• Title/Summary/Keyword: gauze

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The Effect of Nasal Packing with Rolled Silastic Sheet after Closed Reduction of Nasal Bone Fracture (비골 골절 교정 후 Rolled Silastic Sheet를 이용한 비강 충진의 효과)

  • Son, Kyung-Min;Yang, Jeong-Yeol;Kim, Gyu-Bo;Han, Yun-Ju;Cheon, Ji-Seon
    • Archives of Plastic Surgery
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    • v.38 no.5
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    • pp.602-608
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    • 2011
  • Purpose: Nasal bone fracture is the most common type of facial bone fracture and most of nasal bone fracture is combined with septal fracture frequently. Nasal septum is important to support the distal nose and to maintain the nasal airway. But nasal septal fractures are usually unrecognized and untreated at the time of operation. Recently, various materials were using for nasal packing after closed reduction, however these materials are not focused on the correction of nasal bone and nasal septal fracture and many patients are suffered from nasal packing materials. Thus, the purpose of this study is to compare routine packing materials and rolled silastic sheet with respect to postoperative effect of correction of nasal bone fracture and discomfort of nasal packing materials. Methods: We examined 320 patients treated nasal bone fracture from January 2008 to December 2010. For Group I (n=92), $Merocel^{(R)}$ was used for nasal packing, for Group II (n=152) vaseline gauze was used, and Rolled silastic sheet (RSS) with vaseline gauze packing (VGP) was used for Group III (n=76). Under the general anesthesia, all patients were operated by closed reduction and nasal packing was done using three kinds of packing materials. At the time of postoperative 7 days, packing material was removed and studied for pt's satisfaction and postop. complications. Results: In patients with RSS with VGP, the complaints (nasal obstruction, foreign compressive sensation and discomfort during food ingestion) of keeping the nasal packing were decreased ($p$ <0.05) and the postoperative complication (deviation) were decreased comparing to vaseline gauze packing and $Merocel^{(R)}$ packing, however, these differences were not statistically significant ($p$ >0.05). Conclusion: Postoperative nasal packing with RSS with VGP was more comfortable to the patients and it was more effective method to correct the nasal bone fracture and nasal septal fracture.

Microsurgical Training using Preserved Saphenous Vein (혈관문합 연습을 위한 보존된 복재정맥의 활용)

  • Song, Jennifer K.;Hwang, So-Min;Lim, Kwang-Ryeol;Jung, Yong-Hui
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.391-395
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    • 2010
  • Purpose: Given that the critical nature of the microvascular anastomosis to what is often a long and difficult reconstructive operation, trainees need to have a high level of microsurgical competence before being allowed to perform microsurgery on patients. Some artificial substitutes and dead or live animal models have been used to improve manual dexterity under the operating microscope. Yet, most surgeons are not equipped with such models, so search for easy available and appropriate microsurgical practice model have been an issue. Umbilical artery, placental vessels and gastroepiploic arteries have been previously suggested as a microsurgical training model, which involves other surgical departments. The purpose of this article is to introduce that saphenous vein specimen obtained from varicose vein surgery is useful and has many advantages as training model for the practice of microvascular anastomosis. Methods: The conventional technique using perforation/inversion method with a metallic stripper is widely performed for varicose vein patients. The stripper is inserted through disconnected safeno-femoral junction and retrieved at the knee or the medial side of ankle. The length of saphenous vein specimens removed is about that of one's leg and inversed from inside out. Obtained saphenous vein specimens are re-inversed and cleansed with normal saline, to be readily available for microsurgical practice. Preserved in a squeezed wet saline gauze and refrigerated, frozen or glycerated specimens were investigated into their comparative quality for microsurgical practice. Results: Varicose vein surgery remains one of the common operations performed in the field of plastic surgery. Convenient informed consent regarding the vessel donation can be easily signed. The diameter of the obtained saphenous vein is as variable as 1.5 to 6 mm, which is already stripped, and is in sufficient length corresponding to that of patient's leg. Vessels specimens were available for microsurgical practice within 1 week period when preserved with squeezed wet saline gauze, and the preservation period could be extended monthly by freezing it. Conclusion: Saphenous vein obtained from varicose vein patients provide with variable size of vessel lumen with sufficient length. The practice can be cost effective and does not require microsurgical laboratory. Additionally there is no need of involving other surgical departments in acquiring vessel specimens. Furthermore, simple preservation method of refrigerating for a week or freezing with squeezed wet saline gauze for a month period, allow the saphenous vein obtained after varicose vein surgery as an excellent model for the microsurgical practice.

