• 제목/요약/키워드: Graft

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Non-Anastomotic Rupture of a Woven Dacron Graft in the Descending Thoracic Aorta Treated with Endovascular Stent Grafting

  • Lee, Youngok;Kim, Gun-Jik;Kim, Young Eun;Hong, Seong Wook;Lee, Jong Tae
    • Journal of Chest Surgery
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    • 제49권6호
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    • pp.465-467
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    • 2016
  • The intrinsic structural failure of a Dacron graft resulting from the loss of structural integrity of the graft fabric can cause late graft complications. Late non-anastomotic rupture has traditionally been treated surgically via open thoracotomy. We report a case of the successful use of thoracic endovascular repair to treat a Dacron graft rupture in the descending aorta. The rupture occurred 20 years after the graft had been placed. Two stent grafts were placed at the proximal portion of the surgical graft, covering almost its entire length.

Preparation and Properties of Hydroxyapatite/Methylcellulose for Bone Graft

  • Tak, Woo-Seong;Kim, Dong-Jun;Ryu, Su-Chak
    • 한국세라믹학회지
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    • 제55권2호
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    • pp.145-152
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    • 2018
  • Although many bone graft materials have been developed, powder graft materials are somewhat difficult to use in surgery. To solve this problem, a bone graft material in the form of a viscous paste was prepared. Hydroxyapatite was used as a bone graft material, and methyl cellulose was used to impart viscosity. Three cases of samples were prepared, and freeze-dried block type and sintered specimens were made from the paste. The recrystallization of the graft material in a simulated body fluid and the degree of graft adhesion with a tooth were observed by scanning electron microscopy (SEM). The test for cytotoxicity was carried out and the sample was grafted into the back of a mouse to confirm the presence or absence of side effects in the animal's body. Based on these investigations, composites of this type are expected to be applicable for bone grafts.

Algin Impregnated Vascular Graft I. In Vitro Investigation

  • Lee, Jin-Ho;Shin, Bung-Chul;Khang, Gil-Son;Lee, Hai-Bang
    • 대한의용생체공학회:의공학회지
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    • 제11권1호
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    • pp.97-104
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    • 1990
  • Microvel double velour graft impregnated with a biodegradable algin was studied as a new vascular graft. It is blood tight but still retains high porosity. Thls graft does not need to be preslotted with blood before implantation and has good tissue ingrowth and biological healing properties. The algin impregnated vascular graft was investigated by "in vitro" tests in this study. It was characterl zed by ESCA analysis, SEM observation, and measurements of water permeability, algin coating weight, mechanical properties and whole blood clotting time. The water permeability of the graft was reduced more than 99% and the whole blood clotting time was fast more than three times by the algin impregnation treatment. "In vivo" performance examinations of the algin impregnated graft are on progress.aft are on progress.

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경부 식도협착 재건술에 있어서 유리공장 이식편의 이용 (Reconstruction of the Cervical Esophagus Using the Free Jejunal Graft)

  • 지청현
    • Journal of Chest Surgery
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    • 제24권12호
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    • pp.1232-1237
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    • 1991
  • The cervical esophageal stricture has various surgical modalities and difficulties in reconstruction. We had experienced a case of successful reconstruction of the cervical esophageal restenosis using the free jejunal graft, on 30 year old man had had esophageal stricture after ingestion of lye. He had undergone colon interposition[esophagocologastrostomy] with left colon feeding gastrostomy. But restenosis was occurred just above of the cervical esophagocolostomy site several times of balloon dilatation were failed. So, we decided to use of the free jejunal graft. The free jejunal graft was isolated about 15cm length with it`s vascular arcades. The graft was irrigated with the mixed solution as isotonic saline, heparin and papaverine chloride. The artery of graft was anastomosed to the branch of the external carotid artery in end to side with continuous sutures of the 8.0 Prolene. The vein of the graft was anastomosed to the branch of the anterior facial vein in end to end with continuous sutures of the 8.0 prolene. Postoperative course was uneventful and the patient was discharged after removal of the tracheostomy cannula and gastrostomy tube.

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Graft 重合에 關한 硏究-紫外線 照射에 依한 Polyvinyl alcohol 과 Styrene 의 Graft 重合에 關하여 (Studies on the Graft Polymerization-Graft Polymerization of Styrene to Polyvinyl Alcohol by Ultraviolet Light)

  • 심정섭;전경철
    • 대한화학회지
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    • 제6권1호
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    • pp.64-68
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    • 1962
  • The graft polymerization of styrene to polyvinyl alcohol using a photosensitizer(benzophenone) and ultraviolet light was studied. Styrene was grafted onto polyvinyl alcohol up to when polyvinyl alcohol was pre-immersed in water and irradiated by ultraviolet light for 24 hours styrene solution of benzophenone(0.01 molarity). The highest percentage of graft obtained in the grafting which was proceeded in the presence of water added immediately before irradiation was 29%. The grafting was proportional to irradiation time within a certain limit of time, i.e., 24 hours, and presumably was initiated at the surface. After a certain degree of grafting a definite maximum was reached. Graft polymer prepared in this experiment showed high resistance to various solvents.

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Ce(IV)감에 의한 셀룰로오스 섬유에의 그라프트 중합에 관한 연구 (A Study on the Graft Polymerization onto Cellulose Fiber using Tetravalent Cerium-)

  • 배현숙
    • 대한가정학회지
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    • 제30권1호
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    • pp.1-9
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    • 1992
  • Graft polymerization mechanism and rate of polymerization of MMA and MMA/4-VP onto cellulose fiber using Ce(IV) salt as an initiatior were investigated. It was shown that the concentration of Ce(IV) salt affected on the graft yield, graft efficiency, total conversion and the rate of graft polymerization. The graft yield and total cenversion for MMA grafted polymer were significantly higher than those for MMA/4-VP grafted polymer with variation of CAN concentration. In this system the oxidative termination by Ce(IV) salt was considered particularly in higher concentration Ce(IV) ion. The change in the mode of termination reactions with variation of CAN concentration made possible the presence of an optimum Ce(IV) ion concentration for maximum graft yield.

