• 제목/요약/키워드: Endoscope

검색결과 251건 처리시간 0.029초

뇌실로 파열되어 있는 뇌농양에 대한 뇌정위적 내시경하 제거술 - 증례보고 - (Stereotactic Endoscopic Treatment of Brain Abscess Ruptured into Ventricle - Case Report -)

  • 손병철;김문찬;강준기
    • Journal of Korean Neurosurgical Society
    • /
    • 제29권6호
    • /
    • pp.826-831
    • /
    • 2000
  • The major indication of endoscope in neurosurgical field is intraventricular procedures. Recently, it can be used selectively in the intraaxial mass lesion associated cavity. For example, cystic mass, with liquefied necrosis, and blood clot can be approached with this technique. The authors present its usage in brain abscess ruptured into lateral ventricle. The neuroendoscope was introduced into abscess cavity through stereotactic guidance, the pus was then removed through continuous irrigation and suction under direct video visualization. The intraventricular pus was also cleaned through gentle, direct endoscopic irrigation and suction. The postoperative clinical course was uneventful. Brief overview is given for this intraaxial neuroendoscopic procedure.

  • PDF

Alport syndrome과 동반된 식도 평활근종증 (Esophageal Leiomyomatosis in a patient with Alport Syndrome)

  • 최인석;박주철;이주희
    • Journal of Chest Surgery
    • /
    • 제33권1호
    • /
    • pp.112-115
    • /
    • 2000
  • A-13-urar-old with a history of Alport syndrome had been suffering from progressive dysphagia and postprandial vomiting for over 7 years. Exophagogram and manoemtric studies were consistent with achalasia. Barum study demonstrated marked esophageal dilatation and smooth tapered narrowing of the distal esophagus. However in spite of the medical treatment including the injection of the distal esophagus. However in spite of the medical treatment including the injection of botulinum toxin at the lesion site using an endoscope symptom did not improved and he suffered growth failure and malnutrition. Esophagectomy and esophagogastrostomy were performed to relieve the dysphagia. A firm circumferential intramural mass about 7$\times$5$\times$5 cm was found in the distal esophagus. The lumen of the esophagus was markedly dilated and esophageal wall was hypertrophied. Histologic examination of the neoplasm revealed a rather ill defined tumor tissue consisting of interlacing or whirling spindle cells without significant mitosis and esophageal leiomyo-matosis was confirmed. The patient was discharged uneventfully.

  • PDF

악골 낭종 적출술시 내시경의 이용 (THE USE OF ENDOSCOPY IN ENUCLEATION OF JAW CYSTS)

  • 김영균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제27권1호
    • /
    • pp.61-64
    • /
    • 2001
  • This study evaluated the use of endoscopy to examine jaw cysts during the operation. Fifteen jaw cysts were explored with a endoscope immediately before and after enucleation. Endoscopic findings were evaluated and recorded with video tape. Before enucleation, there were many white fibrous floating materials within the cystic cavity. Cystic lining showed smooth and regular appearance with capillary network. However, there were some fibrous scar tissues and irregular architecture in preoperative infection. After enucleation, there were white shiny bony surfaces with fresh vascular network. In some cases, floating fibrous tissues remained after removal.

  • PDF

전산유체역학을 이용한 교반기 내부의 고체/액체 다상유동 해석 (CFD SIMULATIONS OF SOLID/LIQUID TWO-PHASE FLow IN AN AGITATOR)

  • 김치겸;원찬식;허남건
    • 한국전산유체공학회:학술대회논문집
    • /
    • 한국전산유체공학회 2007년도 추계 학술대회논문집
    • /
    • pp.27-31
    • /
    • 2007
  • Glass particle distribution in a stirred solid/liquid systems was investigated using computational fluid dynamics(CFD). The numerical results were compared to experimental data from the available literature which investigated the local dispersed phase volume fraction by means of an endoscope technique. Eulerian multi-phase model and applications considered high loading of solid particle was used to investigate the influence of the particle concentration and mixing tank size on the solid distribution. A good agreement was obtained between the experimental data and simulation results. The results showed different solid particle distribution in an agitator by particle concentration and mixer size.

  • PDF

과대비성을 동반한 점막하 구개열 환자에 대한 Double Opposing Z-plasty 3례 (Three Cases of Submucous Cleft Palate with Hypernasality Treated with Double Opposing Z-plasty)

  • 최홍식;이승수;김성국;김태만;김현준
    • 대한후두음성언어의학회지
    • /
    • 제9권2호
    • /
    • pp.168-172
    • /
    • 1998
  • Several kinds of surgical methods have been used to treat the submucous cleft palate with hypernasality. The purpose of this study was to evaluate the double opposing Z-plasty which is one of the newly established surgical methods by Dr. Furlow in three cases of submucous cleft palate with hypernasality operated in this department. There were a number of advantage of double opposing Z-plasty. The surgery is adaptable for use in early patient. Midfacial growth retardation and complication were not seen in all cases. Hypernasality was improved subjectively. Using the nasometer, the nasalance score of the postoperative period was compared with that of before surgery, much improvement were noted in 'Ah', 'PaPa'. And fiberoptic endoscope was used to evaluate the velopharyngeal closure pattern. Velopharyngeal closure pattern with velum was improved dramatically, Double opposing Z-plasty seem to be a good procedure for the treatment of submucous cleft palate with hypernasality.

