• 제목/요약/키워드: cauterization

검색결과 41건 처리시간 0.022초

낙법(烙法)을 이용한 흑색점 제거 증례 (Case Study on Removing Lentigo Using a Cauterization)

  • 이마음;서형식
    • 한방안이비인후피부과학회지
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    • 제32권4호
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    • pp.162-166
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    • 2019
  • Objectives : This report is intended to suggest that lentigo can be removed using the cauterization. Methods : Handle of the needle, which is distal part to the tip and shaft, was heated with an alcohol lamp to cauterize the lentigo one by one to form a crust, and wet dressing was applied to the treatment sites by using Hwangryunhaedok-tang pharmacopuncture solution. Results : Ten days after the cauterization, the lentigo was cleared from the normal skin without adverse reactions. Conclusions : The cauterization is a useful technique for removing lentigo, but the conventional method is somewhat inconvenient, so a radiofrequency technique or a laser-based cauterization may be more useful Instead of the traditional cauterization.

낙법(烙法)에 관한 중의(中醫) 논문 고찰 (A Review of the TCM Articles about Cauterization Treatment)

  • 장호정;이현주;서형식
    • 한방안이비인후피부과학회지
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    • 제31권3호
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    • pp.60-66
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    • 2018
  • Objectives : The purpose of this study is to review the chinese published papers on cauterization of traditional chinese medicine. Methods : We searched chinese published papers from 1958 until May 2017 via CNKI(China National Knowledge Infrastructure) with the keyword "cauterization". We analyzed the studies covered cauterization medical treatment, and classified them by 5 categories including periods, type of study, treatment site, experiment target site, and cauterizing method. Results : We reviewed 112 chinese papers which include 10 Original articles, 43 Review articles, and 59 Case reports. Examining yearly distributions, we can see that research on cauterization is becoming more active than in the past. In classification of 93 clinical studies by treatment site, the number of research on Tonsillitis accounts for almost half(43 studies), followed by Sore throat(14 studies). Among 10 experimental studies, Eye is the most frequently targeted organ which was used to study high intra-ocular pressure(5 studies), and retinal ganglion cell(2 studies). Lastly, there are various methods of cauterization used in papers: Branding iron(54 studies), and Red-hot needle(24 studies) are two major heating methods. Conclusions : This analysis shows that studies on the application of cauterization have been actively conducted in China these days. Furthermore, up-to-date cauterizing methods have been developed such as electric type and microwave type beyond traditional ways. We expect this article will encourage further research on cauterization in order to apply it to a variety of diseases. Then, it could become one of new effective medical treatments in Korean medicine.

반사성 교감신경성 위축증환자에게 시행한 내시경적 흉부교감신경절 소작술 -증례 보고- (Thoracic Endoscopic Sympatheitc Ganglion Cauterization on Reflex Sympathetic Dystrophy under One-Lung Ventilation)

  • 이상훈
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.210-214
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    • 1996
  • Thoracic sympathetic ganglion block(TSGB) with alcohol is a traditional method for treating a variety of disease at pain clinics. But it is a difficult block to perform requiring both skill and experience. Therefore, we performed a thoracic endoscopic cauterization to evaluate the efficacy of this method. A patient suffering sever forearm and hand pain due to radius fracture of the right arm, one and half years earlier, was referred to several different orthopaedic department of various hospitals with continued aggravated symptoms. He was then admitted to our hospital's orthopaedic department. Our diagnosis, confirmed by thermography, revealed reflex sympathetic dystrophy. Patients was therefore referred to the pain clinic where treatment consisted of endoscopic thoracic sympathetic cauterization under general anesthesia. Patient was intubated with Robertashow 37 Fr. double lumen tube left sided. Left lateral and slight head up position was applied to make lesion side up. Incisions were made to penetrate trocas 5 mm diamether on 4 th intercostal space along mid axillary line and midclavicular line. Negative pressure suction on ipsilateral lung and CO2 insufflation under 10 mmHg was applied to reduce lung size. Cauterization on thoracic sympathetic chain at T3 level was done under endoscoic guide. 24 Fr. chest tube was inserted. Patient's symptoms cleared and he was satisfied with the results of this treatment.

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화학 소작술로 치료한 새성 기형 5례 (Treatment of 5 Branchial Cleft Fistulas with Chemical Cauterization)

  • 연제엽;정지성;이동욱
    • 대한기관식도과학회지
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    • 제9권2호
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    • pp.56-59
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    • 2003
  • Branchial cleft fistula is one of the most common congenital neck masses. Most of the branchial cleft fistula patients complain of reucrrent neck infection or abscesses even with appropriate previous treatment. The traditional treatment of these patients was agreed to be a complete surgical removal of whole fistula tract with infection control. However this surgical treatment has risks of injuring important major vessels o. nerves adjacent to the track and difficulties in dealing with previous recurrent infections and scars of previous procedures such as drainage or incomplete surgical excision. Today, obliteration of internal opening with chemical or electrical cauterization has been introduced as a new way of treating branchial anomaly with a less invasive procedure. In this article, we reports 5 cases of branchial anomalies treated with TCA(trichloroacetic acid) chemical cauterization.

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내시경을 이용한 상흉부교감신경 소작술 (Endoscopic Cauterization of Upper Thoracic Sympathetic Ganglions)

  • 이규종;김종일;민병우
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.206-209
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    • 1996
  • Thoracic sympathetic nerve block has a wide range of therapeutic applications which clinicians utilize neurolytics or perform operative sympathectomy. All methods have advantages and disadvantages. We performed "thoracic sympathetic ganglion cauterization" using resectoscope as it is less invasive and more effective than traditional operative methods. Successful procedures were performed involving 2 cases of idiopathic hyperhidrosis and 1 case of sympathetically maintained pain on chest and upper extremity. We experienced failure with one case of idiopathic hyperhidrosis due to severe pleural adhesion. There was also a case of complication of periganglional hemorrhage and parenchymal lung perforation which we successfully treated.

