• 제목/요약/키워드: Cautery

검색결과 38건 처리시간 0.024초

척추관협착증에 있어서 침과 뜸 자극에 의한 체열 변화의 정량적 해석에 관한 연구 (A Study on the Quantity Analysis to the Heat Variation for the Stenosis of the Lumber by the Acupuncture-Moxa Cautery Stimulations)

  • 조봉관
    • 대한한의진단학회지
    • /
    • 제17권3호
    • /
    • pp.253-262
    • /
    • 2013
  • Objectives This study is on the quantifying method for the acupuncture-moxa cautery heat response index, which are based on the some definitions. Methods The magnitude of the acupuncture-moxa cautery is defined by the pain-feeling of the acupuncture-moxa cautery stimulation: the stimulation magnitude of the acupuncture is 1, that of the direct moxa-cautery is 2, and that of the indirect moxa-cautery is 0.5. The heat variation of the acupuncture-moxa cautery stimulation is defined by the heat variations of the characteristic points pre/post-stimulations in the stenosis of the lumber. The acupuncture-moxa cautery heat response index is defined by the ratio of between the magnitude of the heat variation and the natural logarithmic magnitude of the stimulation. Results With the respect of the acupuncture-moxa cautery heat response index, I experimented and estimated 4 types of stimulations in the stenosis of the lumber: the single acupuncture stimulation with 40%, the single direct moxa-cautery stimulation with 52%, the combinational acupuncture-moxa cautery stimulations with 27%, and the combinational acupuncture-indirect electronic moxa-cautery stimulations with 53%. Conclusions According to the acupuncture-moxa cautery heat response index. the combinational acupuncture-moxa cautery stimulations especially need to be changed to the combinational acupuncture-indirect electronic moxa-cautery stimulations.

흉강경을 통하여 전기소작법으로 치료한 기흉 (Treatment of pneumothorax by electric cautery through thoracoscope)

  • 김광호;김형국;박영식
    • Journal of Chest Surgery
    • /
    • 제26권1호
    • /
    • pp.44-46
    • /
    • 1993
  • There are several methods for managing pneumothorax through thoracoscope. Among them, electric cautery of bleb or bulla is very simple to do and can be done through the conventional thoracoscope. It is cosmetically excellent because it needs only incision. It is economically cheap comparing other methods because it does not need staplers or clips and other disposables. However, this method has been controversial for its success rate because of the ability of sealing off the air-leaking from the lung tissue. To evaluate the success rate, 29 cases of pneumothorax treated by electric cautery and instillation of oxytetracyline solution through the thoracoscope were analyzed. Among 29 patients, 18 were male and 11 female ranging 17 to 43 years old. The indications for thoracoscopy were recurrence in 20 cases and persistence in 9 cases. The underlying casuses of pneumothorax were bleb in 10 cases and bulla with bleb or not in 19 cases. Twenty one cases were successful [4%] and 8 cases were failed. The failed 8 cases were explored from 14 to 28 days after thoracoscopy.Six cases were explored through transaxillary minithoracotomy and 2 were done through limited posterolateral thoracotomy. The causes of failure were the necrotic lung tissue occured by excessive electric cautery in 6 cases and the necrotic lung tissue and residual bulla in two cases. In 10 bleb cases, 9 were successful [90.0%]. But in 19 cases of bulla, 12 were successful [63.2%]. In conclusion, the success rate of electric cautery through thoracoscope was 72. 4% and the causes of failure were lung necrosis and residual bulla. The success rate of the bleb cases was higher than that of the bulla cases.