  • PDF

From Exoscope into the Next Generation

  • Nishiyama, Kenichi
    • Journal of Korean Neurosurgical Society
    • /
    • 제60권3호
    • /
    • pp.289-293
    • /
    • 2017
  • An exoscope, high-definition video telescope operating monitor system to perform microsurgery has recently been proposed an alternative to the operating microscope. It enables surgeons to complete the operation assistance by visualizing magnified images on a display. The strong points of exoscope are the wide field of view and deep focus. It minimized the need for repositioning and refocusing during the procedure. On the other hand, limitation of magnifying object was an emphasizing weak point. The procedures are performed under 2D motion images with a visual perception through dynamic cue and stereoscopically viewing corresponding to the motion parallax. Nevertheless, stereopsis is required to improve hand and eye coordination for high precision works. Consequently novel 3D high-definition operating scopes with various mechanical designs have been developed according to recent high-tech innovations in a digital surgical technology. It will set the stage for the next generation in digital image based neurosurgery.

Endoscopic Treatment of Hypothalamic Hamartomas

  • Shim, Kyu Won;Park, Eun Kyung;Kim, Dong-Seok
    • Journal of Korean Neurosurgical Society
    • /
    • 제60권3호
    • /
    • pp.294-300
    • /
    • 2017
  • Hypothalamic hamartoma (HH) is a benign indolent lesion despite the presentation of refractory epilepsy. Behavioral disturbances and endocrine problems are additional critical symptoms that arise along with HHs. Due to its nature of generating epileptiform discharge and spreading to cortical region, various management strategies have been proposed and combined. Surgical approaches with open craniotomy or endoscopy, stereotactic approaches with radiosurgery and gamma knife surgery or radiofrequency thermos-coagulation, and laser ablation have been introduced. Topographical dimension and the surgeon's preference are key factors for treatment modalities. Endoscopic disconnection has been one of the most favorable options performed in treating HHs. Here we discuss presurgical evaluation, patient selection, surgical procedures, and complications.

복합 소독 공정을 이용한 E. coli 불활성화 (E. coli Inactivation using Complex Disinfection Process)

  • 김동석;박영식
    • KSBB Journal
    • /
    • 제25권1호
    • /
    • pp.33-40
    • /
    • 2010
  • Conventional disinfectants and disinfection method are expensive, hazardous and often require long periods of exposure. Recently, there is growing interest in complex disinfection process as a disinfection technique in medical instruments such as endoscope, hand piece bur to improve the disinfection efficiency and conveniency. The aim of this study was to evaluate the performance of a new complex process for the purpose of disinfection of Escherichia coli in water. Three single process (electrolysis, UV and ultrasonic process) was combined dual and triple disinfection process. The order of disinfection performance for E. coli in dual process lie in: Electrolysis + UV > Electrolysis + Ultrasonic > UV + Ultrasonic process. Disinfection efficiency of E. coli and degradation of N, N-Dimethyl-4-nitrosoaniline (RNO, indicating material of OH radical formation) of dual process was higher than that of the triple process (Electrolysis + UV + Ultrasonic process). In electrolysis + UV process, disinfection tendency was well agreed with RNO degradation tendency.

위치 센서를 갖지 않는 초소형 BLDC모터의 구동 방법 (Driving Method for micro BLDC Motor without Position Sensor)

  • 이종배;성하경;정인성;임준홍
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2002년도 추계학술대회 논문집 전기기기 및 에너지변환시스템부문
    • /
    • pp.240-242
    • /
    • 2002
  • Recently, most machineries have been small size and mobile type. And human body insertion type endoscope and micro robot technology has been developed. Then the motors used in this field are developed in micro size such as about 2mm in diameter. The structure of this motor is similar to a general brushless DC(BLDC) motor but because of small size there is no position sensor such as hall sensor. In this paper, we propose synchronous driving method for micro BLDC motor without position sensor. We design and manufacture this driver and perform experiment to show the effectiveness of the proposed method.

  • PDF

적응형 윈도우를 이용한 스테레오 내시경에서의 깊이추출 연구 (Depth Extraction from Stereo Endoscope Using Adaptive Window)

  • 황도식;김정훈;안종식;이성재;이명호
    • 대한의용생체공학회:학술대회논문집
    • /
    • 대한의용생체공학회 1998년도 추계학술대회
    • /
    • pp.265-266
    • /
    • 1998
  • This paper describes a depth extraction algorithm in the stereo endoscopic images using adaptive window. First, The relation between the 3D coordinates in the world and the 2D coordinates in the image plane is estimated using camera calibration. Next, stereo matching is performed to find the conjugate pairs in the left and right images. To improve the precision of the matching result, adaptive window which can be varied on the shape as well as on the size according to the area characteristics is used. Finally, the result from the stereo matching and that of camera modeling are combined to extract the real depth information.

  • PDF