• 제목/요약/키워드: DIEV

검색결과 3건 처리시간 0.015초

과급 횡복직근피판술(Supercharged TRAM)을 이용한 유방재건술 (Supercharged Technique in TRAM flap Breast Reconstruction)

  • 양정덕;송재민;이상윤;정호윤;조병채;박호용;정진향
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.577-582
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    • 2010
  • Purpose: When reconstruction for patients who have the large contralateral breast or a following large defect after mastectomy is required, conventional pedicled TRAM flap shows the unpredictable occurrence of fat necrosis and skin flap loss in a relatively high percentage due to insufficient blood supply. In an effort to obtain more stable TRAM flap blood circulation, we have performed a supercharged technique using deep inferior epigastric perforators (DIEP) with conventional pedicled TRAM flap. Methods: From September of 2006 to December of 2008, Fourteen supercharged TRAM flap were performed for breast reconstruction after modified radical mastectomy. The contralateral DIEP was anastomosed to the internal mammary vessels in contralateral pedicled TRAM flap or thoracodorsal vessels in ipsilateral pedicled TRAM flap. Nutrient vessels were selected by Multi-Detector Computed tomography (MD-CT) modalities. For the nutrient vessel, we used deep inferior epigastric vessels (DIEV) of the ipsilateral side in 8 patients, DIEV of the contralateral side in 6 patients. In addition, for the recipient vessel, we used thoracodorsal vessels in 8 patients, internal mammary vessels in 5 patients, intercostals artery perforators in 1 patient. Results: The mean age was 46.8 years and the average follow-up interval was 14 months. There were 11 immediate and 3 delayed breast reconstructions. Fat necrosis incidence rate in supercharged TRAM group was lower than in conventional TRAM flap group. There were no differences of the incidences of abdominal hernia in both groups. Conclusion: The supercharged TRAM flap produces an improvement in vascularity that permits use of all four zones of the flap. The breast reconstruction with supercharged technique is reliable and valuable methods which provide sufficient soft tissue from abdomen without significant complications.

REBCO coil operation in gaseous helium and solid nitrogen

  • Diev, D.N.;Makarenko, M.N.;Naumov, A.V.;Polyakov, A.V.;Shcherbakov, V.I.;Shutova, D.I.;Surin, M.I.
    • 한국초전도ㆍ저온공학회논문지
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    • 제21권3호
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    • pp.47-50
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    • 2019
  • The paper gives the results of the experiments with a model two-section REBCO solenoid cooled by either gaseous helium (GHe) or sub-cooled/solid nitrogen (SN2) in (50-77) K temperature range. The major cooling source was a single-stage cryocooler Sumitomo CH-110 with the cooling power of 175 W and 130 W at 77 K and 50 K respectively. The coil itself was not directly conduction cooled. We compare the time taken by both coolants to obtain the temperature of the magnet of about 50 K and the homogeneity of the temperature distribution within the cryostat. Test results for the coil operation in solid nitrogen together with the comparison of its critical properties in SN2 and GHe are also presented.

HTS high gradient magnetic separator prototype

  • Diev, D.N.;Lepehin, V.M.;Makarenko, M.N.;Polyakov, A.V.;Shcherbakov, V.I.;Shutova, D.I.;Surin, M.I.;Tagunov, E. Ya.
    • 한국초전도ㆍ저온공학회논문지
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    • 제20권4호
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    • pp.1-5
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    • 2018
  • A high gradient magnetic (HGM) separator prototype with the $2^{nd}$ generation high temperature superconducting (2G HTS) magnetic system operated in sub-cooled nitrogen is presently under development at NRC "Kurchatov Institute" (Moscow, Russia). The main goal of the project is an attempt to shift away from the complicated liquid helium cryostats towards simple cryocooler-based nitrogen cryogenics as much more convenient for HGM separators industrial applications. Using of commercial HTS tapes allows to get a sufficient level of magnetic fields and extraction forces with low energy consumption. The expected operational parameters of the device are 1.2-1.5 T in the empty operational gap and up to 3 T on the ferromagnetic filters. In this paper we briefly describe the design of the HTS rotary separator prototype with the horizontally oriented rotor axis and propose different types of ferromagnetic filters intended for weakly magnetic ores enrichment.