• 제목/요약/키워드: Surgical result

검색결과 1,816건 처리시간 0.026초

Surgery Requiring Detailed Preoperative Simulation and Scar De-epithelialization to Repair Severe Postoperative Scarring from Gastroschisis

  • Ishii, Naohiro;Oji, Tomito;Kishi, Kazuo
    • Archives of Plastic Surgery
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    • 제44권4호
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    • pp.337-339
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    • 2017
  • We present the case of a patient with severe postoperative scarring from surgical treatment for gastroschisis, with the intestine located immediately under the dermal scar. Although many patients are unsatisfied with the results of scar repair treatment, few reports exist regarding severe or difficult cases involving the surgical repair of postoperative scar contracture. We achieved an excellent result via simulation involving graph paper drawings that were generated using computed tomography images as a reference, followed by dermal scar deepithelialization. The strategy described here may be useful for other cases of severe postoperative scar contracture after primary surgery for gastroschisis.

개의 건성 각결막염과 수술적 처치 (Keratoconjunctivitis Sicca (KCS) and Its Surgical Therapy in a Dog)

  • 우흥명
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.424-428
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    • 2001
  • 건성 각결막염(KCS)은 임상에서 많이 접하게 되는 개의 안과 질환이다. 눈물샘으로부터 수성층의 눈물생산이 억제되거나 정지되어 각막 표면 눈물층의 양적변화와 함께 KCS가 유도된다. 본 연구는 KCS로 잠정진단을 받아, 본 대학병원에 의뢰된 개를 대상으로 조직 병리학적 변화를 검사하고, KCS의 진단 및 내과적 치료 방법들을 검토하였으며, 내과적 치료에 반응하지 않은 예를 외과적 처치인 parotid duct transposition(PDT)으로 치료하는 방법을 서술하고자 한다.

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Annuloaortic Ectasia 의 수술치험 (1례 보고) (Surgical Treatment of Annuloaortic Ectasia (Report of One Case))

  • 조광현;박철호;류지윤
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.340-346
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    • 1988
  • The surgical treatment of annuloaortic ectasia falls into two basic categories, depending on the management of the coronary artery ostia and the sinus of Valsalva. The conventional method, first suggested by Groves, Wheat and their associates, employs a supracoronary graft for the treatment of aneurysm and conventional valve replacement. A more radical approach, that of Bentall and DeBono, uses a valve conduit from the aortic annulus to the distal extent of the aneurysm. This latter technique requires reimplantation of the coronary artery ostia for reestablishment of coronary artery blood flow. Recently we experienced a case of annuloaortic ectasia to which we applied the Bentall operation with the good postoperative result, and now we report this with literature review.

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Result of Surgical Resection for Pulmonary Metastasis from Urothelial Carcinoma

  • Han, Woo-Sik;Kim, Kwhan-Mien;Park, Joon-Suk
    • Journal of Chest Surgery
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    • 제45권4호
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    • pp.242-245
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    • 2012
  • Background: Treatment of pulmonary metastasis from urothelial cell carcinoma has been mostly palliative chemotherapy and the role of pulmonary metastasectomy has not been investigated much. Materials and Methods: This study is a retrospective interim review of pulmonary metastasectomy from urothelial carcinoma at single institution between 1998 and 2010. Overall 16 patients underwent pulmonary metastasectomies. Results: There was no postoperative complication or hospital mortality. Mean hospital stay was 6 days. Overall and disease-free 5-year survival were 65.3% and 37.5%, respectively. Conclusion: In selected patients with pulmonary metastasis from urothelial carcinoma, surgical treatment is feasible and could contribute to long-term survival in selected patients.

자연 관해된 하수체 졸중 1례 (A Case of Spontaneous Resolution of Pituitary Apoplexy)

  • 신병수;이병용;김영현
    • 대한두경부종양학회지
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    • 제17권1호
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    • pp.63-65
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    • 2001
  • Pituitary apoplexy resulting from hemorrhage or necrosis of a pituitary tumor with subsequent compression of the optic nerves and cavernous sinuses is a life-threatening condition. The diagnosis is made clinically by the sudden onset of headache, meningismus, visual impairment, and ocular abnormalities, Modern surgical techniques seem to have reduced morbidity. Nevertheless, it is evident that not every patient requires surgical decompression after pituitary apoplexy because of spontaneous resolution after hormonal replacement therapy. We report an 84-year-old man who had pituitary apoplexy presenting with headache, ptosis and eyelid swelling. A good result has been achieved with immediate replacement of steroid.