  • PDF

Comparison of Harmonic scalpel and monopolar cautery for capsulectomy at the second stage of expander/implant breast reconstruction

  • Kim, Ki Jae;Chung, Jae Ho;Lee, Hyung Chul;Lee, Byung Il;Park, Seung Ha;Yoon, Eul Sik
    • Archives of Plastic Surgery
    • /
    • 제47권2호
    • /
    • pp.140-145
    • /
    • 2020
  • Background Capsular contracture is a common complication of two-stage expander/implant breast reconstruction. To minimize the risk of this complication, capsulectomy is performed using monopolar cautery or ultrasonic surgical instrumentation, the latter of which can be conducted with a Harmonic scalpel. To date, there is disagreement regarding which of the two methods is superior. The purpose of this study was to compare postoperative outcomes between a group of patients who underwent surgery using a Harmonic scalpel and another group treated with monopolar cautery. Methods A retrospective chart review was conducted of patients who underwent capsulectomy as part of two-stage breast reconstruction between January 2018 and February 2019 and who received at least 1 month of follow-up after surgery. Operative time and postoperative outcomes, including drainage duration, were analyzed. Results In total, 36 female patients underwent capsulectomy. The monopolar group consisted of 18 patients and 22 breasts, while the Harmonic scalpel group consisted of 18 patients and 21 breasts. There was no statistically significant difference in demographics between the two groups. The Harmonic scalpel group had a significantly shorter mean drainage duration (6.65 days vs. 7.36 days) and a smaller mean total drainage volume (334.69 mL vs. 433.54 mL) than the monopolar cautery group (P<0.05). No statistically significant difference was observed with regard to seroma or hematoma formation. Conclusions The Harmonic scalpel approach for capsulectomy reduced the total drainage volume and drainage duration compared to the monopolar cautery approach. Therefore, this approach could serve as a good alternative to electrocautery.

제품별 직접구가 흰쥐의 소장수송능에 미치는 영향 (Effects of Different Company's Moxa Cautery on Small Intestinal Motility in Rats)

  • 유윤조
    • 동의생리병리학회지
    • /
    • 제23권6호
    • /
    • pp.1332-1340
    • /
    • 2009
  • Moxa-combustion therapy makes use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. Despite an extensive evidence-base guiding the selection of stimulation parameters and attributes of subject, little methodologically research regarding the attributes of moxa cautery in need to provide effective stimulation. To determine moxibustion's effects of the three different moxa cautery made by three different company(as A, B, C), the small intestinal motility in rats were observed after moxibustion at ST36. Under anesthesia, each intensities(1, 5, 10 times), two regions(left and right at ST36) and a quantity(as number of 1, 5, 10 times at once) were applied to the groups divided with sex. In each intensities groups, the A product made increase with 5, 10 times in male and female group. The B and C product made increase with 10 times in male group and the B product made increase with 1, 5, 10 times and the C product made increase with 5 times in female group. In two regions(left and right at ST36) groups, the A and C product made increase with 1(right), 5(right) times and the B product made increase with 1(left), 10(left), 10(right) times in male group. In female group, the A product made increase with 5(left), 5(right), 10(right) times and the B product made increase with 1(left), 10(left), 10(right) times and the C product made increase with 5(left), 10(left) times. In a quantity(as number of 1, 5, 10 times at once) groups, the A and B product did not show any changes but the C product made increase with a quantity of 10 times in male group. In female group, The B product made increase with a quantity of 1 times and the C product made increase with a quantity of 5 times, but the A product did not show any changes. Three different moxa cautery made by three different company made differents result in each group divided with sex. With these results, it was suggested that we should consider the a process of manufacture and moxa cautery's quality for the adequate value of moxibustion.

Are critical size bone notch defects possible in the rabbit mandible?

