• Title/Summary/Keyword: heart treatment

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Pulsed Radiofrequency Neuromodulation for the Treatment of Saphenous Neuralgia

  • Han, Bo Ram;Choi, Hyuk Jai;Kim, Min Ki;Cho, Yong-Jun
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.136-138
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    • 2013
  • A 65-year-old male presented with pain in his right medial calf. An imaging study revealed no acute lesions, and a diagnosis of saphenous neuralgia was made by a nerve conduction study. He received temporary pain relief with saphenous nerve blocks twice in a one-week interval. Pulsed radiofrequency neuromodulation reduced pain to 10% of the maximal pain intensity. At 6 months after the procedure, the pain intensity was not aggravated even without medication. Pulsed radiofrequency neuromodulation of the saphenous nerve may offer an effective and minimally invasive treatment for patients with saphenous neuralgia who are refractory to conservative management.

Isolated Syndesmotic Injury (원위 경비 인대 결합의 단독 손상)

  • Kim, Yong Tae;Kim, Hyong Nyun;Park, Yong Wook
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.3
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    • pp.100-105
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    • 2016
  • Syndesmotic injury can either be isolated or associated with bony or ligamentous ankle injury. When it is not associated with an ankle fracture, it may not be easy to diagnose, especially when there is no franck diastasis on a plain radiograph. Without proper treatment, syndesmotic injury can lead to chronic pain due to impingement of scar tissues and instability. It may further lead to ankle arthritis. Early diagnosis with appropriate management is a prerequisite to avoid these problems. Herein, we review and discuss the mechanism of injury, classification, diagnosis, and treatment of isolated syndesmotic injury.

Traumatic Tricuspid Regurgitation Cause by Chordal Rupture: A Case Report (건삭 파열에 의한 외상성 삼천판 역류: 증례보고)

  • Keum, Min Ae;No, Hyo Keun;Sun, Byung Joo;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.67-70
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    • 2015
  • Traumatic tricuspid regurgitation is a rare complication of blunt chest trauma caused by chordal rupture, anterior papillary muscle rupture and anterior leaflet tear. Since clinical symptoms are vague, early diagnosis is difficult and some patient exhibit symptoms of right heart failure. Right heart failure has been the traditional indication for surgical treatment, such as tricuspid valve replacement. Recently, early detection using transthoracic echocardiography and surgical treatment, like valve repair, prior to overt right heart failure have been shown to better prognosis. We report a case of traumatic tricuspid regurgitation with chordal rupture in patient due to traffic accident.

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Studies on the Effects of Evodiae Fructus on the Cardiovascular System in N-nitro-L-arginine Methyl Ester-induced Hypertensive Wistar Rats (오수유가 N-nitro-L-arginine methyl ester로 유발한 고혈압흰쥐의 심혈관계에 미치는 영향)

  • 정수연;이숙영;유태무;안미령;최현진;정면우;류항묵;양지선
    • YAKHAK HOEJI
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    • v.43 no.3
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    • pp.397-403
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    • 1999
  • The present study examined the effect of a methanol extract of Evodiae Fructus on the cardiovascular function in N-nitro-L-arginine methyl ester (NAME)-induced hypertensive Wistar rats after treatment over 6 weeks. In rats treated with NAME, blood pressure, weight of heart, aorta media thickness and media/lumen ratio significantly (p<0.05) increased, whereas coronary flow and heart rate of isolated heart significantly (p<0.05) decreased compared with control group at 6 weeks. In rats treated with NAME and Evodiae Fructus, blood pressure, aorta media/lumen ratio significantly(p<0.05) decreased compared with NAME treated group at 6 weeks. These results suggest that Evodiae Fructus is applicable to the treatment of hypertension and vascular hypertrophy.

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Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report -Surgical Treatment for Functional Recovery- (아킬레스건을 포함한 뒷발굽 접촉성 피부 화상에 대해 시행한 전외측 대퇴피부 피판술 및 아킬레스건 재건술: 증례 보고 -기능적 회복을 위한 수술적 치료법-)

  • Park, Jun-Sik;Baek, Seung-Ha;Kim, Gab-Lae
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.127-130
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    • 2018
  • A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Technical Aspects of Combined Heart-Lung Transplantation

  • Ju, Min Ho;Je, Hyung Gon
    • Journal of Chest Surgery
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    • v.55 no.4
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    • pp.319-324
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    • 2022
  • Although organ transplants have become quite common, combined heart-lung transplantation (CHLTx) is unfamiliar at most institutions. While the remarkable rate of development in treatment options, such as drugs and mechanical circulatory support, have reduced the need for CHLTx, it remains the sole treatment option for a subset of patients with end-stage cardiopulmonary failure. For many cardiothoracic surgeons, CHLTx is not technically new or difficult, but it does pose challenges due to its low frequency and relative complexity. Thus, this review aims to describe the CHLTx technique in technical detail using the existing literature.

