• Title/Summary/Keyword: Grafting bed

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The Combined Effect of Autologous Fat Injection and Liposculpture for Gluteal Reshaping in Koreans (한국인에 있어 둔부몸매교정(Gluteal Reshaping)을 위한 자가지방주입술 및 지방흡입술의 효과)

  • Kim, Jee-Hoon;Hong, Jin-Joo
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.861-866
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    • 2011
  • Purpose: Together with the breast, buttocks are an important element of attractive body contour. To make a beautiful buttocks, improvement of body contour around the buttock as well as buttock augmentation and lifting is also important. The authors investigated characteristic features of buttocks in Koreans and report about the results of liposculpture and autologous fat injection for improving buttock's contour. Methods: We performed a retrospective study of 21 patients who would like to gluteal reshaping. We checked about buttock's ptosis, projection, depression, gluteal retraction and excessive fat accumulation around buttocks. Depending on it, we performed liposculpture and autologous fat injection. Under general anesthesia, we harvested fat from excessive fat accumulation areas around buttocks, and injected into buttocks medio-superiorly. Postoperatively, pillows were positioned on the bed not to press the buttocks which were injected with the fat. Results: Based on the shape of buttocks, A-shape is seen in 4 cases (19%), V-shape 3 cases (14%), squareshape 9 cases (43%), round-shape 5 cases (24%). Based on the Gonzalez's ptosis grading method, 1 degree ptosis is 1 case (4%), 2 degree ptosis is 6 cases (29%), 3 degree ptosis is 8 cases (38%), 4 degree ptosis is 6 cases (29%). There were no complications such as infection, hematoma, pain, dysparethesia. The subjective assessment of surgical results by patients was excellent. Conclusion: To make a beautiful buttock, improvement of body contour around the buttock as well as buttock augmentation and lifting is also important. Liposculpture and autologous fat grafting are very safe, useful and easy methods for improving buttock's contour.

PLC-Based Smart grid Home Network System Design and Implementation using OPNET Simulation

  • Huh, Jun-Ho;Seo, Kyungryong
    • Journal of Multimedia Information System
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    • v.1 no.2
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    • pp.111-118
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    • 2014
  • The Smart grid refers to the technology that enables efficient usage of electric power by collecting information concerning the power usage and power lines grafting information and communications technology to onto power grids. There are Zigbee, PLC or IEEE 802.11 WLAN MAC as a core technology of the Smart grid, but in this paper, the discussion is focused on the PLC. The PLC is the technology that carries out data communications using power lines and put into practical use in the field of lights or home appliances control recently but PLC-applied communications between electronic devices are rarely seen. For the reason that the PLC uses high-voltage power lines and has a disadvantage of experiencing higher data loss rate caused by the noises produced by going through transformers, the technology is yet to be used in many areas. Nevertheless, the PLC has been studied widely recently in respect that it's the low-cost communication solution for the Smart Metering [1]. Moreover, this technology is emerging as a novel data communication method and discussed as an important technology lately due to the developments of the Smart grid systems and Internet of things (IoT). Thus, in this paper, the results obtained from designing and performing implementation scenario for the PLC-based Smart grid home network system were compared and analyzed with that of IEEE 802.11 WLAN MAC (the foundation technology at Jeju Smart grid Test bed)-based Smart grid home network. Thus, in this paper, OPNET 14.5 PL8, OSI 7 layer, PLC router nodes and PLC nodes had been used for the designing and implementation simulations of both systems. Additionally, QoS was not considered in order to guarantee that all the traffics would not have the same processing priority.

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A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds

  • Bektas, Cem Inan;Kankaya, Yuksel;Ozer, Kadri;Baris, Ruser;Aslan, Ozlem Colak;Kocer, Ugur
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.711-714
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    • 2013
  • Background The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. In our study, we describe the use of silicone tube for tie-over dressing to secure the skin graft margins with the aim of decreasing loss of the skin graft, particularly in grafting of deep wounds. Methods Between March 2008 and July 2011, we used this technique in 17 patients with skin defects with depths ranging from 3.5 to 8 mm (mean, 5.5 mm). First, the skin graft was sutured with 3/0 silk suture material from its corners. Then, a silicone round drain tube was sutured with 3/0 absorbable polyglactin 910 over the margins of the graft. Finally, long silk threads were tied over the bolus dressing, and the tie-over dressing was completed in the usual fashion. Results The mean follow-up was 7 months (range, 2-10 months) in the outpatient clinic. Graft loss on the graft margins due to hematoma or seroma was not developed. The results of adhesion between the graft and wound bed peripherally was excellent. Conclusions In our study, we suggest that use of a silicone tube for additional pressure on the edges of skin grafts in case of reconstruction of deep skin defects.