  • Carlisle, Patricia L.;Guda, Teja;Silliman, David T.;Hale, Robert G.;Baer, Pamela R. Brown
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제45권2호
    • /
    • pp.97-107
    • /
    • 2019
  • Objectives: Small animal maxillofacial models, such as non-segmental critical size defects (CSDs) in the rabbit mandible, need to be standardized for use as preclinical models of bone regeneration to mimic clinical conditions such as maxillofacial trauma. The objective of this study is the establishment of a mechanically competent CSD model in the rabbit mandible to allow standardized evaluation of bone regeneration therapies. Materials and Methods: Three sizes of bony defect were generated in the mandibular body of rabbit hemi-mandibles: $12mm{\times}5mm$, $12mm{\times}8mm$, and $15mm{\times}10mm$. The hemi-mandibles were tested to failure in 3-point flexure. The $12mm{\times}5mm$ defect was then chosen for the defect size created in the mandibles of 26 rabbits with or without cautery of the defect margins and bone regeneration was assessed after 6 and 12 weeks. Regenerated bone density and volume were evaluated using radiography, micro-computed tomography, and histology. Results: Flexural strength of the $12mm{\times}5mm$ defect was similar to its contralateral; whereas the $12mm{\times}8mm$ and $15mm{\times}10mm$ groups carried significantly less load than their respective contralaterals (P<0.05). This demonstrated that the $12mm{\times}5mm$ defect did not significantly compromise mandibular mechanical integrity. Significantly less (P<0.05) bone was regenerated at 6 weeks in cauterized defect margins compared to controls without cautery. After 12 weeks, the bone volume of the group with cautery increased to that of the control without cautery after 6 weeks. Conclusion: An empty defect size of $12mm{\times}5mm$ in the rabbit mandibular model maintains sufficient mechanical stability to not require additional stabilization. However, this defect size allows for bone regeneration across the defect. Cautery of the defect only delays regeneration by 6 weeks suggesting that the performance of bone graft materials in mandibular defects of this size should be considered with caution.

숙종(肅宗)의 중완혈(中脘穴) 수구사(受灸事) 연구 - 『승정원일기』 약방기록을 중심으로 - (A Study on CV12 Moxibustion of King Sukjong(肅宗) of Joseon Dynasty -Focusing on Seungjeongwon Ilki(承政院日記) Yakbang(藥房) Records -)

  • 김동율;고대원;김현경;차웅석;안상우
    • 대한한의학원전학회지
    • /
    • 제28권4호
    • /
    • pp.121-137
    • /
    • 2015
  • Objectives : To investigate the progress, characteristics, and reasons of CV12 moxibustion that King Sukjong of Joseon Dynasty had experienced 31 years since 1684. Methods : This study mainly extracted the records and related records about CV12 moxibustion of King Sukjong and relevant records from Seungjeongwon Ilgi, and analyzed them. Aside from that, medical books wrote at that time and relevant records were additionally investigated. Results : King Sukjong cauterized CV12 or other CV12 related acupoints with moxa 21 years out of his 31 years from 1684 to 1714. The cautery period was usually between late January and mid February. He had 100 pieces of moxa for cautery. On the last day of his moxibustion, he cauterized ST36 with moxa. The moxibustion process consisted of the following steps: suggestion or requirement of moxibustion, decision of date and time, and moxa cautery. In 1684, the reason why King Sukjong cauterized CV12 with moxa was to treat his joint pain and nauseous symptoms. The effect can be found in Donguibogam, many other Korean medical books, and other general books at that time. In 1685, he began to cauterize CV12 with moxa to prevent diseases. Since then, most moxa cautery on CV12 had been performed in the same context. Conclusions : For 21 years, King Sukjong repeatedly cauterized CV12 with moxa. The moxa therapy was conducted to prevent diseases mostly. And King Sukjong had a lot of interest in the therapy. For the reasons, the therapy had repeatedly been performed so long.

