• Title/Summary/Keyword: 탈장

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Repair of Morgagni Hernia through the Abdominal Approach - A case report - (복부접근법을 이용한 Morgagni Hernia의 교정 - 1예 보고 -)

  • Hwang, Jung-Joo;Kim, Do-Hyung;Lee, Yang-Deok;Kim, Kil-Dong
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.722-725
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    • 2007
  • Morgagni's hernia constitutes about 3% of all the congenital diaphragm hernias. It is usually asymptomatic and it is frequently found coincidentally during routine diagnostic testing in adulthood. It is usually diagnosed by simple chest X-ray, but when this condition is without intestinal herniation, then chest CT or other modalities are necessary. Operative repair is desirable when there is the risk of strangulation of the intestine. The trans-thoracic or trans-abdominal approaches are possible to treat this malady. We report here on one case for which we successfully used a laparoscopic approach to treat this problem.

Diaphragmatic Hernia as a Complication of Pedicled Omentoplasty (유경 대망이식술의 합병증으로 발생한 횡격막탈장)

  • 윤찬식;정재일;김재욱;구본일;이홍섭
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.968-971
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    • 2001
  • Pedicled omentoplasty is effective in thoracic surgery, but it is associated with several postoperative complications. A case of diaphragmatic hernia as a complication of pedicled omentoplasty in a 65-year-old male is reported. Because aortoesophageal fistula occurred three months after the patch aortoplasty for mycotic aneurysm of descending thoracic aorta, he underwent ascending thoracic aorta to abdominal aorta bypass surgery with resection of thoracic aortic aneurysm and esophagorrhaphy with wrapping of the esophageal suture line and the stumps of aorta with pedicled omental flap. Three years after the operation, herniation of the stomach developed. The pedicled omental flap was ligated and divided, and the diaphragm defect was repaired.

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Congenital hernia of the lung through the azygoesophageal recess (Azygoesophageal recess를 통한 선천 폐탈장)

  • Choi, Young Seok;Son, Young Jun;Bae, Si Young;Min, Kyung Sun;Cho, Young Kuk;Choi, Woo Yeon;Choi, Young Youn;Ma, Jae Sook;Hwang, Tai Ju
    • Clinical and Experimental Pediatrics
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    • v.51 no.10
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    • pp.1123-1126
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    • 2008
  • A lung hernia, defined as the protrusion of pulmonary tissue and pleural membranes through a defect in the thoracic wall, is a rare event. It can be congenital or acquired, and cervical, thoracic, or diaphragmatic in location. We report the rare occurrence of a congenital atraumatic lung herniation through the azygoesophageal recess. An 8-month-old male infant, who was born at 35 weeks gestation, had a chronic cough. Chest radiography showed haziness at the right lower lobe of the lung (RLL). Chest computed tomography (CT) revealed herniation of the RLL through the azygoesophageal recess. If persistent unilateral haziness is observed on chest radiography, the possibility of lung herniation should be considered.

Characteristics of a Producing Process of the Television Genre -over Program: Focused on the KBS 2TV <Sponge>- (텔레비전 탈장르 프로그램의 제작과정 특성 -KBS 2TV <스펀지>를 중심으로-)

  • Kim, Sang-Keun
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.251-258
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    • 2011
  • Nowadays, 'fusion style' television programs are increasingly found in the production of television program. Originally such a trend has been developed with a purpose of changing tedious cultural program into entertaining style. Recently, however, it has also become as an alternative style of genre which is against from lasciviousness or lewdness of entertaining programs. This study is designed to analyse the characteristics of television production and theorize a producing process of the television genre-over program As a result of various aspects of research, it is found that recent producers who make genre-over program choose any kind of genre which is thought to be needed for their program, without any limitation in terms of methods or skills for specific genre. And with this change of concept for making programs, genre-over programs are newly defined as the entertaining programs, in which its entertaining function is widen and broaden, absorbing the informative function of cultural programs.

A Case of Cogenital Esophageal Hiatal Hernia Simulating Chest Mass (흉부 종괴로 오인된 선천성 식도열공 탈장 1례)

  • Rhou, Hye-Mi;Moon, Eun-Kyung;Lee, Dong-Chul;Im, Hye-Kyung;Yu, Jae-Hong;Sul, Ji-Young;Kim, Jong-Chul
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.2
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    • pp.211-216
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    • 1999
  • The esophageal hiatal hernia is a herniation of an abdominal organ, usually the stomach, through the esophageal hiatus into thoracic cavity. It is a rare disease, usually congenital and frequently associated with gastroesophageal reflux and other congenital malformations in children. It is classified according to their anatomic characteristics as type I (sliding hiatal hernia), type II (paraesophageal hiatal hernia), type III (combined hiatal hernia) and type IV (multiorgan hiatal hernia). We experienced a case of type III congenital esophageal hiatal hernia simulating chest mass on simple chest x-ray because of right intrathoracic stomach secondary to congenital esophageal hiatal hernia and organoaxial rotation in 10 months male. After the operation, he showed an improved general condition and was discharged at the 14th hospital day. We report the case with the brief review of the related literatures.