A Case of Postoperative Silicone Magnet Compression Treatment of Pseudocyst in the Ear (귀에 발생한 가성낭종의 수술 후 실리콘 자석 압박 치료 사례 1예)

  • Seol, Seong Hoon;Chung, Chan Min;Park, Myong Chul
    • Korean Journal of Head & Neck Oncology
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    • v.38 no.1
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    • pp.69-74
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    • 2022
  • Endochondral pseudocyst of the ear is a rare, benign, non-inflammatory cystic disease. It is known that there are a variety of treatment methods for pseudocyst, which is mainly common in the scaphoid or triangular fossa of the ear. Pseudocyst formation is prevalent in the residual cavity of the ear. So, to prevent a recurrence, a surgical approach is also required, but management through compression is necessary after surgery. Applying a cube magnet to the lesion to press provides patient convenience and facilitates continuous management.

Management of diabetic foot ulcers: a narrative review

  • Jahyung Kim;Otgonsaikhan Nomkhondorj;Chi Young An;Ye Chan Choi;Jaeho Cho
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.335-342
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    • 2023
  • Diabetic foot ulcers (DFUs) are among the most serious complications of diabetes and are a source of reduced quality of life and financial burden for the people involved. For effective DFU management, an evidence-based treatment strategy that considers the patient's clinical context and wound condition is required. This treatment strategy should include conventional practices (surgical debridement, antibiotics, vascular assessment, offloading, and amputation) coordinated by interdisciplinary DFU experts. In addition, several adjuvant therapies can be considered for nonhealing wounds. In this narrative review, we aim to highlight the current trends in DFU management and review the up-to-date guidelines.

Surgical Treatment of Maisonneuve Fracture Accompanied by Tillaux-Like Fracture: A Case Report (Tillaux 골절과 유사한 골절이 동반된 Maisonneuve 골절 환자의 수술적 치료: 증례보고)

  • Gab-Lae Kim;Seung-Jin Lee;Jung Hyun Cho
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.3
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    • pp.111-113
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    • 2024
  • Tillaux fractures, a rare type corresponding to Salter-Harris type 3, are observed in approximately 3% of pediatric ankle fractures. They are known to occur primarily via a supination-external rotation mechanism. Maisonneuve fractures, on the other hand, are proximal fibula fractures involving injury on syndesmosis, deltoid ligament, or medial malleolus fracture, occurring via a pronation-external rotation mechanism. These two types of fractures occur through different mechanisms of injury. In this study, a nine-year-old female pediatric patient presented to the outpatient department with ankle pain following a fall from a trampoline and was diagnosed with concurrent Tillaux-like fracture and Maisonneuve fractures. Surgical treatment was performed, resulting in successful recovery.

PDA Clipping by Using 2mm Thoracoscope (2 mm 흉강경을 이용한 동맥관 개존증 폐쇄술 -1례보고-)

  • Moon, Seung-Chul;Yang, Jin-Young;Koo, Won-Mo;Lee, Gun;Lee, Hyeon-Jae;Lim, Chang-Young
    • Journal of Chest Surgery
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    • v.33 no.1
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    • pp.85-87
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    • 2000
  • Patent ductus arteriosus(PDA) is a common congenital heart disease encountered in premature neonates infants and children. Patent ductus arteriosus was the first surgically managed congenital heart disease,. Classic surgical interruption of patent ducturs arteriosus was partially replaced by a transcatheter endovascular closure, After a 5-7 mm video-assisted thoracoscopic interruption of the patent ductus arteriosus first applied in 1991, this minimally invasive technique came to be used in many centers, Video-assisted thoracoscopic interruption of the patent ductus arteriosus is feasible in low-weight infants whereas transcatheter endovascular closure of the ductus is usually not possible. We experienced successful outcome for the treatment of patent ductus arteriosus with 2 mm video-assisted thoracoscopic titanium clipping, We believed that this technique is a simple safe and rapid method for closure of the patent arteriosus.

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