간접 쑥뜸기구를 이용한 쑥뜸 대중화 연구 (The Study on Moxa Popularization with an indirect Moxa Tool)

  • 박태희;정미화;박형수
    • 한국전자통신학회논문지
    • /
    • 제7권6호
    • /
    • pp.1561-1566
    • /
    • 2012
  • 쑥뜸의 효능이 광범위하고 특별한 부작용이 적어서 예로부터 쑥뜸이 많이 시행되어 왔고, 현재에도 다양하게 활용되고 있다. 그러나 종래의 간접 쑥뜸방식은 쑥을 연소시킬 때 연기발생과 더불어 재를 청소해야 하는 등의 문제점이 있었다. 이에 이 연구에서는 현재 쑥뜸 문제점의 해소방안을 찾고자 설문조사를 실시하였다. 그 결과 80% 응답자가 현재 사용하고 있는 쑥뜸기구가 매우 불편한 것으로 조사되었다. 그 대표적인 불편한 점으로는 쑥뜸기구의 고정문제, 연기발생문제, 뜨거움 문제 등으로 조사되었다. 이에 쑥뜸의 대중화를 위해 편리하고 효율적이면서 반복 재현성이 있는 새로운 쑥뜸기구의 개발이 요구된다.

Development of the Electronic Moxibustion Device for Realizing the Heating Effect of the Moxa Cautery

  • Kim, Tae-Gon;Lee, Yu-Mi;Park, Yong-Pil;Cheon, Min-Woo
    • Transactions on Electrical and Electronic Materials
    • /
    • 제15권1호
    • /
    • pp.28-31
    • /
    • 2014
  • This study aims to develop an electronic moxibustion device for the quantification of moxibustion, which progresses a critical role in traditional oriental medicine as well as to assess the characteristics of heating. The assessment revealed that the proposed electronic moxibustion treatment device can reduce the time required for reaching the desired heat level and continue to provide heat consistently. Moreover, heat transmitted to the treated area was found to correspond to a heating pattern of the proposed electronic moxibustion device. It proved both quantitative control and safe treatment for the proposed electronic moxibustion device.

화학 소작술 및 결찰을 이용한 이상와 누공의 치험 1예 (Pyriform Sinus Fistula with Recurrent Deep Cervical Abseesses Successfully Treated with Trichloroacetic Acid Cauterization and Ligation)

  • 박영학;이정학;송기영;조승호
    • 대한후두음성언어의학회지
    • /
    • 제16권1호
    • /
    • pp.85-87
    • /
    • 2005
  • The pyriform sinus fistula can cause a recurrent abscess in the neck and the current treatment of choice involves complete excision of the sinus tract. But, because of excisional difficult, chemical cautery has been intermittently used as a successful substitute. Recently we experienced a case of pyriform sinus fistula of 9 year-old female who was successfully treated with chemocauterization with trichloroacetic acid(TCA) and ligation of the internal opening of the fistula tract on suspension laryngoscopy. So we report this rate case with review of literatures.

  • PDF

난관결찰술후 발생된 난관자궁내막증 및 난관루에 관한 연구 (Endometriosis and Tuboperitoneal Fistulas After Tubal Ligation)

  • 조경훈;김정구;장윤석
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제14권1호
    • /
    • pp.37-42
    • /
    • 1987
  • The purpose of this study is to evaluate the incidence of endometriosis and tuboperitoneal fistula in remaining tubal segments after tubal ligation. We reviewed 936 tubes which were obtained from 474 patients who received tubal reanastomosis in the Department of Obstetrics and Gynecology in Seoul National University from June, 1980 to June, 1986. The results were as follows: 1. The incidence of tuboperitoneal fistula was 9.31% of the total 936 tubes (87 tubes) and cautery was the most frequent technique of sterilization in fistula formation (15.20%). 2. The incidence of tubal endometriosis was 2.03% of the total 936 tubes (19 tubes) and cautery was the most frequent technique of sterilization in the development of tubal endometriosis (2.73%). 3. The incidence of tuboperitoneal fistula in the remaining proximal tubal segment within 4 cm was 11.25% and the incidence of endometriosis in the remaining proximal tubal segment above 4cm was 5.54%. 4. The incidence of tuboperitoneal fistula within 3 yrs after tubal ligation was 11.92% and the incidence of endometriosis over 6 yrs after tubal ligation was 5.73%.

  • PDF