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Hemorrhagic Complication of Protruding Preperitoneal Fat Presenting as an Incarcerated Inguinal Hernia in a Patient with Clinically Occult Inguinal Hernia (소아에서 발생한 감돈성 서혜부 탈장의 양상을 보이는 출혈성 전복막지방 탈출증)

  • Jung, Eunyoung;Park, Woo-Hyun;Choi, Soon-Ok
    • Advances in pediatric surgery
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    • v.19 no.2
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    • pp.145-149
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    • 2013
  • 전복막지방 탈출로 인한 합병증은 소아에서 매우 드물며 서혜부 탈장과의 감별이 어렵다. 저자들은 술 전 초음파에서 대망 지방을 포함하고 있는 서혜부 탈장으로 진단된 5세 남아의 수술 중 출혈이 합병된 전복막지방탈출증을 경험하였기에 보고하는 바이다.

Laparoscopic Contralateral Exploration for Clinically Unidentified Patent Processus Vaginalis (소아 서혜부 탈장환자에서 반대측에 대한 복강경 검사의 의의)

  • Park, Il-Kyung;Mok, Woo-Kyun
    • Advances in pediatric surgery
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    • v.13 no.2
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    • pp.194-202
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    • 2007
  • It is known that pediatric inguinal hernia is caused by the incomplete closure of processus vaginalis (PV). In the case of unilateral hernia, possibile contralateral patent PV should be considered because of its delayed appearance as well as its risk of incarceration. Direct visualization of patent PV could be done by contralateral exploration or by indirect exploration through the ipsilateral opening site of the affected hernia assisted with laparoscope. A patient group (321 persons) to whom laparoscopy was not performed from March 2000 to March 2003 was analyzed and compared with a patient group (280 persons) to whom laparoscopy was performed from April 2003 to September 2005. With all 601 patients, the sex ratio (male/female) of patients was 3.8:1. The side distribution was 57.7% in the right, 32.1% in the left and 10.1% in bilateral. There was no difference of sex and side distribution between before and after laparosopy adoption. We did not find an age correlation in natural closure of the residual PV of the peritoneum. Contralateral hernia developed in 14 persons (2.5%) after the operation of unilateral inguinal hernia before laparoscope adoption. But no contralateral hernia developed after April 2003 with laparoscopy. We think that if we use laparoscopy, being a safe and accurate method, to check whether the contralateral residual PV is opened or closed, possible future contralateral operation can be avoided.

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Omental Torsion and Infarction Secondary to Omental Hernia in the Right Inguinal Canal (오른쪽 서혜부 탈장에 의해 이차적으로 발생한 대망의 염전 및 경색)

  • Yu Hyun Lee;Jae Hoon Lim;Heon-Kyun Ha
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.1003-1007
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    • 2020
  • Omental torsion secondary to inguinal hernia has rarely been reported as a cause of acute abdominal pain. However, in our case, omental infarction due to prolonged inguinal hernia-associated omental torsion led to the formation of a large omental mass with marginal fibrosis, and the patient presented with chronic abdominal pain. A 74-year-old man presented with complaints of lower abdominal pain for 1 month; subsequently, bilateral inguinal hernias were identified through inguinal ultrasonography. CT scans revealed that the greater omentum was trapped within the right inguinal canal, leading to omental torsion. The greater omentum, distal to the pedicle, appeared as a 30 cm-sized oblong fibrofatty mass in the right lower abdomen and pelvic cavity. Laparoscopic omentectomy with hernia repair was successfully performed.

Four Cases of Extracorporeal Membrane Oxygenation for Congenital Diaphragmatic Hernia (체외막형산소섭취로 치료한 선천성 횡경막 탈장 4례)

  • Kim, Bo-Eun;Ha, Eun-Ju;Kim, Young-A;Kim, Seong-Uk;Park, Jeong-Jun;Yun, Tae-Jin;Kim, Dae-Yeon;Kim, Seong-Chul;Lee, Byong-Sop;Kim, Ellena;Kim, Ki-Soo;Pi, Soo-Young;Park, Seong-Jong
    • Neonatal Medicine
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    • v.16 no.1
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    • pp.64-70
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    • 2009
  • Congenital diaphragmatic hernia (CDR) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high-frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.

The Use of Polypropylene Mesh for Perineal Herniorrhaphy in the Dog (개에서 polypropylene mesh를 이용한 회음부 탈장 교정술 증례)

  • Kang, Eun-Hee;Chang, Hwa-Seok;Yang, Hee-Taek;Chung, Dai-Jung;Lee, Jae-Hoon;Yang, Wo-Jong;Kim, Tae-Hoon;Lee, Young-Su;Choi, Chi-Bong;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.23 no.4
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    • pp.461-464
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    • 2006
  • Perineal hernia occurs spontaneously in older male dogs after idiopathic weakening of the pelvic diaphragm A 14-year-old uncastrated male shih tzu dog with right-sided perineal swelling was referred to the Veterinary Medical Teaching Hospital of Konkuk University. He had sign of perineal swelling for three years. Plain radiography documented the extent of rectal and colonic dilation in the herinal sac. During surgery, external anal sphincter muscle, coccygeus muscle and levator am muscle were weakened due to the three years of herniation. Internal obturator muscle transposition method was not enough for large defect, so mesh was applied to reduce the hernial sac. Internal obturator muscle transposition combined with using of polypropylene mesh was successfully performed in this dog.