• Journal of Chest Surgery
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• v.28 no.5
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• pp.504-506
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• 1995

Postpneumonectomy empyema is an infrequent but dreaded complication. The seriousness of this complication is impossible to eliminate the space containing the infection, and consequently, it is difficult to sterilize the space. The time from pneumonectomy to the development of an empyema ranges from several days to several years, with most evident with 4 weeks. We experienced a case of postpneumonectomy empyema that occurred 27 1/2 years after initial pneumonectomy. She was treated with intrapleural antiseptic irrigation and open-tube drainage following partial decortication. The patient had an uneventful recovery and was discharged from hospital with improved condition.

• Journal of Chest Surgery
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• v.19 no.4
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• pp.695-698
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• 1986

Only five instances of chylopericardium following cardiac surgery have been reported in the literature previously. We encounted this complication in a patient who was operated on for secundum atrial septal defect. The patient readmitted one month after discharge because of large amount of chylous pericardial effusion. Conservative treatment of pericardiostomy drainage and parenteral hyperalimentation was continued for 3 weeks without improvement. Partial pericardiectomy and pericardiopleural window was done with success and no recurrence of chylopericardium was observed upto 3 months after surgery. We think this is the first case report of chylopericardium after open heart surgery in Korea.

• Journal of Korean Neurosurgical Society
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• v.37 no.2
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• pp.141-145
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• 2005

We report five patients of esophageal injuries confirmed by clinical signs and radiological evidences. They include a partial tear and a perforation which were not noticed during the operation, a perforation which was primarily repaired during the operation, and two perforations which occurred during the reoperations for the removal of mal-positioned screws or plate. The partial tear was not repaired. The perforation which occurred during the operation was primarily sutured and didn't receive further treatment. Two perforations which occurred during the reoperations were treated by irrigation, debridement with surgical drainage, and systemic antiobiotics. One who was diagnosed later after the operation showed the poorest outcome and required longest hospital days among our series. Early detection and appropriate treatment of esophageal injury following anterior spinal surgery can only improve the prognosis by preventing secondary complications.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.8 no.5
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• pp.1166-1172
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• 2007

Drainage pipeline system repaired by trenchless technology using liners can be defined between partial and entire collapse. The liners in the partial collapse pipeline are subjected to only uniform groundwater pressure on the surface. This research evaluates practical and useful cured-in-placed pipe (CIPP) design equations based on experimental results and finite element analysis results. Also, stability evaluation of pipe liner system with edge treatment is performed using finite element analysis. The CIPP equation should be used to design liner pipe system.

• Steel and Composite Structures
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• v.51 no.4
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• pp.363-375
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• 2024

Within the optimization field, addressing the intricate posed by fluidic pressure loads on functionally graded structures with frequency-related designs is a kind of complex design challenges. This paper thus introduces an innovative density-based topology optimization strategy for frequency-constraint functionally graded structures incorporating Darcy's law and a drainage term. It ensures consistent treatment of design-dependent fluidic pressure loads to frequency-related structures that dynamically adjust their direction and location throughout the design evolution. The porosity of each finite element, coupled with its drainage term, is intricately linked to its density variable through a Heaviside function, ensuring a seamless transition between solid and void phases. A design-specific pressure field is established by employing Darcy's law, and the associated partial differential equation is solved using finite element analysis. Subsequently, this pressure field is utilized to ascertain consistent nodal loads, enabling an efficient evaluation of load sensitivities through the adjoint-variable method. Moreover, this novel approach incorporates load-dependent structures, frequency constraints, functionally graded material models, and polygonal meshes, expanding its applicability and flexibility to a broader range of engineering scenarios. The proposed methodology's effectiveness and robustness are demonstrated through numerical examples, including fluidic pressure-loaded frequency-constraint structures undergoing small deformations, where compliance is minimized for structures optimized within specified resource constraints.

