• Journal of Chest Surgery
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• 제28권5호
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• pp.504-506
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• 1995

Postpneumonectomy empyema is an infrequent but dreaded complication. The seriousness of this complication is impossible to eliminate the space containing the infection, and consequently, it is difficult to sterilize the space. The time from pneumonectomy to the development of an empyema ranges from several days to several years, with most evident with 4 weeks. We experienced a case of postpneumonectomy empyema that occurred 27 1/2 years after initial pneumonectomy. She was treated with intrapleural antiseptic irrigation and open-tube drainage following partial decortication. The patient had an uneventful recovery and was discharged from hospital with improved condition.

• Journal of Chest Surgery
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• 제19권4호
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• pp.695-698
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• 1986

Only five instances of chylopericardium following cardiac surgery have been reported in the literature previously. We encounted this complication in a patient who was operated on for secundum atrial septal defect. The patient readmitted one month after discharge because of large amount of chylous pericardial effusion. Conservative treatment of pericardiostomy drainage and parenteral hyperalimentation was continued for 3 weeks without improvement. Partial pericardiectomy and pericardiopleural window was done with success and no recurrence of chylopericardium was observed upto 3 months after surgery. We think this is the first case report of chylopericardium after open heart surgery in Korea.

• Journal of Korean Neurosurgical Society
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• 제37권2호
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• pp.141-145
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• 2005

We report five patients of esophageal injuries confirmed by clinical signs and radiological evidences. They include a partial tear and a perforation which were not noticed during the operation, a perforation which was primarily repaired during the operation, and two perforations which occurred during the reoperations for the removal of mal-positioned screws or plate. The partial tear was not repaired. The perforation which occurred during the operation was primarily sutured and didn't receive further treatment. Two perforations which occurred during the reoperations were treated by irrigation, debridement with surgical drainage, and systemic antiobiotics. One who was diagnosed later after the operation showed the poorest outcome and required longest hospital days among our series. Early detection and appropriate treatment of esophageal injury following anterior spinal surgery can only improve the prognosis by preventing secondary complications.

• 한국산학기술학회논문지
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• 제8권5호
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• pp.1166-1172
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• 2007

비굴착 보수 공법에 의한 파이프 보강은 전체 파손관과 부분 파손관으로 구분되어 정의된다. 부분 파손된 관내에 사용된 라이너 관은 수압만이 작용되며, 상재 하중 및 토압, 지하수에 의한 압력에 대해서 기존의 관이 모두 저항하게 된다. 본 연구는 기존에 사용되고 있는 보강튜브경화공법 설계식에 대한 라이너 보수관 적용성을 평가하여 적용가능함을 확인하였다. 또한, 개발된 말단부 처리 공법이 적용된 라이너의 안전성을 유한요소해석을 통해 평가하였다.

• Steel and Composite Structures
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• 제51권4호
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• pp.363-375
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• 2024

Within the optimization field, addressing the intricate posed by fluidic pressure loads on functionally graded structures with frequency-related designs is a kind of complex design challenges. This paper thus introduces an innovative density-based topology optimization strategy for frequency-constraint functionally graded structures incorporating Darcy's law and a drainage term. It ensures consistent treatment of design-dependent fluidic pressure loads to frequency-related structures that dynamically adjust their direction and location throughout the design evolution. The porosity of each finite element, coupled with its drainage term, is intricately linked to its density variable through a Heaviside function, ensuring a seamless transition between solid and void phases. A design-specific pressure field is established by employing Darcy's law, and the associated partial differential equation is solved using finite element analysis. Subsequently, this pressure field is utilized to ascertain consistent nodal loads, enabling an efficient evaluation of load sensitivities through the adjoint-variable method. Moreover, this novel approach incorporates load-dependent structures, frequency constraints, functionally graded material models, and polygonal meshes, expanding its applicability and flexibility to a broader range of engineering scenarios. The proposed methodology's effectiveness and robustness are demonstrated through numerical examples, including fluidic pressure-loaded frequency-constraint structures undergoing small deformations, where compliance is minimized for structures optimized within specified resource constraints.