Effect of Growth Enhancement by Storage and Soil Types of Cutting Slips in Lycium chinense Mill (삽수 저장법과 용토 종류가 구기자 생육에 미치는 영향)

  • Kim, Chul Joong;Seong, Eun Soo;Yoo, Ji Hye;Choi, Jae Hoo;Kim, Chang Heum;Kang, Byeong Ju;Jeon, Mi Ran;Ghimire, Bimal Kumar;Kim, Na Young;Lee, Sang Won;Cha, Seon Woo;Yu, Chang Yeon
    • Korean Journal of Medicinal Crop Science
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    • v.23 no.4
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    • pp.319-323
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    • 2015
  • The objective of this study was to establish the optical storage condition in cutting slips of Lycium chinense Mill. We investigated the different influential growth factor of this plant including two soil types (soil and vermiculite) and storage methods (gauze, parafilm, vinyl, and paper). Our result revealed that the formation of axillary bud was highest ($4.8{\pm}0.75ea$) from the cutting slips stored in vinyl and vermiculite treatment. Root length was long ($2.8{\pm}0.13ea$) in parafilm storage using soil. Maximum plant height was $135.33{\pm}12.81cm$ with gauze storage using vermiculite. The number of leaves was maximum ($130{\pm}2.5ea$) at 90 days from the cutting slips of gauze storage using vermiculite. Highest number of fruit was harvested ($149{\pm}16.05ea$) from the cutting slips stored in parafilm and grown in vermiculite. It can be concluded that the storage treatment and soil type influence the affecting to general growth of Lycium chinense Mill.

Tracheo-Innominate Artery Fistula Following Tracheostomy - A Case Report - (기관 절개술후 발생한 기관-무명 동맥루: 1례 보고)

  • Jeong, Seong-Gyu;Lee, Sang-Ho
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.418-423
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    • 1992
  • Tracheo-innominate artery fistula[TIF] is the uncommon delayed fatal complication of tracheostomy. The mortality rate of the lesion, if not treated surgically, approaches 100%. A 64-year-old man presenting with a TIF after tracheostomy was treated by lateral repair and muscle interposition between the innominate artery and trachea. Preoperatively, bleeding was controlled by gauze packing around the tude under manual compression and hyperinflation of the balloon cuff of the tracheostomy tube. No abnormality was found by angiographic evaluation. The patient failed to regain consciousness and died 4 days later from sepsis.

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EMERGENCY BLEEDING CONTROL BY RAPID ENTIRE OROPHARYNGEAL PACKING IN A PATIENT WITH ACTIVE OROPHARYNGEAL BLEEDING FOLLOWING BASAL SKULL FRACTURE: REPORT OF A CASE (뇌기저부 골절후 발생된 과도한 구인두 출혈의 구인두 전체 신속압박에 의한 응급지혈: 증례보고)

  • Mo, Dong-Yub;Yoo, Jae-Ha;Choi, Byung-Ho;Kim, Ha-Rang;Lee, Chun-Ui;Ryu, Mi-Heon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.2
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    • pp.189-195
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    • 2010
  • Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal & gastric aspiration and hypovolemic shock. Therefore, the rapid & correct bleeding control is very important for life-saving in the medical emergency room. In spite of the bleeding control methods of the wound suture & direct pressure, the postoperative bleeding can be occurred, because of the presence of various bleeding disorders & postoperative delayed wound infections. The proper care of bleeding disorders & wound infections are very important for the control of the delayed postoperative rebleeding. In spite of these methods, active oral bleeding can be presented by the other causes of head injury. A rare but particularly dangerous sort of bleeding that may have an especial importance to the patient with severe basal skull fracture that damage large vessels and even the cavernous sinus. The occurrence of profuse nasal or oropharyngeal bleeding may arise from damage to the anterior and posterior ethmoidal vessels, but when mixed with brain tissue it is evidence of mortal damage. In this condition, rapid entire oropharyngeal packing is essential for the control of active oral bleeding. This is a case report of rapid rational bleeding control method by much amount of wet gauze packings, in a 44-years-old male patient with active oropharyngeal bleeding by basal skull fractures.