Full-Thickness Skin Grafting with De-Epithelization of the Wound Margin for Finger Defects with Bone or Tendon Exposure

  • Lee, Jun Hee;Burm, Jin Sik;Kang, Sang Yoon;Yang, Won Yong
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.334-340
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    • 2015
  • Background Full-thickness skin grafts (FTSGs) are generally considered unreliable for coverage of full-thickness finger defects with bone or tendon exposure, and there are few clinical reports of its use in this context. However, animal studies have shown that an FTSG can survive over an avascular area ranging up to 12 mm in diameter. In our experience, the width of the exposed bones or tendons in full-thickness finger defects is <7 mm. Therefore, we covered the bone- or tendon-exposed defects of 16 fingers of 10 patients with FTSGs. Methods The surgical objectives were healthy granulation tissue formation in the wound bed, marginal de-epithelization of the normal skin surrounding the defect, preservation of the subdermal plexus of the central graft, and partial excision of the dermis along the graft margin. The donor site was the mastoid for small defects and the groin for large defects. Results Most of the grafts (15 of 16 fingers) survived without significant surgical complications and achieved satisfactory functional and aesthetic results. Minor complications included partial graft loss in one patient, a minimal extension deformity in two patients, a depression deformity in one patient, and mild hyperpigmentation in four patients. Conclusions We observed excellent graft survival with this method with no additional surgical injury of the normal finger, satisfactory functional and aesthetic outcomes, and no need for secondary debulking procedures. Potential disadvantages include an insufficient volume of soft tissue and graft hyperpigmentation. Therefore, FTSGs may be an option for treatment of full-thickness finger defects with bone or tendon exposure.

The Posterior Tibial Perforator Adipofascial Flap for Reconstruction of Lower Leg (후경골 동맥 천공지 지방 근막 섬피판을 이용한 전경골부의 재건)

  • Hong, Seung Eun;Pyon, Jai Kyong
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.352-357
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    • 2007
  • Purpose: The coverage of distal soft tissue defects and bony exposure of the lower extremity has long been recognized to be difficult clinical problem. Covering with a local skin flap is usually impractical because of the extensive and deep crush, hence free flap has been used commonly for the coverage of the wound. Although it can provide good results, it has many disadvantages. Designing an adipofascial flap raised on perforating vessels of the posterior tibia artery is a reliable and simple method to perform, and it can solve these problems. Methods: From May 2005 to May 2006, 8 patients underwent reconstruction of lower leg defects utilizing various type of the posterior tibial artery perforator adipofascial flaps. The flap provided a durable and thin coverage for the defect, as well as a well vascularized bed for skin grafting. Results: The flap size ranged $15-80cm^2$, and skin graft was done for the recipient site. The flap were successfully used for the lower extremity reconstruction in most cases. Minor complications occurred in 4 cases. There was no functional disability of the donor site with esthetically pleasing results. Furthermore, these flaps were both easy to raise and insured sufficient arterial blood supply. Conclusion: We believe there are many advantages to this posterior tibial artery perforator adipofascial flap and that it can be highly competitive to the free flaps in the lower extremity reconstruction.

