• 제목/요약/키워드: Minimally invasive

검색결과 734건 처리시간 0.029초

Minimally Invasive Direct CABG

  • 이영탁
    • 대한흉부심장혈관외과학회:학술대회논문집
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    • 대한흉부외과학회 1997년도 제13차 춘계학술대회 초록집
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    • pp.35-37
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    • 1997
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Minimally Invasive CABG

  • 이영탁;나찬영
    • 대한흉부심장혈관외과학회:학술대회논문집
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    • 대한흉부외과학회 1996년도 제 28차 추계학술대회 및 총회 대한흉부외과학회
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    • pp.52-52
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    • 1996
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The Role of Minimally Invasive Plate Osteosynthesis in Rib Fixation: A Review

  • Bemelman, Michael;van Baal, Mark;Yuan, Jian Zhang;Leenen, Luke
    • Journal of Chest Surgery
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    • 제49권1호
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    • pp.1-8
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    • 2016
  • More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950's, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft $f{\ddot{u}}r$ osteosynthesefragen/Association for the Study of Internal Fixation. Since the introduction of plate fixation for fractures, several plates and screws have been developed, all with their own characteristics. To accomplice more fracture stability, it was thought the bigger the plate, the better. The counter side was a compromised blood supply of the bone, often resulting in bone necrosis and ultimately delayed or non-union. With the search and development of new materials and techniques for fracture fixation, less invasive procedures have become increasingly popular. This resulted in the minimally invasive plate osteosynthesis (MIPO) technique for fracture fixation. With the MIPO technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. The last 5 years rib fixation has become increasingly popular, rising evidence has becomeavailable suggesting that surgical rib fixation improves outcome of patients with a flail chest or isolated rib fractures. Many surgical approaches for rib fixation have been described in the old literature, however, most of these techniques are obscure nowadays. Currently mostly large incisions with considerable surgical insult are used to stabilize rib fractures. We think that MIPO deserves a place in the surgical treatment of rib fractures. We present the aspects of diagnosis, preoperative planning and operative techniques in regard to MIPO rib fixation.

Cerebral Oxygenation Monitoring during a Variation of Isoflurane Concentration in a Minimally Invasive Rat Model

  • Choi, Dong-Hyuk;Kim, Sungchul;Shin, Teo Jeon;Kim, Seonghyun;Kim, Jae Gwan
    • Current Optics and Photonics
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    • 제6권5호
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    • pp.489-496
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    • 2022
  • Our previous study on monitoring cerebral oxygenation with a variation of isoflurane concentration in a rat model showed that near-infrared spectroscopy (NIRS) signals have potential as a new depth of anesthesia (DOA) index. However, that study obtained results from the brain in a completely invasive way, which is inappropriate for clinical application. Therefore, in this follow-up study, it was investigated whether the NIRS signals measured in a minimally invasive model including the skull and cerebrospinal fluid layer (CSFL) are similar to the previous study used as a gold standard. The experimental method was the same as the previous study, and only the subject model was different. We continuously collected NIRS signals before, during, and after isoflurane anesthesia. The isoflurane concentration started at 2.5% (v/v) and decreased to 1.0% by 0.5% every 5 min. The results showed a positive linear correlation between isoflurane concentration and ratio of reflectance intensity (RRI) increase, which is based on NIRS signals. This indicates that the quality of NIRS signals passed through the skull and CSFL in the minimally invasive model is as good as the signal obtained directly from the brain. Therefore, we believe that the results of this study can be easily applied to clinics as a potential indicator to monitor DOA.