• Title/Summary/Keyword: Repair techniques

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Laparoscopic Primary Repair with Omentopexy for Duodenal Ulcer Perforation: A Single Institution Experience of 21 Cases

  • Ma, Chung Hyeun;Kim, Min Gyu
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.237-242
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    • 2012
  • Purpose: Despite the great advances in laparoscopic techniques, most active general surgeons do not apply laparoscopic surgery in the treatment of duodenal ulcer perforation when facing a real-life emergency. Therefore, our study was designed to evaluate the feasibility of laparoscopic surgery in duodenal ulcer perforation, and provide a step-by-step protocol with tips and recommendations for less experienced surgeons. Materials and Methods: Between March, 2011 and May, 2012, 21 patients presenting with duodenal ulcer perforation underwent laparoscopic primary repair with omentopexy. There were no contraindications to perform laparoscopic surgery, and the choice of primary repair was decided according to the size of the perforation. The procedure for laparoscopic primary repair with omentopexy consisted of peritoneal lavage, primary suture, and omentopexy using a knot pusher. Results: During the operation, no conversion to open surgery or intra-operative events occurred. The median operation time was 45.0 minutes (20~80 minutes). Median day of commencement of a soft diet was day 6 (4~17 days). After surgery, the median hospital stay was 8.0 days (5~27 days). Postoperative complications occurred in one patient, which included a minor leakage. This complication was resolved by conservative management. Conclusions: Although our study was carried out on a small number of patients at a single institution, we conclude that laparoscopic primary repair can be an effective surgical method in the treatment of duodenal ulcer perforation. We believe that the detailed explanation of our procedure will help beginners to perform laparoscopic primary repair more easily.

TENSILE BOND STRENGTH OF FOUR PORCELAIN REPAIR SYSTEMS (파절된 도재면에 대한 수종의 도재 수리 시스템의 인장결합강도)

  • Jeon Young-A;Yang Byung-Duk;Lee Ho-Jin;Park Ju-Mi;Song Kwang-Yeob
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.2
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    • pp.149-157
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    • 2005
  • Statement of problem. Dental ceramics exhibit excellent esthetic property, compressive strength, chemical durability biocompatibility and translucency. However, it suffers from inherent brittle fractures. Various techniques and materials for intraoral porcelain repair has been suggested. Purpose. This study is to compare the tensile bond strength of four commonly used porcelain repair systems (Vivadent, Bisco, Ulttadent, Voco) and to insure the best system for the clinical application to the fractured porcelain. Materials and methods. A total of fifty specimens were fabricated. Specimens were stored in $37^{\circ}C$ distilled water for 7 days and thermocycling was performed(1000 cycles), and subjected to a tensile force parallel to the repair resin and porcelain interface by use of an Universal Testing Machine. Result. 1. Voco showed the highest tensile bond strength. In decreasing order, the tensile bond strength of the other materials was as follows : Ultradent, Bisco, Vivadent. 2. There was a statistically significant difference between the porcelain repair systems(Voco, Ultradent > Bisco, Yivadent) (p<0.05). 3. SEM examination of prepared porcelain surfaces revealed that the surface treated with Voco showed brittle fracture. However, Ultradent, Bisco and Vivadent showed ductile fracture. 4. All specimens treated with four porcelain repair systems showed adhesive failure between porcelain and composite resin.

Barbed sutures versus conventional tenorrhaphy in flexor tendon repair: An ex vivo biomechanical analysis