Negative Pressure Wound Therapy Applied to a Meshed Split-Thickness Skin Graft

  • Lee, Dong-Hun;Kim, Yu-Jin
    • Archives of Reconstructive Microsurgery
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    • v.25 no.2
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    • pp.29-36
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    • 2016
  • Purpose: Skin grafting is used for the transfer of cutaneous tissue from one site of the body to another. To improve graft survival, close contact between the graft and the wound bed is essential for vessels to grow across the gap. Here, we introduce an easy and efficient dressing method to improve graft survival. Materials and Methods: A retrospective chart review was performed to identify patients who underwent split thickness skin graft and negative pressure wound therapy (NPWT) or conventional treatment between January 2007 and April 2015. Overall, 25 consecutive patients were included in the NPWT group and 49 were included in the conventional dressing group to compare the outcome of the procedure. The data were obtained from medical records, including age, sex, cause of the skin defect, size of graft, time for healing, wound preparation time, and complications. Results: Of the NPWT group, the average wound size was $147.04{\pm}146.74cm^2$ (range, $9{\sim}900cm^2$). With the exception of one patient, all wounds healed without the need for further procedure. The average duration of time required for the NPWT group, which was defined as removal of stitches (or staples) and no need for additional active dressing, was $6.4{\pm}1.97days$ (range, 5~15 days). The average time for the conventional dressing group was $10.78{\pm}2.38days$ (range, 5~15 days). Conclusion: NPWT can be used to cover regions in which wound healing does not occur fully or when neither tie-over nor compressive dressings are applicable. This treatment also reduced wound healing time and allowed earlier patient mobilization and hospital discharge.

EFFECTS OF PROPLAST I AND II IMPLANTATION ON THE SURROUNDING TISSUE RESPONSE AND BONE FORMATION IN RABBIT MANDIBLE (가토 하악골에 Proplast I과 II 이식후 주위 조직반응 및 골형성)

  • Ryu, Sun-Youl;Kim, Geon-Jung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.3
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    • pp.252-264
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    • 1991
  • The purpose of this study was to compare the response of adjacent tissue and new bone formation after implantation by different methods of subperiosteal using using Proplast I and II in rabbit mandible. Microstructure of Proplast I and II was observed by scanning electron microscope. And the implantation procedure was carried out by dividing into tow groups, A and B. a group consisted of subperiosteal graft on the cortex, and the other B group was made up onlay graft following artificial decortication in the madibular body of rabbit. The experimental animals were sacrificed on the 1st, 2nd, 4th and 8th week after grafting for macroscopic and histopathologic examination. The samples extracted at the 6th postgrafting week were also used for biometric test. The result ere as follows : 1. By scanning electron microscopic observation, pore size was $50{\sim}180{\mu}m$ in the Proplast I and $100{\sim}220{\mu}m$ in Proplast II. 2. Macroscopically, infection of the graft site, deformation and displacement of the implanted materials were not observed in all experimental groups. 3. In the tissue response, infiltration of inflammatory cells and multinucleated giant cells were observed from the 2nd to the 8th week in Proplast I. Inflammatory cells decreased in number from the 2nd week in Proplast II suggesting that Proplast II is better than Proplast I. 4. Bone formation was not observed until the 8th week in the group A, but new bone formation from the surrounding graft bed and the periostium was appeared from the 4th week in the group B. 5. The maximum mean values of shear stress mere serially $65.5gf/mm^2$ in Proplast II of group B, $32.9gf/mm^2$ in Proplast I of group B, $17.0gf/mm^2$ in Proplast II of group A, and $15.7gf/mm^2$ in Proplast I. of group A.

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Use of the Full-thickness Free Skin Mesh Graft for Reconstruction of Wound in a Dog (개의 피부손상에 대한 전층망상식피술 증례)

  • Kim, Joo-Ho;Lee, Jong-Il;Lee, Hae-Beom;Heo, Su-Young;So, Kyoung-Min;Ko, Jae-Jin;Chon, Seung-Ki;Lee, Cheol-Ho;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.280-283
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    • 2007
  • A 6-year-old male dog was referred to Animal Medical Center, Chonbuk National University with large distal extremity abrasion wound to the hind limb by automobile accident. The wound was reconstructed with an autogenous, full-thickness skin mesh graft. The graft was harvested from the ventrolateral abdominal wall and transplanted to the wound. The skin mesh graft survived successfully without any noticeable complications. Successful grafting requires asepsis, an adequately prepared recipient bed through the surgical debridement and lavage, proper harvesting and preparation of the graft. Full-thickness skin mesh graft has lesser skin contraction which prevents formation of scar. Meshing the graft provides more graft flexibility over uneven, convex and concave surfaces and allows adequate drainage. The full-thickness skin mesh graft can be successfully used for the treatment of large distal skin wounds in dogs.