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자가치아골이식재를 이용한 골이식술의 임상적 평가 (Development of autogenous teeth bone graft material and clinical evaluation)

  • 김영균
    • 대한치과의사협회지
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    • 제49권3호
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    • pp.159-169
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    • 2011
  • The author have been conducting research on the development of biomaterials using human teeth since 1993, and we recently reported the results of several of our advanced studies. Based on previous studies, new bone graft material using autogenous tooth(AutoBT) was developed. The author performed implant placement combined with GBR and sinus bone graft using AutoBT during the period of June 2009 to September 2009. During the postsurgical healing period, clinical and radiological evaluations were performed. For patients who consented to histological testing, tissue samples were obtained and histological examination was performed two months and four months after GBR and four months after sinus bone graft. Serious complications pertinent to bone graft materials were not observed, and it was shown that the level of the crestal bone in the vicinity of implants was relatively well maintained. In histologic examination after two months and four months, favorable new bone formation was observed.

Temporomandibular joint reconstruction with costochondral graft: case series study

  • Choi, Moon Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권2호
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    • pp.128-134
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    • 2021
  • Various techniques have been used to reconstruct the temporomandibular joints, including autogenous transplants and alloplastic implants. Among autogenous grafts, costochondral grafts have mainly been used. A costochondral graft has many advantages over other autogenous grafts and alloplastic implants. Harvest is easy and has minimal impact on patients. The graft can bear functional load well and biocompatibility is excellent. A costochondral graft obviates foreign body reactions and further surgery for revision of alloplastic replacements if the graft takes well. Although long-term prognosis remains unclear, it appears that for autogenous condylar reconstruction, costochondral grafts can be used with few complications and acceptable results. This article describes cases and discusses surgical techniques and considerations related to costochondral grafts.

관상동맥우회술 후 1년 개존성에 관한 연구 (One-year Graft Patency after Coronary Artery Bypass Surgery)

  • 김기봉;김현조;성기익
    • Journal of Chest Surgery
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    • 제30권12호
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    • pp.1190-1196
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    • 1997
  • 1994년 7월부터 1995년 8월까지 서울대학교병원 흉부외과에서 시행한 관상동맥 우회술 78례 중 49례 (62,8%)에서 수술 1년 후 관상동맥 조영술을 시행하여 이식 혈관의 개존성을 조사하였으며, 수술 전,후 및 수술과 관련된 여러 위험 요소들이 개존성에 미치는 영향에 대하여 분석하였다. 관상동맥 우회술 후 평균 13.4$\pm$2.1개월 째에 관상동맥 조영술을 시행하였다. 내유동맥으로 문함을 시행한 60개소 중 3개소에서 string sign을 보였으나, 폐쇄 없이 전례에서 개존성이 유지되었으며, 요골동맥으로 문합을 시행한 4개소는 모두 개존성이 유지되었다. 복제정맥으로 문합을 시행한 81개소 중 69개소(85.2%)에서 개존성이 유지되었으며, 12개 소(14.8%)에서 폐쇄되었다. 개존성에 미치는 위험요소로 수술 전,수술 중 그리고 합병증 등의 수술 후 요소로 나누어 일원적 및 다원적으로 분석하였으며, 내유동맥의 협착 과 복재정맥의 개존성, 폐쇄에 미치는 요소들을 분석하였다. 내유동맥은 환자의 연령(60세 이상),수술 후 대동맥 내 풍선펌프의 삽입,수술 후 출혈, 및 급성신부전 등 합병증이 이식 혈관의 협착과 관련된 위험 인자였으며, 복제정맥은 우회술을 시\ulcorner 받은 관상동맥의 직경이 1.5mm 이하인 경우가 이식 혈관의 폐쇄 위험성과 관련된 위험 인자로 분석되었다(p<0.05). 관상동맥 우회술 1년 후 이식 혈관의 개존성은 내유동맥이 복재정맥보다 우수함을 보였으며 환자 연령 수술 후 대동맥 내 풍선펌프의 삽입여부, 출혈, 급성 신부전 등의 합병증 및 문합된 관상 동맥의 직경 등이 개존에 관련된 요소로 분석되었다. 이러한 결과를 토대로 수술 후 이식혈관의 폐쇄 여부에 대한 11측과 수술 방법이나 수술 후 환자의 추적 관찰에 도움을 줄 수 있으리라 생각된다.

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Vertical Augmentation of Maxillary Posterior Alveolar Ridge Using Allogenic Block Bone Graft and Simultaneous Maxillary Sinus Graft

  • Lee, Eun-Young;Kim, Eun-Suk;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제36권5호
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    • pp.224-229
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    • 2014
  • The maxillary posterior area is the most challenging site for the dental implant. Although the sinus graft is a predictable and successful technique for rehabilitation of atrophic and pneumatized posterior maxilla, when there is severe destruction of alveolar bone, a very long crown length remains challenging after successful dental implants installation with sinus graft. We performed vertical augmentation of the maxillary posterior alveolar ridge using the allogenic block bone graft with a simultaneous sinus graft using allogenic and heterogenic bone chips. After about six months, we installed the dental implant. After this procedure, we achieved a more favorable crown-implant fixture ratio and better results clinically and biomechanically. This is a preliminary report of vertical augmentation of maxillary posterior alveolar ridge using allogenic block bone graft and simultaneous maxillary sinus graft. Further research requires longer observation and more patients.