Easy Reproducible Tie-over Dressing using Silastic$^{(R)}$ Drainage (실라스틱(Silastic$^{(R)}$) 배액관을 이용한 간편한 봉합고정 드레싱)

  • Kim, Peter Chan Woo;Park, Sang-Soon;Lee, Yong-Jig;Shim, Jeong-Su;Park, Dae-Hwan
    • Archives of Plastic Surgery
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    • v.37 no.3
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    • pp.313-316
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    • 2010
  • Purpose: Tie-over dressing is widely used to secure skin grafting on face, body, or extremities. It can be a rather complicated task and is not easy to make compressive dressing again if performed in a conventional method. So, we hereby introduce an easy reproducible tie over dressing method. Methods: After completing the skin graft, Cut the silastic drainage longitudinally in half and spread to the grafted skin margin. Drainage is fixed by using the stapes or sutures. A fluffy gauze bolus dressing is placed over a furacin impregnated gauze and wrapped around. After suturing the distal margin of silastics with opposite side using the silk thread either 5 - 0 or 3 - 0, knot of suturing, which is pressed down against the dressing while the threads are tightened, is made into center of each sides. Results: It can make dressing again after observing the grafted skin, and it can also make pressure on the grafted area evenly until the grafted skin is taken. Conclusion: This dressing method makes the surgeons and patients comfortable. To surgeons, it provides more rapid and easier way to do dressing, and to patients, it eliminates pain caused by redressing.

A Study of the Fabrics Used for the Official Hats in Baekje Dynasty (백제 관모에 사용된 직물 연구)

  • Park, Yoon-Mee
    • Journal of the Korean Society of Costume
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    • v.59 no.3
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    • pp.82-95
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    • 2009
  • The kind and the use of the fabrics for crown manufacture in the Baekje period has been studied by characterizing the imprinted fabrics on the crowns and the diadem ornaments from the old tomb. The contact region with the skin inside of the crown and the region between the bark of white birch and the gilt bronze openwork plates contained fabrics. The fabrics used in the gilt-bronze crown were all plain weave silk except that of Yongwonri tomb where loosely woven thin tabby was used. There have been 4-types of iron framed diadem of the Baekje, which comprise the inverted triangle-shaped diadem only with iron frame, the diadem with gold plate ornament in the iron frame, the diadem decorated with mica plate and gold plate, and the diadem with silver ornament in the iron frame. The fabrics used in the triangle shaped iron frame diadem include plain weave silk, irregular plain woven silk, thin tabby, complex silk gauze, twill weave on plain ground, and warp-faced compound weave. The iron frames were wrapped with the fabrics from one layer up to three layers, and the iron diadem was covered with one later of loosely woven textile such as irregular plain woven silk, thin tabby, and complex silk gauze. But in case of decorating the iron diadem with gold Plate ornaments, multiple layers of fabric were used to sustain the weight of the ornaments. The fabrics in the iron diadem frame were sewed with running stitch, overedge stitch or hemming stitch, diagonal hemming stitch, half back stitch), and overcast stitch.