  • Colak, Ozlem;Kankaya, Yuksel;Sungur, Nezih;Ozer, Kadri;Gursoy, Koray;Serbetci, Kemal;Kocer, Ugur
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.228-234
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    • 2019
  • Background The management of flexor tendon injuries has evolved in recent years through industrial improvements in suture materials, refinements of repair methods, and early rehabilitation protocols. However, there is no consensus on the ideal suture material and technique. This study was conducted to compare the tensile strength, repair time, and characteristics of 4-strand cruciate, modified Kessler, and 4-strand horizontal intrafiber barbed sutures for flexor tenorrhaphy with a 12-mm suture purchase length in an animal model. Methods The right third deep flexors of 60 adult Leghorn chicken feet were isolated and repaired with a 12-mm suture purchase length. The tendons were randomly assigned to three groups of equal number (n=20 each). Groups 1 and 2 received 4-strand cruciate and modified Kessler repair with conventional suture materials, respectively. A 4-strand horizontal intrafiber barbed suture technique was used in group 3. The repaired tendons were biomechanically tested for tensile strength, 2-mm gap resistance, and mode of failure. Repair times were also recorded. Results The maximum tensile strength until failure was $44.6{\pm}4.3N$ in group 1, $35.7{\pm}5.2N$ in group 2, and $56.7{\pm}17.3N$ in group 3. The barbed sutures were superior to the other sutures in terms of the load needed for 2-mm gap formation (P<0.05). Furthermore, the barbed sutures showed the shortest repair time (P<0.05). Conclusions This study found that 4-strand horizontal intrafiber barbed suture repair with a 12-mm purchase length in a chicken flexor tendon injury model showed promising biomechanical properties and took less time to perform than other options.

RRAM (Redundant Random Access Memory) Spare Allocation in Semiconductor Manufacturing for Yield Improvement (수율향상을 위한 반도체 공정에서의 RRAM (Redundant Random Access Memory) Spare Allocation)

  • Han, Young-Shin
    • Journal of the Korea Society for Simulation
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    • v.18 no.4
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    • pp.59-66
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    • 2009
  • This has been possible by integration techniques such as very large scale integration (VLSI) and wafer scale integration (WSI). Redundancy has been extensively used for manufacturing memory chips and to provide repair of these devices in the presence of faulty cells. If there are too many defects, the momory has to be rejected. But if there are a few defects, it will be more efficient and cost reducing for the company to use it by repairing. Therefore, laser-repair process is nedded for such a reason and redundancy analysis is needed to establish correct target of laser-repair process. The proposed CRA (Correlation Repair Algorithm) simulation, beyond the idea of the conventional redundancy analysis algorithm, aims at reducing the time spent in the process and strengthening cost competitiveness by performing redundancy analysis after simulating each case of defect.

Performance Evaluation of Various Concrete Repair Materials to Corrosion Prevent of Rebar (철근의 부식 방지를 위한 다양한 콘크리트 보수재료들의 성능평가)

  • Tae-Kyun Kim;Jong-Sub Park
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.11 no.4
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    • pp.458-466
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    • 2023
  • Structures in our surroundings deteriorate over time due to environmental and chemical factors, resulting in a decrease in their performance. The primary causes of degradation in concrete structures are carbonation, salt damage, and freeze-thaw cycles. Various maintenance methods exist to address these degradation issues. However, research and technological development for existing maintenance methods have been ongoing, but the accuracy and effectiveness of repair materials and techniques have not been extensively validated. Therefore, in this study, we conducted a material performance evaluation of various manufacturers' repair materials. Based on this evaluation, we applied corrosion inhibitors and epoxy, which are the methods most closely related to crack repair, to assess the durability performance against carbonation, salt damage, and freeze-thaw cycles. The results show approximately a two-fold performance improvement against carbonation and salt damage, and a 5% enhancement in repair performance against freeze-thaw cycles. Thus, it is considered effective in preventing rebar corrosion when appropriate maintenance is carried out according to environmental and chemical factors during structural repairs.

Discussion on safety counter-plan and failure characteristics of customer switches (수용가용 개폐기의 사고 특성과 안전대책 검토)

  • Lee, Hae-Ki;Yoo, Young-Kag;Kang, Seong-Hwa
    • Proceedings of the KIEE Conference
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    • 2006.10b
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    • pp.204-207
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    • 2006
  • Prevention of electrical and mechanical accidents from consumer switches needs early to detect and repair failure parts of the switches. But, safety accidents by the switches of consumers occur from non-systematic safety inspection techniques. So, we develope and propose the safety inspection techniques of the consumer switches.