Development of Precision Overhead Watering and Boom Irrigation System for Fruit Vegetable Seedlings (과채류 육묘용 정밀 두상관수 시스템 개발)

  • Dong Hyeon Kang;Soon Joong Hong;Dong Eok Kim;Min Jung Park
    • Journal of Bio-Environment Control
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    • v.32 no.1
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    • pp.8-14
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    • 2023
  • This study was conducted to develop a precision automatic irrigation system in a nursery by considering the problems and improvements of manual and the conventional automatic irrigation system. The amount of irrigated water between the conventional automatic irrigation system and manual irrigation was 28.7 ± 4.4 g and 14.2 ± 4.3 g, respectively, and the coefficient of variation was less than 30%. However, the coefficient of variation of the conventional automatic irrigation system of 15%, was higher than that of manual irrigation of 30%. The irrigation test using the developed uniform irrigation system attached with the nozzle of a spray angle 80° and most highest uniformity was at height 600 mm. And coefficient of variation of the irrigation uniformity at the center part was within 20%, but irrigation amount of the edge part was lower 50% and over compared to the center part. As a result of a tomato grafting seedling cultivation test using the developed uniform irrigation system, the average plant height of seedling at the edge part was 28 mm but plant height at the center part was higher as 72 mm. Therefore, it was necessary to apply additional irrigation device at the edge part. The irrigation uniformity of the edge concentrated irrigation system was investigated that the irrigation amount of the edge part was irrigated by more than 50% compared with the center part, and coefficient of variation of the irrigation amount at the center part was less than 30%. As a result of a cucumber grafting seedling cultivation test using the edge concentrated irrigation system, the plant height of seedlings in the edge and central part of cultivation bed were 24% and 26%, respectively, so irrigation uniformity was higher then the uniform irrigation system. In order to improve the uniformity of seedlings, it is necessary to adjust the height of boom according to the growth of the seedling by installing a distance sensor in the overhead watering and boom irrigation system.

Optimum Wattage and Installation Height of Nano-Carbon Fiber Infrared Heating Lamp for Heating Energy Saving in Plug Seedling Production Greenhouse in Winter Season (동절기 공정육묘장의 난방 에너지 절감을 위한 나노탄소섬유적외선 난방등의 적정 전력과 설치 높이)

  • Kim, Hye Min;Kim, Young Jin;Hwang, Seung Jae
    • Journal of Bio-Environment Control
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    • v.25 no.4
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    • pp.302-307
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    • 2016
  • The aim of this study was to examine the optimum wattage and installation height using nano-carbon fiber infrared heating lamp (NCFIHL) for heating energy saving and plug seedling production in plug seedling production greenhouse in winter season. NCFIHL of 700 and 900 W was installed over the bed ($1.2{\times}2.4m$) as 0.7, 1.0, and 1.3 m height, respectively, for the production of grafted watermelon seedling in venlo-type glasshouse. Watermelon (Citrullus lanatus (Thunb.) Manst.) 'Jijonggul' and gourd (Lagenaria leucantha Rusby.) 'Sunbongjang' were used as scions and rootstocks, respectively. The scions and rootstocks were grafted by single cotyledon ordinary splice grafting. Light intensity of NCFIHL was below the $1{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ in all treatment. Spectral distributions of NCFIHL presented mostly infrared area. When outside air temperature was below $10^{\circ}C$, 700 and 900 W NCFIHL installed with 0.7 m height treatment and 900 W NCFIHL installed with 1.0 m height treatment maintained the setting air temperature ($20^{\circ}C$) at night. In the result of taking thermal imaging, the grafted watermelons were getting warm fast in 900 W NCFIHL installed with 0.7 m height treatment at night. Compactness of the grafted watermelons was the greatest in 700 W NCFIHL installed with 1.3 m height treatment. The results indicate that NCFIHL installed above 1.0 m height using 700 W was suitable for production of plug seedling.