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우(疣)치료에 사용된 직접구(直接灸) 요법의 중의(中醫) 논문 고찰 (Review of the TCM Papers about Direct Moxibustion Therapy Used in the Treatment of Warts)

  • 박지현;손현의;서형식
    • 한방안이비인후피부과학회지
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    • 제29권1호
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    • pp.123-130
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    • 2016
  • Objective : The aim of this article is to report the chinese published papers on the results using the direct moxibustion to treat warts.Methods : Searching chinese published papers, we classified the results involved in the direct moxibustion treatment about warts. And analysed remedy methods, periods, cure rate, etc.Results : According to chinese published papers, the direct moxibustion itself may be effective in patients with warts. In all paper, the direct moxibustion showed more than 90% cure rate. The recurrence rate was low.Conclusion : We introduce a variety of wart treatments with the direct moxibustion which is made in China and report meaningful results. We hope to this paper contributes to various studies on cauterization of direct moxibustion.

유침 구멍이 구비된 전기뜸기의 구현 (Implementation of the Electric Cauterizer with the Hole for Acupuncture)

  • 조봉관;하운성
    • 대한한의진단학회지
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    • 제18권3호
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    • pp.217-223
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    • 2014
  • Objectives This study is on the implementation of the electric cauterizer with the hole for acupuncture to achieve the superposition effect of acupuncture-moxibustion therapies. Methods In this paper, we especially made a hole across the heat terminal of the electric cauterizer for acupuncture. Before the cauterization, the doctor treats a patient with needle. And after acupuncture, the heat terminal is to be superposed upon the needle along the hole to add the cauterization. Results There are 2 coupling methods that the heat terminal is to be superposed with the needle; one is the top-coupling and the other is side-coupling. The top-coupling means that the heat terminal is to be superposed upon the needle along the top of the needle, and side-coupling means that the heat terminal is to be superposed to the needle along the side of the needle. Conclusion This study was aimed to implement the electric cauterizer with the hole for acupuncture to achieve the superposition effect of acupuncture-moxibustion therapies. Not electric acupuncture but manual acupuncture is adopted. The electric cauterizer generates the heat $38{\sim}45^{\circ}C$. This heat is safe for skin not to burn. The electric cauterizer constitutes the smokeless moxa- pad which effects the skin DDS.

흉강경하 교감신경절 소작술중 발생한 심부전 -증례 보고- (Heart Failure Occurred during Endoscopic Transthoracic Sympathetic Cauterization -A case report-)

  • 이윤우;윤덕미;안은경;석미자
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.235-238
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    • 1996
  • Hyperhidrosis is the distressing condition of abnormal sweating which affects the palm, sole and axillary region. Transthoracic endoscopic sympathectomy is recommended as the treatment of choice for hyperhidrosis, especially when the upper limbs are affected. We experienced a case of accidental cauterization of right azygos vein in a healthy 23 year old male during endoscopic transthoracic sympathectomy. We changed the single lumen endotracheal tube to a double lumen tube which made it easier to perform the explo-thoracotomy and bleeder ligation under one lung ventilation. Crystalloid and colloid solutions, and packed RBC were loaded during explo-thoracotomy. Monitoring showed the signs indicating pulmonary edema. Pulmonary arterial catheterization revealed global heart failure. The patient was transfered to ICU for intensive management for heart failure. On the 4th postoperative day, pulmonary edema and heart failure were cured; and the patient was extubated. But in the evening of the same day ST-segment elevation and Q-wave were noted on ECG monitoring. On the 13th postoperative day coronary angiography was performed. This revealed left apex focal hypokinesia, patent coronary artery and accidental right coronary spasm, treated by vasodilator. On the 14 day, after surgery, he was discharged to return to work.

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Video 흉강경을 이용한 폐기포 절제술 (Videothoracoscopic Bullectomy in Patients with Primary Spontaneous Pneumothorax)

  • 김수현
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1502-1507
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    • 1992
  • Between February and July 1992, videothoracoscopic bullectomy was performed in nineteen patients with primary spontaneous pneumothorax. The indications of this surgery are recurrent in 12, persistent airleakage in 4 and previous contralateral pneumothorax in 3 patients. For the good operative field, we used double lumen endotracheal tube and put the CO2 gas into the thoracic cavity to make the lung collapse. We usually apply the endoGIA or electric cauterization for handling the bleb or bullae and there were 9 cases with of endoGIA only, 4 electric cauterization only and 6 both procedures. To evaluate the advantage of the Videothoracoscopic surgery, we compared surgical results with that of the tho-racotomy group[19 patients]. There were significant differences in operative time[93.8$\pm$41.9 min and 17.1$\pm$53.9 min, p< 0.01] and postoperative airleakage duration[35.6$\pm$113.3 hours and 117.9$\pm$214.4 hours, p<0.05] between the Videothoracoscopy and thoracotomy group. Tube indwelling time was shortened in Videothoracoscopy group[p<0.05]. The hospital stay was very short[p<0.01] and the patients needed analgesic injection less frequentley in videthoracoscopic group[p<0.05] In conclusion, we prefer the Videothoracoscopic procedure to the thoracotomy in uncomplicateed patients with pneumothorax because of simple procedure and good results.

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