• Korean Journal of Radiology
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• 제22권3호
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• pp.376-383
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• 2021

Objective: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. Materials and Methods: A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14.2 years; range, 26-61 years) who underwent LPA embolization for chylous ascites developing after retroperitoneal surgery involving the perirenal space (four donor nephrectomies, one partial nephrectomy, and one retroperitoneal lymphadenectomy). After placing a percutaneous drainage catheter into the LPA or adjacent lymphocele, embolization was performed by filling the LPA itself with a mixture of glue and Lipiodol (Guerbet). Results: Daily drainage from percutaneously placed drains exceeded 300 mL/day despite medical and surgical treatment (volume: mean, 1173 ± 1098 mL; range, 305-2800 mL). Intranodal lymphangiography was performed in four of the six patients and revealed leakage in 2 patients. Percutaneous embolization of the LPA was successful in all patients using an NBCA and Lipiodol mixture in a ratio of 1:1-1:2 (volume: mean, 4.3 ± 1.1 mL; range, 3-6 mL). Chylous ascites was resolved and the drainage catheter was removed in all patients within 4 days after the procedure (mean, 2.0 ± 1.8 days; range, 0-4 days). No procedure-related complications or recurrence of chylous ascites occurred during a mean follow-up period of 37.3 months (range, 21.1-48.4 months). Conclusion: Glue embolization of LPA has the potential to be a feasible and effective treatment method for the management of chylous ascites after retroperitoneal surgery.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.330-335
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• 2019

Background The use of anatomic implants has improved the aesthetic results of breast surgery; however, implant malrotation is an uncommon, but serious complication of these procedures. Nevertheless, little research has explored implant adhesion. In this study, we investigated adhesion between the expander and the capsule. Methods Seventy-nine cases of immediate breast reconstruction via two-stage implant-based reconstruction performed between September 2016 and November 2017 were evaluated. Mentor CPX4 expanders were used in 14 breasts, and Natrelle expanders in 65. We analyzed areas of adhesion on the surfaces of the tissue expanders when they were exchanged with permanent implants. We investigated whether adhesions occurred on the cephalic, caudal, anterior, and/or posterior surfaces of the expanders. Results Total adhesion occurred in 18 cases, non-adhesion in 15 cases, and partial adhesion in 46 cases. Of the non-adhesion cases, 80% (n=12) were with Mentor CPX4 expanders, while 94.4% (n=17) of the total adhesion cases were with Natrelle expanders. Of the partial adhesion cases, 90.7% involved the anterior-cephalic surface. The type of tissue expander showed a statistically significant relationship with the number of attachments in both univariate and multivariate logistic regression analyses (P<0.001) and with total drainage only in the univariate analysis (P=0.015). Conclusions We sought to identify the location(s) of adhesion after tissue expander insertion. The texture of the implant was a significant predictor of the success of adhesion, and partial adhesion was common. The anterior-cephalic surface showed the highest adhesion rate. Nevertheless, partial adhesion suffices to prevent unwanted rotation of the expander.

• 한국전자거래학회지
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• 제20권1호
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• pp.183-199
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• 2015

낙동강 하굿둑에서는 4대강 사업으로 인한 낙동강 본류의 환경 변화로 설계홍수량이 크게 늘어남에 따라 낙동강 하류의 치수안전을 확보하기 위해 을숙도 우안에 배수문을 증설하게 되었다. 하굿둑에서의 수량 확보, 홍수조절, 재해예방 등의 기능이 원활하게 수행되기 위해서는 좌안의 기존 배수문과 우안의 신설 배수문이 유기적이고 안정적으로 운영되어야 한다. 한정된 인력과 자원 하에서 이를 운영하기 위하여 기존의 수자원시설과 정보통신기술을 융합한 통합운영시스템이 구축되었다. 통합운영시스템은 홍수 등의 위급한 상황에서도 부분적 결함에 의해 전체 시스템의 동작이 중단되지 않도록 높은 가용성과 결함 감내성을 지니도록 설계되었다. 운영과 유지관리에서의 편의성이 고려되었으며, 경보시스템을 구축하여 설비의 이상을 조기에 감지할 수 있게 하였다. 통합운영시스템의 아키텍처는 향후 유역통합운영과 스마트 워터그리드에 대비하여 시스템간의 연계가 용이한 개방형 표준을 지향하였다.

• Water Engineering Research
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• 제1권1호
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• pp.39-48
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• 2000

This work was completed in partial fulfillment of an on-going research ot descover the effective management of urban nonpoint sources. The current data was obtained from the area of Shingal, Kyunni-do. The investigation was are predominant soures of storm-runoff load and drainage. As a result of the investigation, the road was found to be most seriously contaminated and a significant potential source deteriorating the quality of streams and lakes in the vicinity of the town. Thus, in could be concluded that an effective and systematic cleaning technique must be developed as soon as possible and be frequently applied to the road.

• Journal of Chest Surgery
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• 제21권6호
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• pp.1103-1110
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• 1988

We experienced 1 year old female patient with partial anomalous pulmonary venous return of the right lung into the inferior vena cava with atrial septal defect. Total anomalous venous drainage from the right lung is an uncommon form of congenital defect, and it may or may not be associated with an atrial septal defect. One patient having this venous anomaly is presented with a detailed description of the surgical reconstruction used. The postoperative result has been satisfactory.