• Title/Summary/Keyword: Vacuum therapy

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Endoscopic vacuum therapy for treatment of spontaneous and iatrogenic upper gastrointestinal defects

  • Kavea Panneerselvam;Jake S. Jacob;Ronald E. Samuel;Andy Tau;Gyanprakash A. Ketwaroo;Wasif M. Abidi;Robert J. Sealock
    • Clinical Endoscopy
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    • v.56 no.6
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    • pp.754-760
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    • 2023
  • Background/Aims: Endoscopic vacuum therapy (EVT) can heal a variety of defects within the gastrointestinal (GI) tract via applying negative pressure, which reduces the defect size, aspirates the infected fluid, and promotes granulation tissue. Here we present our experience with EVT as it relates to both spontaneous and iatrogenic upper GI tract perforations, leaks, and fistulas. Methods: This retrospective study was conducted at four large hospital centers. All patients who underwent EVT between June 2018 and March 2021 were included. Data on multiple variables were collected, including demographics, defect size and location, number and intervals of EVT exchanges, technical success, and hospital length of stay. Student t-test and the chi-squared test were used to analyze the data. Results: Twenty patients underwent EVT. The most common defect cause was spontaneous esophageal perforation (50%). The most common defect location was the distal esophagus (55%). The success rate was 80%. Seven patients were treated with EVT as the primary closure method. The mean number of exchanges was five with a mean interval of 4.3 days between exchanges. The mean length of hospital stay was 55.8 days. Conclusions: EVT is a safe and effective initial management option for esophageal leaks and perforations.

Vacuum-Assisted Closure Therapy as an Alternative Treatment of Subcutaneous Emphysema

  • Byun, Chun Sung;Choi, Jin Ho;Hwang, Jung Joo;Kim, Do Hyung;Cho, Hyun Min;Seok, June Pill
    • Journal of Chest Surgery
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    • v.46 no.5
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    • pp.383-387
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    • 2013
  • Vacuum-assisted closure therapy is an alternative method for a massive subcutaneous emphysema treatment. It is easily applicable and shows rapid effectiveness in massive subcutaneous emphysema, intractable with chest tube drainage.

Surface Mass Imaging Technique for Nano-Surface Analysis

  • Lee, Tae Geol
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.02a
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    • pp.113-114
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    • 2013
  • Time-of-flight secondary ion mass spectrometry (TOF-SIMS) imaging is a powerful technique for producing chemical images of small biomolecules (ex. metabolites, lipids, peptides) "as received" because of its high molecular specificity, high surface sensitivity, and submicron spatial resolution. In addition, matrix-assisted laser desorption and ionization time-of-flight (MALDI-TOF) imaging is an essential technique for producing chemical images of large biomolecules (ex. genes and proteins). For this talk, we will show that label-free mass imaging technique can be a platform technology for biomedical studies such as early detection/diagnostics, accurate histologic diagnosis, prediction of clinical outcome, stem cell therapy, biosensors, nanomedicine and drug screening [1-7].

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Nanotechnology Meet Immunology: Nanomaterials for Enhanced Immunity

  • Im, Yong-Taek
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.08a
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    • pp.92.2-92.2
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    • 2013
  • The design and chemical synthesis of multifunctional nanomaterials have been providing potential applications in biomedical fields such as molecular imaging and drug delivery. Recently, bio-derived and/or synthetic nanostructured materials capable of modulating the immune system have been also issues of interest in immunology-related nanomedicine fields. In this talk, the recent research results on the development of nanostructured materials for enhanced immunity would be presented. I will introduce the chemical strategy for the combination of nanostructured materials and bioactive compounds to improve both anti-cancer immunity and vaccine delivery efficiency.

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Facile Preparation of Pyrene-templated Hexagonal-shaped Gold Nanoplates

  • Lim, Eun-Kyung;Jang, Eunji;Haam, Seungjoo;Huh, Yong-Min
    • Applied Science and Convergence Technology
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    • v.23 no.1
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    • pp.48-53
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    • 2014
  • We have formulated hexagonal-shaped gold nanoplates in a single-step for photothermal therapy that gold ions to gold particles using pyrenyl dextran as reducible stabilizer and template. They exhibit anisotropic structure with broad surface plasmon resonance (SPR) band into near-infrared (NIR) spectrum enabling photothermal therapy. These gold nanoplates are also confirmed biocompatibility and high uptake efficiency due to binding with dextran molecules on the surface of gold nanoplates and cells. From in vitro phtothermal ablation study under NIR laser, gold nanoplates have the potential to use as photothermal agents.

