Korean Society for Library and Information Science
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    • v.49 no.3
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    • pp.57-79
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    • 2015
  • This study investigates and classifies 61 pieces of hereditary Sasojeol versions in possession of 8 libraries in Korea and 3 libraries in the US and Japan and compares them with one another with the following results. Firstly, as a result of investigation of 61 pieces of Sasojeol, it was found out that the hereditary versions are classified into 5 kinds including Cheongjangkwan Sasojeol, Sashojyeol of Korean version, Hyunto Sasojeol and Sasojeoljijeol. The detailed investigation proves that Sasojeol and Sasojeonjijeol are imparted to the present most often, that Sashojyeol of Korean version is the traslated from printed version of Sasojeol, that Hyunto Sasojeol is the Korean editings of printed version of Sasojeonl, and the Sasojeoljijeol is the ummarized version of Cheongjangkwan Sasojeol. Secondly, the comparison of Cheongjangkwan Sasojeol possessed by major libraries proves that the version in National Library of Korea's and Jangseogak's possession are similar to each other by and large and that the comparison of Sasojeol possessed by each institution proves that the version in Kyonggi University's possession copied the former generally fine. Thirdly, the comparison of Sasojeoljijeol and Cheongjangkwan Sasojeol proves that Sasojeonjijeol is the summarized version of redrafted Cheongjangkwan Sasojeol and traces of 22 sentences being added to.

Immunological Change of the Lymph Node and Lymph Follicles, Stimulated LPS in the Popliteal Lymph Node of the Early Postnatal Mice (Lipopolysaccharide 항원에 노출된 발생초기의 림프절내 B 및 T 림프구의 면역학적 변화)

  • Ahn, Keum-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.2
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    • pp.775-782
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    • 2011
  • This study was designed to clarify the morphometrical change of lymph node, deep cortex and lymph follicles in draining lymph nodes of young mice in response to local injection of lipopolysaccharide(LPS). 1. In the group stimulated with LPS, aged 0 day and 3 days, the number of lymph follicles were not significantly different from those of control group. 2. In the group two to four weeks after injection with LPS, aged five days and one week, the number of lymph follicles were significantly increased from those of control group. 3. In the group one to four weeks after injection with LPS, aged 0 day, three days, five days and one week, the area of lymph node and deep cortex increased about 1.5-3 times more than that of the control group. 4. In the group two to four weeks after injection with LPS, aged three days, five days and one week, the lymph follicles(the area: larger than 0.1 mm2) were increased from those of control group. 5. In the group two to four weeks after injection with LPS, aged five days and one week, the lymph follicles(the area: smaller than 0.01 mm2) were increased from those of control group. In view of these experimental findings, the formation of lymph follicles were induced by LPS stimulation from 5 days to one week after birth. The newley formed lymph follicles area in response to LPS may be less than $0.01mm^2$.

Double Valve Replacement via Ministernotomy -A Case Report- (소흉골절개술을 통한 이중판막치환술 -1례 보고-)

  • 백완기;김현태;심상석;조상록;박현희
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.52-54
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    • 1998
  • Recently, several versatile approaches via limited incision have been developed for minimally invasive cardiac surgery. As the incision is limited, it is often dfficult to get a satisfactory operative field, especially for the manipulation of two separate lesions such as simultaneous mitral and aortic valve disease with a single limited incision. Here, we describe a case of successful double valve replacement via ministernotomy, which was followed by two cases of minimally invasive aortic valve replacement via transsternal approach. The operative field was unexceptionally satisfactory and the postoperative patient's acceptance was high. The methodology is described with a review of the relevant literatures.

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Mini-open Rotator Cuff Repair Using Anterolateral Approach (전외측 도달법을 이용한 소절개 회전근 개 봉합술)

  • Cho, Chul-Hyun;Yeo, Kyung-Ki;Lee, Sung-Yoon;Jung, Gu-Hee
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.86-91
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    • 2010
  • Purpose: To introduce mini-open rotator cuff repair using the anterolateral approach and evaluate its clinical outcomes and effectiveness. Materials and Methods: 59 consecutive cases of rotator cuff tearing which were treated with mini-open repair utilizing the anterolateral approach were evaluated. The population comprised 39 men and 20 women, with an average age of 56.6 years. An average follow-up time period was 26 months. Clinical outcomes were analyzed based on VAS, ADL, and ASES scores. Results: The average respective VAS, ADL, and ASES scores improved from 7.04, 12.37, and 35.32 preoperatively to 1.02, 27.20, and 90.08 postoperatively (p=0.000). There were 41 excellent, 11 good, 2 fair, and 5 poor results. There were satisfactory results in 52 cases (88.1%). There were no statistically significant differences between the final ASES scores and age, sex, duration of symptoms, tear size, and preoperative stiffness (p>0.05). Conclusion: Mini-open rotator cuff repair using the anterolateral approach effective in providing better visualization.

Comparison of Conventional Thoracoscopic Wedge Resection and Modified Transaxillary Minithoracotomy with Thoracoscopy for the Treatment of Primary Spontaneous Pneumothorax (원발성 자연 공기가슴증 환자에서 고식적인 흉강경하 쐐기절제술과 흉강경을 이용한 변형된 소절개술식의 비교)

  • Lee Mi Kyoung;Ryu Dae Woong;Lee Sam Youn;Choi Jong Bum;Choi Soon Ho
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.371-376
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    • 2005
  • Background: Retrospective study was carried out on patients with primary spontaneous pneumothorax with the aim of determining if conventional thoracoscopic wedge resection is superior to modified transaxillary minithoracotomy with thoracoscopy in the surgical treatment. Material and Method: 160 patients, aged 14 to 35 years with primary spontaneous pneumothorax were involved in this study. Patients were assigned to two groups by surgical technique; Conventional thoracoscopic wedge resection (group A; n=80) and modified transaxillary minithoracotomy with thoracoscopy (group B; n=80). Apical pleural abrasion & talc poudrage were performed in all cases. This study evaluated the following factors: duration of operation, days of analgesics used after operation, number of no air leak on the first postoperative day, duration of indwelling chest tube, hospital stay, postoperative complications, chronic chest pain (during follow-up) and resumption of normal activity. Relapses (ipsilateral recurrence after discharge) during follow-up periods were evaluated. Result: No significant differences were found in any of the factors studied in either group. Conclusion: Conventional thoracoscopic wedge resection and modified transaxillary minithoracotomy with thoracoscopy offer similar results in the surgical treatment of primary spontaneous pneumothorax. The rate of complication is low and the level of pain is acceptable without long-term sequele. Therefore, modified transaxillary minithoracotomy with thoracoscopy method appears as a valuable alternative surgical technique.