• 제목/요약/키워드: metallic foreign body

검색결과 25건 처리시간 0.022초

Bipolar radiofrequency system 사용 중 발생한 Tip의 분리 - 증례 보고 - (Separation of tip from the bipolar radiofrequency system in the arthroscopic surgery - Case Report -)

  • 최의성;박경진;김용민;김동수;손현철;박지강;배승환
    • 대한관절경학회지
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    • 제12권1호
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    • pp.66-68
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    • 2008
  • 최근 관절경 시술시 절제, 지혈, 수축(Shrinkage)을 효과적으로 수행할 수 있는 고주파 에너지를 이용한 bipolar radiofrequency system이 사용되고 있다. 저자들은 전방 십자 인대 재건술 후 방사선 사진상 관절 내 금속성 이물질을 발견, 이물질 제거술을 시행하여 bipolar radiofrequency system의 probe에서 분리된Tip을 제거하였다. 이후 견관절 견봉성형술 과정에서 Tip의 분리를 2예 추가적으로 경험하여 이를 보고하는 바이다.

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구강 악안면 영역의 생체 흡수성 고정판 사용에 관한 임상 연구 (A CLINICAL STUDY OF BIODEGRADABLE PLATES AND SCREWS IN ORAL AND MAXILLOFACIAL SURGERY)

  • 김일규;박승훈;장금수;양정은;장재원;사시카라 바라라만
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권6호
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    • pp.451-458
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    • 2009
  • Metallic bone plates and screws have been commonly used in oral and maxillofacial surgery for internal fixation. However, there are several disadvantages such as atrophy of cortical bone inherent to excessive rigid fixation systems, growth disturbance in growing individual, allergy reaction, interference with radiographic imaging, palpability, thermal sensitibity and the need for subsequent removal. To overcome these disadvantages and avoid additional surgery of removal of plates and screws, there have been many studies of biodegradable plates and screws. But, It also has complication such as foreign body reactions. We have undertaken a clinical and retrospective study on 140 patients in Dept. of Oral and Maxillofacial Surgery, Inha University Hospital from February 2006 to March 2009. The purpose of this study is to report the clinical cases and review of the literatures with biodegradable plates and screws. And we concluded following results. 1. 6 cases(3.4%) of the 177 operation sites(140 patients) experienced complications. 1 case(0.6%) was a failure of initial fixation, 1 case(0.6%) was a postoperative infection, 4 cases(2.3%) were inflammations or foreign body reaction. 2. Postoperative infections, inflammations and foreign body reactions were completely recovered with incision and drainage, supporative care with antibiotic coverage and removal of biodegradable plates. 3. Biodegradable plates and screws provide acceptable rigidity and stability clinically. But, long-term observation is required for the tissue reactions around the biodegradable plates and screws because of long resorption periods of the biodegradable materials.

우측 폐하엽의 폐쇄성 폐렴 (Obstructive Pneumonitis of right lower lung field)

  • 안강현;이종인;이용규;용석중;신계철
    • Tuberculosis and Respiratory Diseases
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    • 제39권4호
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    • pp.366-369
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    • 1992
  • A chest x-ray of 68 year old male showed pneumonic consolidation of right lower lung field with blunting of right cardiac border. Computerized tomography of chest revealed infiltrative mass with V-shaped calcification just below right main bronchus. This finding has to be made into differential diagnosis of numerous pulmonary diseases including, mycobacterial disease, neoplasm, lymphadenopathies, and foreign bodies. Initial bronchoscopic findings suggest endobronchial mass lesion on right intermediate bronchus but endobronchial biopsy fail to prove malignant cell or underlying illness. But repeated endobronchial biopsy shows metallic material in the right Intermediate bronchus and we remove it with alligator jaws forcep under bronchoscopy. He was well after discharge.

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흉강내로 이동한 K-강선의 비디오흉강경을 이용한 제거 -1예 보고- (Removal of Kirschner Wire Migrated into the Video Assisted Thoracic Cavity by Thoracoscopic Surgery)

  • 김용인;최주원
    • Journal of Chest Surgery
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    • 제39권3호
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    • pp.251-254
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    • 2006
  • 견관절의 골절 고정에 주로 이용되는 K-강선(Kirschner wire)은 드물게 흉곽 내, 또는 다른 장기로 원격 이동되는 것이 보고되었다. 흉곽 내로 이동된 K-강선은 대부분 개흉술을 통하여 제거되어 왔으나, 최근에는 종격동의 중요 장기를 침범하지 않은 K-강선에 한하여 흉강경을 이용한 제거가 가능한 것으로 보고되었다. 본원에서는 쇄골 고정에 이용되었던 K-강선이 흉곽 내 폐의 우상엽을 침범한 환자에게서 흉강경 수술로 성공적으로 제거하였기에 보고하는 바이다.

복강경 담낭절제술 후 헤모락 클립의 이동으로 발생한 복통 1예 (Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy)

  • 류우선;주종석;강선형;문희석;김석현;성재규;이병석;이엄석
    • 대한소화기학회지
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    • 제72권6호
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    • pp.313-317
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    • 2018
  • During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip.