• Journal of Chest Surgery
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• v.22 no.6
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• pp.1088-1091
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• 1989

Foramen of Morgagni hernia is the least common type of all congenital diaphragmatic hernias. These foraminal hernias result from a congenital defect in the development or attachment of the diaphragm to the sternum and costal arch. They occur most commonly on the right side, possibly because of pericardial reinforcement of the left. In our case, occurred on the right side and the contents of the hernial sac were omental fat and a part of transverse colon. We performed transthoracic approach for reduction and repair of foraminal hernia with ligation and interrupted mattress sutures of the margin of the defected diaphragm to the posterior part of the sternum and costal cartilage. The postoperative course was uneventful except posttraumatic delirium and discharged at 21st postoperative day.

• Journal of Chest Surgery
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• v.44 no.3
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• pp.247-249
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• 2011

We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.

• Proceedings of the Korea Water Resources Association Conference
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• 2004.05b
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• pp.1340-1344
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• 2004

우리나라는 계절에 따라 수량의 변화가 커서 하천에 흐르는 유량의 변화가 심하지만 대부분의 하천은 갈수기에도 각각 일정량의 유량을 가지고 흘러간다. 그러나 충적층을 통과하는 소하천의 경우에는 계절에 상관없이 하천수가 지하로 침투하여 지표수가 감소한다. 소하천의 하천수량이 갈소되거나 건천화 될 경우 수질이 악화되거나 하천의 바닥이 드러날 경우 수중생태계는 파괴됨 것이다. 현재 지하수를 개발하여 부족한 하천수를 보충하는 방법을 모색하고 있으나 하천수의 지하침투가 심각한 경우에는 지하수만으로는 하천수의 부족분을 보충하는데 한계가 있다. 충적층을 통과하는 소하천의 침투수를 차단하는 방법으로 충적층에 불투수 매트를 설치하여 사용하면 하천의 건천화를 방지할 수 있으며, 충적층의 침투수를 차단하기 위하여 충적층위에 점토층을 설치하여 투수계수를 저하시키는 방법을 사용하면 부족한 하천유지용수를 확보할 수 있다. 따라서 충적층을 통과하는 소하천의 건천화를 방지하고 자연형 하천으로 개발할 경우 수중생태계 복원성이 우수하며, 자연경관의 복원에도 효과가 있다.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.22 no.52
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• pp.211-219
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• 1999

Sleeping is important activity in bedroom and it takes one third of our lifetime. The body pressure distribution on bed has been considered as one of the most important factors affecting sleeping comfort. The measurement contact pressure has been applied to design seat, mattress, shoes, etc., for prevention of pressure sores and improvement of products. This paper discusses the recognizing rule of sleeping posture using contact pressure. Subjects' ages are ranged from twenties to fifties. They include 29 males and 35 females. Body pressure distribution is measured in the state of stable bed when subject lies on his/her back, on his/her side and on his/her face. We made recognizing rules of sleeping posture through statistical analysis; ANOVA and regression analysis, qualitative analysis.

• Journal of Chest Surgery
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• v.22 no.5
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• pp.829-833
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• 1989

Congenital coronary arteriovenous fistula is relatively uncommon, but with widespread use of cardiac catheterization, angiography and selective coronary arteriography are being recognized with increasing frequency. Recently we experienced one case of congenital coronary artery fistula which originated from the right coronary artery. The case was 25 year-old-male, who complained of dyspnea on exertion and continuous murmur was heard, and diagnosed as right coronary artery fistula by the cardiac catheterization and aortography. On the operation field, the right coronary artery was markedly dilated from aorta to the middle segment at acute margin of the right ventricle, which the hen-egg sized aneurysm was noticed. The dilated coronary ostium and fistular site were obliterated with several horizontal mattress sutures. And the dilated tortuous right coronary artery with aneurysm was excised. Postoperative course was uneventful and discharged without problem.

• Journal of the Korean Arthroscopy Society
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• v.6 no.2
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• pp.183-187
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• 2002

Purpose : We report a result of arthroscopic treatment of the recurrent prepatellar bursitis. Materials and Methods : Between March 2001 and May 2002, we treated 4 patients with prepatellar bursitis, the average follow-up period was 14.5 months. The causes were acute trauma 3 cases and repeated minor trauma 1 case. All cases were recurred after previous history of the conservative therapy at other hospital but one was a recurred case after operative excision. Operative technique was as follows. Before inserting the arthroscope, the bursa was inflated with saline. The portals fur 4 mm diameter arthroscope were placed 1cm away from the bursal sac through small skin incision. Superficial layer of the bursa was resected first and then deep portion was the next. Several percutaneous mattress sutures were applied to the overlying skin with deep tissue, and compressive dressing was applied and maintained for 2 weeks. Results : All 4 cases were no recurrence, no pain, no tenderness. The results were considered satisfactory, Two cases of mild skin dimpling at suture site were observed. Conclusion : Arthroscopic treatment of the prepatellar bursitis is an another method of operation technique fur recurrent prepatellar bursitis, however long term follow-up will be needed about recurrence.