• Korean Journal of Radiology
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• v.22 no.3
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• pp.376-383
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• 2021

Objective: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. Materials and Methods: A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14.2 years; range, 26-61 years) who underwent LPA embolization for chylous ascites developing after retroperitoneal surgery involving the perirenal space (four donor nephrectomies, one partial nephrectomy, and one retroperitoneal lymphadenectomy). After placing a percutaneous drainage catheter into the LPA or adjacent lymphocele, embolization was performed by filling the LPA itself with a mixture of glue and Lipiodol (Guerbet). Results: Daily drainage from percutaneously placed drains exceeded 300 mL/day despite medical and surgical treatment (volume: mean, 1173 ± 1098 mL; range, 305-2800 mL). Intranodal lymphangiography was performed in four of the six patients and revealed leakage in 2 patients. Percutaneous embolization of the LPA was successful in all patients using an NBCA and Lipiodol mixture in a ratio of 1:1-1:2 (volume: mean, 4.3 ± 1.1 mL; range, 3-6 mL). Chylous ascites was resolved and the drainage catheter was removed in all patients within 4 days after the procedure (mean, 2.0 ± 1.8 days; range, 0-4 days). No procedure-related complications or recurrence of chylous ascites occurred during a mean follow-up period of 37.3 months (range, 21.1-48.4 months). Conclusion: Glue embolization of LPA has the potential to be a feasible and effective treatment method for the management of chylous ascites after retroperitoneal surgery.

• Archives of Plastic Surgery
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• v.46 no.4
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• pp.330-335
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• 2019

Background The use of anatomic implants has improved the aesthetic results of breast surgery; however, implant malrotation is an uncommon, but serious complication of these procedures. Nevertheless, little research has explored implant adhesion. In this study, we investigated adhesion between the expander and the capsule. Methods Seventy-nine cases of immediate breast reconstruction via two-stage implant-based reconstruction performed between September 2016 and November 2017 were evaluated. Mentor CPX4 expanders were used in 14 breasts, and Natrelle expanders in 65. We analyzed areas of adhesion on the surfaces of the tissue expanders when they were exchanged with permanent implants. We investigated whether adhesions occurred on the cephalic, caudal, anterior, and/or posterior surfaces of the expanders. Results Total adhesion occurred in 18 cases, non-adhesion in 15 cases, and partial adhesion in 46 cases. Of the non-adhesion cases, 80% (n=12) were with Mentor CPX4 expanders, while 94.4% (n=17) of the total adhesion cases were with Natrelle expanders. Of the partial adhesion cases, 90.7% involved the anterior-cephalic surface. The type of tissue expander showed a statistically significant relationship with the number of attachments in both univariate and multivariate logistic regression analyses (P<0.001) and with total drainage only in the univariate analysis (P=0.015). Conclusions We sought to identify the location(s) of adhesion after tissue expander insertion. The texture of the implant was a significant predictor of the success of adhesion, and partial adhesion was common. The anterior-cephalic surface showed the highest adhesion rate. Nevertheless, partial adhesion suffices to prevent unwanted rotation of the expander.

• The Journal of Society for e-Business Studies
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• v.20 no.1
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• pp.183-199
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• 2015

Due to the Four Major Rivers Restoration Project, Nakdong River Estuary Barrage's designed flood quantity has been largely increased, and this has caused to construct several drainage gates at the right side of Eulsukdo island to secure the safety of downstream river area. For successful functioning of Nakdong River Estuary Barrage, such as flood control, disaster prevention, and the securing of sufficient water capacity, drainage gates at the both sides of island have to operate systematically and reliably. To manage this under restricted personnel and resources, we have implemented the IOS (Integrated Operation System) by integrating previous facilities and resources via information and communication technologies. The IOS has been designed to have higher availability and fault tolerance to function continuously even with the partial system's failure under the emergency situation like flood. Operators can use the system easily and acknowledge alarms of facilities through its IWS (Integrated Warning System) earlier. Preparing for Integrated Water Resources Management and Smart Water Grid, the architecture of IOS conformed to open system standards which will be helpful to link with the other systems easily.

• Water Engineering Research
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• v.1 no.1
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• pp.39-48
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• 2000

This work was completed in partial fulfillment of an on-going research ot descover the effective management of urban nonpoint sources. The current data was obtained from the area of Shingal, Kyunni-do. The investigation was are predominant soures of storm-runoff load and drainage. As a result of the investigation, the road was found to be most seriously contaminated and a significant potential source deteriorating the quality of streams and lakes in the vicinity of the town. Thus, in could be concluded that an effective and systematic cleaning technique must be developed as soon as possible and be frequently applied to the road.

• Journal of Chest Surgery
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• v.21 no.6
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• pp.1103-1110
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• 1988

We experienced 1 year old female patient with partial anomalous pulmonary venous return of the right lung into the inferior vena cava with atrial septal defect. Total anomalous venous drainage from the right lung is an uncommon form of congenital defect, and it may or may not be associated with an atrial septal defect. One patient having this venous anomaly is presented with a detailed description of the surgical reconstruction used. The postoperative result has been satisfactory.