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기관 캐뉼 발거 곤란증 (Decannulation Difficult)

  • 봉정표;임구일;유기원;이준규;박성원;홍기수
    • 대한기관식도과학회지
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    • 제4권2호
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    • pp.165-170
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    • 1998
  • Background and Objectives : Decannulation failure may result from factors such as inadequate ability 0 clear secretion, mucosal induration, granulation tissue, restenosis, tracheal wall depression and vocal cord palsy. We were to evaluate the effectiveness of surgical treatment on the basis of site and type of stenosis. Materials and Method : A series of 44 cases of decannulation difficulty between 1993 and 1997 were reviewed. The following data were collected on each of these patients : primary disease, indication for tracheostomy, site of stenosis, endoscopic findings of stenosis, surgical techniques used for treatment. Results : Primary diseases were 30 head trauma, 4 neck injury, 10 other diseases. Indication for tracheostomy were 37 prolonged intubation, 4 emergency tracheostomy, 3 laryngeal trauma. Endoscopic findings of stenosis were 24 granulation tissue, 16 laryngotracheal collapse, 4 combined with granulation tissue and collapse. Site of stenosis were 3 glottic, 9 subglottic, 24 stomal, 1 substomal, 7 mixed. 22 of 24 cases were decannulation using endoscopic treatment. Conclusion : The most common cause of failed decannulation was sternal granulation tissue. The most effective treatment of granulation tissue was endoscopic technique.

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Alcohol Neurolysis를 이용한 삼차 신경통 치험예 (Alcohol Neurolysis for the Treatment of Trigeminal Neuralgia)

  • 최훈
    • The Korean Journal of Pain
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    • 제2권1호
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    • pp.45-48
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    • 1989
  • 전북의대 부속병원 통증치료실에 의뢰된 4명의 삼차신경통 환자를 95% alcohol을 이용하여 해당분자를 화학적으로 차단하고 필요에 따라 carbamazepine이나 amitriptyline을 병용하거나 별도로 사용하여 좋은 효과를 얻었으므로 삼차신경통의 치료방법을 포괄적으로 고찰하였다.

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3D Face Modeling using Face Image

  • Kim, Sanghyuk;Ban, Yuseok;Park, Changhyun;Lee, Sangyoun
    • Journal of International Society for Simulation Surgery
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    • 제2권1호
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    • pp.10-12
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    • 2015
  • Purpose It has been stated that patient satisfaction is the crucial factor for determining success in plastic surgery. The convergence of medical science and computer vision has made easier to satisfy patients who wants to have plastic surgery. In this paper, we try to apply 3D face modeling in plastic surgical area. Materials and Methods The author introduces a method for accurate 3D face modeling techniques using a statistical model-based 3D face modeling approach in a mirror system. Results We could successfully obtain highly accurate 3D face shape results. Conclusion The method suggested could be used for acquiring 3D face models from 2D face image and the result obtained from this could be effectively used for plastic surgical areas.

A review of rare complications of maxillary sinus floor augmentation

  • On, Sung Woon;Cho, Seoung-Won;Yang, Byoung-Eun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권6호
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    • pp.351-356
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    • 2019
  • Maxillary sinus floor augmentation (MSFA) is an essential procedure for implant installation in the posterior maxillary area with vertical alveolar bone deficiency. For the past several decades, MSFA has been refined in terms of surgical methods along with technical progress, accumulation of clinical studies, and development of graft materials and surgical instruments. Although some complications in MSFA are inevitable in clinical situations, management of those complications in MSFA has been well established thanks to many clinicians and researchers. Nevertheless, some rare complications may arise and can result in fatal results. Therefore, clinicians should be well aware of such rare situations and complications associated with MSFA. In this review, the authors present several rare complications regarding MSFA, along with corresponding management strategies through a thorough review of the literature.

Modified Fontan 씨 수술법을 이용한 삼첨판막 폐쇄증과 완전대혈관전위증 (Successful Surgical Correction of Tricuspid Atresia with Complete Transposition of Great Arteries [S.D.D.].)

  • 박건주;조중구;김공수
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.569-573
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    • 1985
  • A 18-year-old female underwent surgical correction of tricuspid atresia and complete transposition of great arteries combined with atrial 8 ventricular septal defect and pulmonary stenosis. After the transection of main pulmonary artery just above the pulmonic valve, proximal portion of main pulmonary artery was closed with running suture and distal portion of main pulmonary artery anastomosed with right atrial appendage without valve insertion. Atrial septal defect was closed with running suture. Postoperative course was uneventful and she discharged on 18th postoperative day. Her condition is in very good until present. Modified Fontan`s operation without valve placement [in the condition of low pulmonary vascular resistance and good left ventricular function] may has a good result.

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