• Archives of Plastic Surgery
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• 제39권4호
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• pp.412-416
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• 2012

Background Even though the quality of medical and surgical care has improved remarkably over time, iatrogenic injuries that require surgical treatment including injuries caused by cast and elastic bandage pressure, extravasation, and dopamine-induced ischemia still frequently occur. The goal of this study was to estimate the incidence and analyze the distribution of iatrogenic injuries referred to our department. Methods A retrospective clinical review was performed from April 2006 to November 2010. In total, 196 patients (116 females and 80 males) were referred to the plastic surgery department for the treatment of iatrogenic injuries. We analyzed the types and anatomic locations of iatrogenic complications, along with therapeutic results. Results An extravasation injury (65 cases, 37.4%) was the most common iatrogenic complication in our study sample, followed by splint-induced skin ulceration, dopamine-induced necrosis, prefabricated pneumatic walking brace-related wounds and elastic bandage-induced wounds. Among these, prefabricated pneumatic walking brace-related complication incidence increased the most during the 5-year study period. Conclusions The awareness of the very common iatrogenic complications and its causes may allow physicians to reduce their occurrence and allow for earlier detection and referral to a plastic surgeon. We believe this is the first study to analyze iatrogenic complications referred to a plastic surgery department in a hospital unit.

• 대한기관식도과학회지
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• 제4권2호
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• pp.231-234
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• 1998

Esophageal perforation is uncommon, however, due to the lack of serosa layer inflammation spread is rapid and common to neighboring structures, leading to significant mortality and morbidity. With an advancement of endoscopic diagnosis there is an increase of esophageal injury and perforation due to esophageal endoscopic procedure. The authors have recently experienced three cases of iatrogenic esophageal perforation following diagnostic endoscopic procedure of the esophagus. We summarize the pervention, diagnostic and therapeutic strategies for iatrogenic perforation.

• Journal of Chest Surgery
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• 제53권6호
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• pp.408-410
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• 2020

Iatrogenic vascular injuries may occur during venipuncture, arterial cannulation, or catheterization procedures. Brachial arteriovenous fistula (AVF) resulting from antecubital vascular access is rare and develops slowly. We report the case of an 18-year-old man who had developed iatrogenic brachial AVF. He had a history of several venipunctures in the left arm at the age of 10 months. Doppler ultrasonography and computed tomographic angiography were used to establish a diagnosis of brachial AVF, and surgical correction of the AVF was performed. As our case indicates, delayed surgery can be considered as a treatment option and may be associated with a decreased risk of vascular complications in the management of iatrogenic brachial AVF in infants.

• Journal of Chest Surgery
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• 제44권6호
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• pp.418-422
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• 2011

Background: It has recently become most general to use the small bore catheter to perform closed thoracostomy in treating iatrogenic pneumothorax. This study was performed for analysis of the efficacy of treatment methods by using small bore catheter such as 7 F (French) central venous catheter, 10 F trocar catheter, 12 F pigtail catheter and for analysis of the appropriateness of each procedure. Materials and Methods: From March 2007 to February 2010, Retrospective review of 105 patients with iatrogenic pneumothorax, who underwent closed thoracostomy by using small bore catheter, was performed. We analyzed the total success rate for all procedures as well as the individual success rate for each procedure, and analyzed the cause of failure, additional treatment method for failure, influential factors of treatment outcome, and complications. Results: The most common causes of iatrogenic pneumothorax were presented as percutaneous needle aspiration(PCNA) in 48 cases (45.7%), and central venous catheterization in 26 cases (24.8%). The mean interval to thoracostomy after the procedure was measured as 5.2 hours (1~34 hours). Total success rate of thoracostomy was 78.1%. The success rate was not significantly difference by tube type, with 7 F central venous catheter as 80%, 10 F trocar catheter as 81.6%, and 12 F pigtail catheter as 71%. Twenty one out of 23 patients that had failed with small bore catheter treatment added large bore conventional thoracostomy, and another 2 patients received surgery. The causes for treatment failure were presented as continuous air leakage in 12 cases (52.2%) and tube malfunction in 7 cases (30%). The causes for failure did not present significant differences by tube type. Statistically significant factors affecting treatment performance were not discovered. Conclusion: Closed thoracostomy with small bore catheter proved to be effective for iatrogenic pneumothorax. The success rate was not difference for each type. However, it is important to select the appropriate catheter by considering the patient status, pneumothorax aspect, and medical personnel in the cardiothoracic surgery department of the relevant hospital.

• Journal of Oral Medicine and Pain
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• 제40권1호
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• pp.35-40
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• 2015

Purpose: This study aims to assess the psychological characteristics of patients with iatrogenic damage of the trigeminal nerve using Symptom Checklist-90-Revised (SCL-90-R). Methods: A total of 22 patients who visited the clinic of Department of Oral Medicine, School of Dentistry, Chosun University were evaluated in the months from December 2012 to December 2014. Patients were included in the study if they presented with reported sensory changes due to iatrogenic trigeminal nerve injury. A total of 37 control group who has no symptoms of pain and sensory change were included in the study. All participants filled out the SCL-90-R instrument to assess psychosocial symptoms. Results: The T-scores of most of the SCL-90-R symptom dimensions were within normal range (less than 55) in the patients and the control group. The patients group showed higher T-scores of SCL-90-R than those of the control group, with statistically significance of somatization, anxiety, psychoticism, and positive symptoms distress. Female patients group had higher Tscores of SCL-90-R than those of male patients group, but there was no statistical difference, except for the positive symptom global index. The chronic patients group showed higher Tscores of SCL-90-R than those of the acute patients group, but there was no statistical difference, except for the Positive symptom global index. Conclusions: According to the psychological assessment of iatrogenic trigeminal nerve injury patients using SCL-90-R, the patients group, as compared to the control group shows a significantly higher score for somatization, anxiety, and psychoticism. Therefore, assessment of psychological state would be considered to treat patients with iatrogenic trigeminal nerve injury.