• Archives of Plastic Surgery
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• v.33 no.2
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• pp.149-154
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• 2006

The levator and $M{\ddot{u}}ller^{\prime}s$ muscle balanced tucking was performed to correction myogenic or aponeurotic blepharoptosis. Through the blepharoplasty incision, the upper half of tarsal plate was exposed and the orbital was opened to show the levator aponeurosis. the $M{\ddot{u}}ller^{\prime}s$ muscle dissected from the upper border of the tarsal plate and from the posteriorly located conjunctiva with sharp scissors. $M{\ddot{u}}ller^{\prime}s$ muscle was advanced about 3 mm to 8 mm on anterior surface of the tarsal plate and fixed approximately upper one third of the tarsal plate with three horizontal 6-0 Nylon mattress sutures. The amount of tucking of $M{\ddot{u}}ller^{\prime}s$ muscle was controlled by the location of the upper eyelid margin 2 mm below the upper limbus in primary gaze after first temporary fixations suture in the maximum superior point of the limbus. The amount of advancement of levator aponeurosis was controlled by the location of the upper eyelid margin 1 mm below the upper limbus in primary gaze after first temporary fixations suture in the maximum superior point of the limbus. And then levator aponeurosis was fixed with three horizontal 6-0 Nylon mattress on beside the point that was tucked $M{\ddot{u}}ller^{\prime}s$ muscle. We have been thirty cases with levator and $M{\ddot{u}}ller^{\prime}s$ muscle balanced tucking from January 2004 to Jun 2005. 3 cases were traumatic blepharoptosis with 3-5 mm ptosis and poor levator function. 27 cases were myogenic or aponeurotic blepharoptosis with 2-5 mm ptosis with and more than 4 mm of levator function. the age of the patients ranged from 6 to 78 years. The levator aponeurosis and $M{\ddot{u}}ller^{\prime}s$ muscle tucking procedure can reduce the amount of the levator and $M{\ddot{u}}ller^{\prime}s$ muscle resection, and improve discomfort when the patients open eyes.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.28 no.6
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• pp.361-374
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• 2016

When the seabed around and under gravity structures such as submerged breakwater is exposed to a large wave action long period, the excess pore pressure is generated significantly due to pore volume change associated with rearrangement soil grains. This effect leads a seabed liquefaction around and under structures as a result from decrease in the effective stress, and the possibility of structure failure is increased eventually. These facts shown above have been investigated in the previous studies related to regular and irregular waves. This study suggested a concrete mat for preventing the seabed liquefaction near the submerged breakwater. The concrete mat was mainly used as a countermeasure for scouring protection in riverbed. According to installation of the concrete mattress, the time and spatial series of the deformation of submerged breakwater, the pore water pressure, and the pore water pressure ratio in the seabed were investigated. Their results were also compared with those of the seabed unprotected with the concrete mat. The results presented were confirmed that the liquefaction potential of seabed under the concrete mattress is significantly reduced under regular wave field.

• Journal of the Korean Arthroscopy Society
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• v.13 no.2
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• pp.179-182
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• 2009

Purpose: Point fixation at the margin of the glenoid is a limitation of conventional arthroscopic stabilization using suture anchors, and does not afford sufficient footprint healing, especially in glenoid bone deficiency. So, we introduce an arthroscopic suture bridge transosseous-equivalent technique for bony Bankart lesions to avoid the technical disadvantage of point contact with anchor fixation and to improve mechanical stability through cross compression of the labrum. Surgical approach: The technique was adapted from the transosseous-equivalent rotator cuff repair technique using suture bridges, which improved the pressurized contact area and mean pressure between the tendon and footprint. After preparation of the glenoid bed by removal, reshaping, or mobilization of the bony lesion, two anchors (3.0 mm Biofastak, $Arthrex^{(R)}$, Naples, FL) were inserted into the superior and inferior portion of the bony Bankart lesion. Using a suture hook, medial mattress sutures were applied around the capsulolabral portion of the IGHL complex to obtain sufficient depth of glenoid coverage. A 3.5 mm pushloc anchor ($Arthrex^{(R)}$, Naples, FL) hole was made in the articular edge of the anterior glenoid rim. distal, suture bridge was applied, and proximal was inserted to mobilize the labrum in the proximal direction. This avoided the technical disadvantage of point contact with anchor fixation and decreased the level of gap formation through cross-compression of the labrum.

• Journal of Chest Surgery
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• v.14 no.1
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• pp.67-70
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• 1981

Aneurysms of the extracranial carotid artery are rare. This is a case report of the rapidly expanding false carotid aneurysm at left common carotid artery, which was repaired surgically with internal shunt This 20 year old male patient had a large pulsatile mass on left lateral aspect of neck at the time of admission. About 1 month before admission, he had received a trauma on left neck by glass piece and noted massive blood loss. And its skin of lesion was sutured simply at local clinic and well healed. 10 days before the admission, he had the sudden onset of the adult thumb sized and pulsatile mass and the mass had been enlarged more and more to the adult first-sized one. The cervical film showed a egg-sized and soft tissue mass. There was systolic bruit on the mass. The diagnosis was confirmed with the angiogram of left carotid artery and this showed the man`s thumb tip-sized extravasation at the point 2 Cm below the bifurcation of Internal and external carotid arteries. The emergency operation was performed by the internal shunt with carotid artery. The aneurysm was enclosed with the adventitia and carotid sheath, and the intima and media were Intact and had the opening of 0.5 cm in diameter. The opening was sutured by the one-hand mattress suture method and firmed with the Aron Alpha-A "Sankyo." The postoperative course was uneventful and the patient was discharged with good general condition.