A comparison of retentive strength of implant cement depending on various methods of removing provisional cement from implant abutment

  • Keum, Eun-Cheol;Shin, Soo-Yeon
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.234-240
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    • 2013
  • PURPOSE. This study evaluated the effectiveness of various methods for removing provisional cement from implant abutments, and what effect these methods have on the retention of prosthesis during the definitive cementation. MATERIALS AND METHODS. Forty implant fixture analogues and abutments were embedded in resin blocks. Forty cast crowns were fabricated and divided into 4 groups each containing 10 implants. Group A was cemented directly with the definitive cement (Cem-Implant). The remainder were cemented with provisional cement (Temp-Bond NE), and classified according to the method for cleaning the abutments. Group B used a plastic curette and wet gauze, Group C used a rubber cup and pumice, and Group D used an airborne particle abrasion technique. The abutments were observed using a stereomicroscope after removing the provisional cement. The tensile bond strength was measured after the definitive cementation. Statistical analysis was performed using one-way analysis of variance test (${\alpha}$=.05). RESULTS. Group B clearly showed provisional cement remaining, whereas the other groups showed almost no cement. Groups A and B showed a relatively smooth surface. More roughness was observed in Group C, and apparent roughness was noted in Group D. The tensile bond strength tests revealed Group D to have significantly the highest tensile bond strength followed in order by Groups C, A and B. CONCLUSION. A plastic curette and wet gauze alone cannot effectively remove the residual provisional cement on the abutment. The definitive retention increased when the abutments were treated with rubber cup/pumice or airborne particle abraded to remove the provisional cement.

A Study on the N2O Separation Process from Crude N2O (Crude N2O로부터 정제된 N2O 분리공정에 관한 연구)

  • Cho, Jungho;Lee, Taekhong;Park, Jongki
    • Korean Chemical Engineering Research
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    • v.43 no.4
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    • pp.467-473
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    • 2005
  • Liquid phase nitrous oxide ($N_2O$) contains air, carbon monoxide, water, carbon dioxide and NOx as main impurities. It is known to be very dangerous to obtain a very pure $N_2O$ product by using solidification at low temperature. In this study a new method to obtain a high purity of $N_2O$ product based on a continuous distillation process was introduced. For the modeling of the continuous distillation process to obtain a product having a purity over 99.999% of $N_2O$ stream, Intalox wire gauze packing- No. SCH-80S gauze packing column was used. Peng-Robinson equation of state was used for the modeling of the continuous distillation process and refrigeration system. Computational results performed in this work showed a good agreement with Aspen Plus simulation results.

A Study of Textiles used for Po(overcoat) in the Excavated Costumes of the Chosun Dynasty (조선시대 출토복식 중 포류에 사용된 직물유형 연구)

  • 조효숙;임경화;김지연
    • Journal of the Korean Society of Costume
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    • v.53 no.4
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    • pp.113-129
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    • 2003
  • This study examined textiles used for the ancient costumes that are excavated from tombs of the Chosun dynasty, focusing especially on Po(overcoat). The result of the study is that silk occupies 79.8% of all the textiles used for Po, and cotton and linen follow. The weaving method of silk was primarily plain and satin weaves. However the use of twill, gauze, and double weave, that had led weaving methods of silk during the Koryo dynasty, are considerably decreased in Chosun dynasty. Danlyeong(단령) and Cheollik(첩리) had been made of various textile fabrics like cotton, linen, silk and blended fabric before Imjinwaeran(임진왜란). After the war, they were simplified in gauze weaved silk or satin weaved silk, And also patterned fabric were widely used for them than other Po. Simple fabrics like cotton, linen and plain weaved silk had been used for Aekjureum(액주름) and Jiklyeong(직령) before Imjinwaeran. After the war, Jiklyeong was used as underwears of Danlyeong, so it was made of high quality patterned silk. Dopo(도포) and Changuiryu(창의류) were mainly excavated from tombs after the war, high quality plain weaved silk are used than gorgeous Patterned silk. For the Dopho(답호) and Bansuui(반수의), before the war, they were made with various textiles such as plain weaved silk, twill weaved silk, satin weaved silk, cotton, linen, and blended fabric. But after the war plain weave was mainly used. In Jangui(장의), since it was mostly for women, many kinds of women's patterned silk were used in than any other Po. There were only a few excavation of Simui(심의) and most of them were made of ramie and were hemmed in black satin without pattern.