• Journal of Chest Surgery
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• 제42권6호
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• pp.744-748
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• 2009

배경: 이 연구를 통해 침습적인 시술이 증가 함에 따른 의인성 기흉의 원인과 그에 따른 이환율을 알고자 한다. 대상 및 방법: 2005년 1월부터 2008년 12월까지 의인성 기흉의 진단으로 입원치료를 받은 112명의 환자(20세부터 90세까지의 연령분포를 보인 65명의 남자 환자와 47명의 여자 환자)에게서 후향적으로 의무기록을 조사하였다. 결과: 의인성 기흉의 호발 원인은 경피적 폐생검(50), 중심정맥관 삽입(29), 침술(14), 흉수천자(8), 양압환기(7)의 순서였다. 60명의 환자에서 흉관삽관술을 통해 치료하였다. 평균 치료 기간은 5.8 $({\pm}4.0)$일이었다. 24명의 환자에서 재원 기간이 길어졌으며, 의인성 기흉으로 인한 사망은 없었다. 결론: 이 연구에서는 의인성 기흉의 가장 흔한 원인은 경피적 폐생검이었다. 이에 따른 사망률이나 이환율은 미미한 수준이었다. 의인성 기흉의 진단에 있어 침습적인 시술 이후의 신중한 검사 및 그에 따른 치료가 중요할 것으로 생각된다.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2008년도 춘계학술대회
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• pp.119-119
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• 2008

• 대한소아치과학회지
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• 제31권2호
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• pp.153-158
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• 2004

소아치과 임상에서 기성금관 수복은 광범위한 우식병소를 가졌거나 치수치료를 받은 치아에 필수적인 술식으로 간주된다. 그러나 기성금관 장착을 위한 치아삭제 과정 중 인접 치면에 의원성 손상이 생길 경우 우식이환율이 높아질 수 있다. 특히 제 2유구치에 기성금관을 위한 지대치를 형성할 때 인접한 제 1대구치 근심면에 발생될 수 있는 의원성 손상은 치아 우식으로 진행될 잠재성을 가지게 된다. 따라서 본 연구는 제 2유구치의 기성금관을 위한 지대치 형성과정에서 생길 수 있는 제 1대구치의 의원성 손상의 유형과 정도를 알아보고자 하였다. 부산대학교병원에 내원한 소아들을 대상으로 기성금관으로 수복한 제 2유구치의 원심면을 치간이개용 고무링으로 치간이개를 한 후 러버인상재로 인접면의 인상을 채득하고 주사 전자현미경상에서 관찰하여 의원성 손상의 정도를 확인하였다. 제 1대구치의 근심면이 인기된 시편을 주사 전자현미경으로 관찰한 결과, 약 66.7%에서 다양한 유형과 정도의 의원성 손상을 확인할 수 있었다. 따라서 유구치의 기성금관 장착을 위한 지대치 형성과정에서는, 치간이개용 고무링이나 wedge를 이용한 치간이개, matrix band를 이용한 인접 치면의 보호, 인접면 삭제방법의 수정 등과 같은 의원성 손상을 예방하기 위한 술자의 노력이 필요할 것으로 사료되었다.

• 대한한의학방제학회지
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• 제23권1호
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• pp.133-140
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• 2015

Objectives : The purpose of this study is to report the improvement of a patient diagnosed as iatrogenic Cushing syndrome treated with herbal medicine. Methods : We treated a patient diagnosed as iatrogenic Cushing syndrome with s Wiryeong-tang gagam and Sinbeopbanha-tang for 10days. While being treated with herbal medicine, the patient got acupuncture treatment two times a day. Results : After treatment, weakness of lower limb and tremor got improved. Vomiting and disgusting also got better. Conclusion : Using herbal medicine may improve various symptoms of iatrogenic Cushing syndrome effectively.

• 대한치과의사협회지
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• 제56권11호
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• pp.598-604
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• 2018

Cervicofacial subcutaneous emphysema is defined as the abnormal introduction of air into the subcutaneous tissues of the head and neck. It is mainly iatrogenic and traumatic in origin. Our two case reports are also due to the same cause, but the features of the trauma and the site of the dental treatment are different from the existing reports. A 29-year-old man visited our hospital with facial swelling and pain after experiencing facial trauma in a soccer game. Another 55-year-old woman visited with similar symptoms after replacement of her maxillary anterior fixed prosthesis. In the two cases presented, subcutaneous emphysema was gradually treated with no complications during antibiotic prophylaxis and supportive care. In this paper, we report two cases of traumatic and iatrogenic subcutaneous emphysema and their diagnoses, etiologies, complications, and treatments based on a literature review.