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Development of Repair Materials and Rehabilitation Techniques (보수.보강재료 및 공법개발연구)

  • 송병표;한만엽;황의승;홍영균
    • Proceedings of the Korea Concrete Institute Conference
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    • 1997.04a
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    • pp.592-597
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    • 1997
  • Many strengthening methods are introduced and used to rehabilitate existing structures. However, both theoretical background and application techniques are not. One of the most popular methods is bonded plate method using either steel plate or carbon plate. For bonded plate method, bonding at the end of the plate is the most important properties. In this study, a method to reduce the stress distribution at the end of the bonded plate is found and tested. The results showed that the proposed end anchoring method is effective.

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A study on the Design Techniques and Analysis of Fault-Tolerant Computers

  • Cho, Jai-Rip
    • Journal of Korean Society for Quality Management
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    • v.21 no.1
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    • pp.78-95
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    • 1993
  • The art of designing and analyzing fault-tolerant computers is surveyed with special emphasis on problems of analyzing the behavior of computers that have autonomous repair capability. The survey covers the following topics : (1) general issues in computer reliability, (2) fault-tolerance state relations and requirements, (3) computational hierarchy, (4) fault characteristics, (5) fault diagnosis, (6) fault-tolerance schemes for logic network and machines, (7) fault-coverage effects, and (8) fault-tree analysis of coverage. This paper does not include techniques for verifying nonredundant hardware or system software designs or for verifying the correctness of application programs.

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AHP Based-Optimal Selection of Concrete Patching Repair Materials Considering Qualitative Evaluation Criteria (정성적 평가항목을 고려한 콘크리트 보수용 단면복구재료의 AHP 기반 최적선정 모델링)

  • Do, Jeong-Yun;Song, Hun;Soh, Yang-Seob
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.965-968
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    • 2008
  • This study is interested in modeling the selection of optimal repair materials in view of the qualitative evaluation. In order to architecting the evaluation model of various repair alternatives, Analytical hierarchy process techniques was applied to this study. It is composed of aesthetics, easy-to-application, economical efficiency, and environment-friendly properties in upper level. Among the qualitative evaluation items, Environment-friendly properties and execution cost included in economical efficiency is highly weighted. It was concluded that the evaluation model by this study is very useful to choose the best alternative among various repair materials.

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Tricuspid Edge-to-Edge Repair Versus Tricuspid Valve Replacement for Severe Tricuspid Regurgitation

  • Jihoon Kim;Heemoon Lee;Ji-Hyun Jung;Jae Suk Yoo
    • Korean Circulation Journal
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    • v.53 no.11
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    • pp.775-786
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    • 2023
  • Background and Objectives: Tricuspid valve (TV) repair techniques other than annuloplasty remain challenging and frequently end in tricuspid valve replacement (TVR) in complicated cases. However, the results of TVR are suboptimal compared with TV repair. This study aimed to evaluate the clinical effectiveness of TV edge-to-edge repair (E2E) compared to TVR for severe tricuspid regurgitation (TR). Methods: We retrospectively reviewed 230 patients with severe TR who underwent E2E (n=139) or TVR (n=91) from 2001 to 2020. Clinical and echocardiographic results were analyzed using inverse probability of treatment weighting analysis and propensity score matching. Results: The two groups showed no significant differences in early mortality and morbidities. During the mean follow-up of 106.2±68.8 months, late severe TR and TV reoperation rates were not significantly different between groups. E2E group, however, showed better outcomes in overall survival (p=0.023), freedom from significant tricuspid stenosis (TS) (trans-tricuspid pressure gradient ≥5 mmHg, p=0.021), and freedom from TV-related events (p<0.001). Matched analysis showed consistent results. Conclusions: E2E for severe TR presented more favorable clinical outcomes than TVR. Our study supports that E2E might be a valuable option in severe TR surgery, avoiding TVR.