Vacuum Assisted Closure Therapy in Snake Bite Wound: Preliminary Report (독사 교상 환자에서의 음압요법: 예비보고)

  • Song, Woo-Jin;Choi, Hwan-Jun;Kang, Sang-Gue
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.121-126
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    • 2011
  • Purpose: Vaccum-assisted closure (VAC) has rapidly evolved into a widely accepted treatment of contaminated wounds, envenomations, infiltrations, and wound complications. This results in a sealed, moist environment where tissue is given the opportunity to survive as edema is removed and perfusion is increased. Many plastic surgeons now place a VAC device directly over the fasciotomy site at the time of the initial procedure. Large amounts of the fluid are withdrawn, and fasciotomies can be closed primarily sooner. This study was designed to observe the effect of VAC in preventing complications in snake bitten hands. Methods: In our study of three cases of snake bite, three of them underwent the VAC treatment & fasciotomy of the wound in the hand. This cases, the posterior compartment of the hand was bitten for a few days, releasing incisions were made of the posterior hand and 125 mmHg of continuous vacuum was applied to fasciomy incision site and the biting wound. The dressings were changed three times per week. Results: Our study examining the effects of applied vacuum in preventing snake bite wounds showed that the incidence of tissue necrosis and compartment syndrome was significantly lower for vacuum-treated wounds than for conservative wounds. Serum myoglobin, CK-MB, and CPK levels measured after fasciotomy incision were significantly decreased. We obtained satisfactory results from early dorsal fasciotomy, drainage of the edema with the VAC system, and then primary closure. The postoperative course was uneventful. Conclusion: Envenomation is a term implying that sufficient venom has been introduced into the body to cause either local signs at the site of the bite and/or systemic signs. Use of the vacuum-assisted closure device in snake bite can result in a decreased rate of tissue necrosis, lymphatic fluid collection, hemolytic fluid collection, and edema. Early fasciotomy of the dorsal hand and VAC apply is the alternative treatment of the snake bite.

Application of Vacuum-Assisted Closure Device in Management of Postpneumonectomy Empyema

  • Sohn, Suk Ho;Kang, Chang Hyun;Choi, Se Hoon;Kim, Young Tae
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.153-155
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    • 2013
  • A 57-year-old man was diagnosed with lung cancer and underwent pneumonectomy and mediastinal lymph node dissection. He was discharged without acute complications, but on a regular outpatient follow-up, he was readmitted with postpneumonectomy empyema. He was successfully treated with a vacuum-assisted closure device and for 1 year period of outpatient follow-up, there was no recurrence of empyema or lung cancer.

Effect of 41℃ deep heat formed by vacuum heating on various pain: Dr.Pakk (Dr. 팍) for pain care

  • Chang, Tae-soun
    • CELLMED
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    • v.12 no.4
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    • pp.16.1-16.2
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    • 2022
  • Treatment of patients with pain is directed at relieving pain and restoring function. Heat therapy has been used as a pain treatment. The mean temperatures were 40 and 41℃. Our device, Dr.Pakk heats special silicone to 41℃ with far-infrared rays and attaches it to the painful knee using a vacuum to show the effect. The core technology of the Dr.Pakk is that deep heat is generated when the heat is transmitted deeply by attaching it to the skin. In our experience, Dr.Pakk can be especially effective for knee pain.

Management of Cannula Wound Problems with Vacuum-Assisted Therapy for a Child Who Received Berlin Heart EXCOR Implantation

  • Siwon Oh;Shin Kim;Ji-Hyuk Yang;Young Jin Roh;Ilkun Park
    • Journal of Chest Surgery
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    • v.56 no.2
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    • pp.147-150
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    • 2023
  • A child being supported with an extracorporeal ventricular assist device, such as the Berlin Heart EXCOR (Berlin Heart GmbH, Berlin, Germany), must have at least 2 large cannulae for a long period. Management of cannula wounds is crucial since a cannula forms a track of prosthetic material passing the mediastinum to the heart. Deep wound complications, if they occur, can be troublesome and difficult to control with conventional methods. We applied vacuum-assisted closure to a patient who had Berlin-Heart EXCOR and a gap at the cannulation site. Herein, we describe the technical aspects of management in detail.

The evaluation of effectiveness of 3DCA using vacuum bag(Vac-Lock) for patient immobilization device (3DCA제작을 통한 Vac-Lock 사용시 효율성향상에 대한 연구)

  • Lee YoungChul;Lee ChulBin;Kang NoHyun;Kim DongEuk;Lee JungYong;Jeong InPyo
    • The Journal of Korean Society for Radiation Therapy
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    • v.16 no.1
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    • pp.67-72
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    • 2004
  • Purpose : Patient immobilization is crucial factor for radiation therapy. Generally, we have been used vacuum bag immobilization device(Vac-Lock) for whole body immobilization. In order to easily set up of vacuum bag(Vac-Lock), we made a 3DCA(3-Dimensional Conformal Accessary). The purpose of this study is evaluation of effectiveness of 3DCA using Vack-Lock for patient immobilization. Materials and Methods : We made 3DCA(3-Dimensional Conformal Accessary) tool of wooden boards. The reasons to choice of wooden boards are its easily handling nature and cheap expenses. Results : (1) We reduced man power from $5{\sim}6$persons to 1person to make immobilizations, (2) Shortened work time from 1hour to within 10minutes. (3) Avoid a collision to treatment gantry head. (4) Its shapes are smart and clean. Conclusion : We have made and used 3DCA(3-Dimensional Conformal Accessary) tool was very effective and convenience for the patients and users.

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