• 제목/요약/키워드: 외과(外科)

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Septic Arthritis after Arthroscopic Meniscal Repair (관절경적 반월연골판 봉합술 후 발생한 수술 후 화농성 관절염)

  • Jeon, Ho Seung;Woo, Young Kyun;Hwang, Seok Ha;Suh, Seung Pyo;Jeong, Ho Wong
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.97-102
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    • 2017
  • The incidence of septic arthritis after knee arthroscopy surgery has rarely been reported in approximately 0.04% to 3.4%. Moreover, septic arthritis after arthroscopic meniscal repair is more rare. There have been some reported cases, but in Korea, it has not been reported thus far. Herein, we report two cases of septic arthritis after arthroscopic meniscal repair with review of literature.

Prediction of Surgical Anesthesia in Medetomidine/Tiletamine/Zolazepam Anesthetized Dogs using Electroencephalography (Medetomidine/Tiletamine/Zolazepam 마취견에서 뇌전도를 이용한 외과마취의 평가)

  • Jang, Hwan-Soo;Kim, Jung-Eun;Lim, Jae-Hyun;Kwon, Young-Sam;Lee, Maan-Gee;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.540-545
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    • 2010
  • Changes of electroencephalogram (EEG), mean arterial blood pressure (MAP) and heart rate under surgical anesthesia were investigated in medetomidine (MED) and tiletamine/zolazepam (ZT)-anesthetized dogs. To determine the level of surgical anesthesia, pedal withdrawal reflex was regularly tested after ZT injection. The first time point without pain response was regarded as the beginning of surgical anesthesia (SSA). After SSA, the first time point showing positive pain response was considered the end of surgical anesthesia (ESA). Comparing the control, an additional significant decrease of ${\delta}2$ and ${\alpha}2$ was observed at SSA. Comparing the control, ${\delta}2$ was significantly decreased at ESA. Significant reductions of MAP were observed at pre-ESA and ESA. Heart rate significantly decreased in all stages. These results suggest that ${\delta}2$ band power is a valuable parameter for correlating surgical anesthesia in dogs anesthetized with MED and ZT.

Effectiveness of the Trauma Team-Staffed Helicopter Emergency Medical Service (헬리콥터 응급의료서비스의 외상팀 탑승 여부와 외상환자의 생존율)

  • Kim, Tea-youn;Lee, Sang Ah;Park, Eun-Cheol;Huh, Yo;Jung, Kyoungwon;Kwon, Junsik;Moon, Jonghwan;Kim, Jiyoung;Kim, Juryang;Hwang, Kyungjin;Yun, Seong Keun;Lee, John Cook-Jong
    • Health Policy and Management
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    • v.28 no.4
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    • pp.411-422
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    • 2018
  • Background: Whether there is a difference in outcomes for trauma patients transferring to the helicopter emergency medical service (HEMS) according to their previous team composition is controversial. The purpose of this study is to evaluate the effectiveness of trauma team-staffed-HEMS (TTS-HEMS) when transferring to a trauma center. Methods: A retrospective comparison was conducted on patients transported to a trauma center over a 6-year period by the TTS-HEMS and paramedic-staffed-HEMS (119-HEMS). Inclusion criteria were blunt trauma with age ${\geq}15years$. Patient outcomes were compared with the Trauma and Injury Severity Score (TRISS) (30-day mortality) and the Cox proportional hazard ratio of mortality (in hospital). Results: There were 321 patients of TTS-HEMS and 92 patients of 119-HEMS. The TTS-HEMS group had a higher Injury Severity Score and longer transport time but a significantly shorter time to emergency surgery. The prehospital data showed that the trauma team performed more aggressive interventions during transport. An additional 7.6 lives were saved per 100 TTS-HEMS deployments. However, the TRISS results in the 119-HEMS group were not significant. In addition, after adjusting for confounders, the hazard ratio of mortality in the 119-HEMS group was 2.83 times higher than that in the TTS-HEMS group. Conclusion: HEMS was likely to improve the survival rate of injured patients when physicians were involved in TTS-HEMS. Survival benefits in the TTS-HEMS group appeared to be related to the fact that the trauma team performed both more aggressive prehospital resuscitation and clinical decision making during transportation.

학회순례 - 대한외과학회

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • v.32 no.9 s.364
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    • pp.90-91
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    • 1999
  • 1947년 회원 1백여명으로 단촐하게 창립된 조선외과학회는 이듬해인 48년 대한외과학회로 이름을 바꾸고 본격 활동을 시작했다. 올해로 창립 51돌을 맞은 이 학회는 현재 4천7백68명의 회원을 거느리고 있으며 11개 위원회와 7개 지방학회를 두고 매년 봄ㆍ가을로 나눠 학술대회를 열고 있다. 90년대 들어 국제학술대회를 본격 유치해 서울서 개최해왔으며 2000년에 열릴 춘계학술대회때는 이식, 혈관외과 분야의 세계적 권위자들이 참석해 토론을 벌일 계획이다.

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Clinical experiences of arterial disease (동백질환의 임상적 고찰)

  • Lee, J.H.;Kim, J.E.;Yu, H.S.
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.385-393
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    • 1980
  • From 1959 to 1980, for about 21 yrs, the authors have experienced of 69 cases of arterial diseases, and analyzed the diseases. They are Aneurysm 16 Iatrogenic thrombosis after angio & cardiac Cath. 20 Coarctation 3 Primary arteritis 9 Traumatic injury 9 Occlusive disease 12 But PDA (107 cases) & Buerger's disease are excluded in this study.

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Validation of Electronic Foot Function Index in Patients with Foot and Ankle Disease: A Randomized, Prospective Multicenter Study (족부 족관절 질환 환자에서 전자식 족부 기능 지수의 인증: 임의 배정, 전향적, 다기관 연구)

  • Lee, Dong Yeon;Kim, Yu Mi;Lee, Jun Hyung;Kim, Jin;Kim, Ji-Beom;Kim, Bom Soo;Choi, Gi Won;Seo, Sang Gyo;Kim, Jun Beom;Park, Se-Jin;Kim, Yoon-Chung;Choi, Young Rak;Lee, Dong-Oh;Cho, Jae-Ho;Chun, Dong-Il;Kim, Hyong Nyun;Park, Jae-Yong
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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    • pp.24-30
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    • 2019
  • Purpose: To evaluate the efficiency of the electronic foot function index (eFFI) through a prospective, random based, multi-institutional study. Materials and Methods: The study included 227 patients ranging in age from 20 to 79 years, visited for surgery in different 15 institutes, and agreed to volunteer. The patients were assigned randomly into a paper-based evaluated group (n=113) and tablet-based evaluated group (n=114). The evaluation was done on the day of hospital admission and the method was changed on the second day of surgery and re-evaluated. PADAS 2.0 (https://www.proscore.kr) was used as an electronic evaluation program. Results: There were no differences in age and sex in both groups. The intraclass correlation coefficient (ICC) evaluation revealed an eFFI ICC of 0.924, showing that both results were similar. The evaluation time was shorter in the tablet-based group than the paper-based group (paper vs tablet, $3.7{\pm}3.8$ vs $2.3{\pm}1.3minutes$). Thirty-nine patients (17.2%) preferred to use paper and 131 patients (57.7%) preferred the tablet. Fifty-seven patients (25.1%) found both ways to be acceptable. Conclusion: eFFI through tablet devices appears to be more constant than the paper-based program. In addition, it required a shorter amount of time and the patients tended to prefer the tablet-based program. Overall, tablet and cloud system can be beneficial to a clinical study.