• 제목/요약/키워드: scalpel

검색결과 71건 처리시간 0.024초

백서에서 Pulsed Nd : YAG Laser에 의한 치은절제술후의 치유양상 (Wound Healing After Gingivectomy Using Pulsed Nd : YAG Laser In The Rat)

  • 김옥수;정현주
    • Journal of Periodontal and Implant Science
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    • 제26권1호
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    • pp.293-308
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    • 1996
  • Recently, dental laser have been applied for removal of soft tissues, hemostasis and blood coagulation, removal of benign and malignant tumor, treatment of leukoplakia, aphthous ulcer and herpetic lesion, implant second surgery, removal of granulation tissue, frenectomy, clinical crown lengthening, gingivectomy, gingivoplasty, and treatment of dentin hypersensitivity. Even though the frequency of laser treatment is increasing, the research on the healing process after gingivectomy using pulsed Nd : YAG laser is very rare. The purpose of this study was to observe and compare the wound healing after gingivectomy using scalpel and pulsed Nd : YAG laser in the rat. Gingivectomy was performed using pulsed Nd : YAG laser(SUNRISE Technologies, U.S.A., 1.5 Watts, 10 pps) on the buccal gingiva of right maxillary first molar and using scalpel(No.12) on the contralateral side. Those sites treated by surgical scalpel were designated as the control, and by pulsed Nd : YAG laser as the experimental group. Animals were sacrificed at 1, 2, 3, 5, 7, 11 and 14 days postoperatively, and specimens were histologically observed under light microscope. The results were as follows : 1. Clinical observation Normal color and shape were observed at the 5th day ill the control group and the 7th day in the experimental group. 2. Histologic findings 1) In the control group, denser inflammatory infiltration was observed. 2) Epithelialization started at the 2nd day in the control group, similar to the experimental group, and completed at the 11th to the 14th day postoperatively. 3) In the experimental group, connective tissue showed the vacuole formation and degenerative change during early healing period. Healing of connective tissue was slower in the experimental group than in the control group by 2 days. 4) In the both groups, wound healing was completed at the 2nd week. From this study, gingivectomy using pulsed Nd : YAG laser seems to result in a little delayed wound healing process, compared to the gingivectomy using scalpel. Considering the clinical advantages of laser surgery, pulsed Nd : YAG laser might be useful device for gingivectomy.

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양성침샘질환 수술에서 ThunderbeatTM와 Harmonic scalpel®의 유용성에 대한 비교연구 (Thunderbeat versus Harmonic scalpel in surgery of benign disease in salivary gland)

  • 이형신;김성원;이강대;오다솔;김주현;고윤우;최은창
    • 대한두경부종양학회지
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    • 제34권1호
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    • pp.15-19
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    • 2018
  • Background and Objectives: Thunderbeat (TB) and Harmonic scalpel (HS) have been applied to variable head and neck surgery, which are useful for both coagulation and cutting of tissues. However, there have been no comparative studies covering the usefulness of these energy devices in surgery for major salivary gland. In this study, we analyzed the surgical outcomes of two devices in surgery for parotidectomy and submandibular gland (SMG) resection. Materials and Methods: A retrospective chart review of 90 patients including two groups (HS group, n=45 versus TB group, n=45) of patients matched for their patient factors was conducted. Clinicopathologic factors of the patients and surgical outcomes such as the operation time, intraoperative bleeding, amount and duration of drain, hospital stay and complications were compared between two groups. Results: There were no significant difference between two groups regarding the clinicopathologic factors and short-term surgical outcomes. Conclusion: Thunderbeat and HS are both effective and safe for parotidectomy and SMG resection in variable benign disease of major salivary gland.

Surgical treatment of rhinophyma using an ordinary bur

  • Kang, Jae Kyoung;Lee, Jae Seong;Choi, Jae Hyuck;Shin, Myoung Soo;Yun, Byung Min
    • 대한두개안면성형외과학회지
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    • 제21권4호
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    • pp.264-267
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    • 2020
  • Rhinophyma is a painless benign tumor of the skin of the nose. It is the most severe form of rosacea. Rhinophyma is particularly rare among Asians. It can be treated with surgical resection using various methods, including scalpel excision, dermabrasion, cryosurgery, argon laser, carbon dioxide laser, and electrocautery. However, the gold standard treatment of rhinophyma remains unknown. In the present case, we debulked a giant rhinophyma with a scalpel and contoured it using a bur. Along with a relevant literature review, we present a case of rhinophyma in an Asian patient who was treated at no additional cost using a bur widely used in general plastic surgery.

소형견종에서 실시한 복강경 잠복고환 절제술 (Laparoscopic Cryptorchidectomy in Small Breed Dogs)

  • 박지영;정성목
    • 한국임상수의학회지
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    • 제31권1호
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    • pp.61-65
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    • 2014
  • The study aimed at determining the feasibility of three portal totally Laparoscopic cryptorchidectomy in small breed dogs. Four right sided and one left sided abdomen retained testicles in five dogs weighing 2.2~8.7 kg were retrieved successfully. Pampiniform plexus and vas deference were ligated and transected with Hem-o-lock/monopolar electrocauterization (1/5), or ultrasonic scalpel (4/5) and the latter provided more easy, quick and safe hemostasis and transection. The resected testis was easily removed through a insertion site. Mean surgical time was $19.9{\pm}15.2$ minutes and when the abdominal cavity was explored again, there were no major complications. The patient recovered favorably without unwilling events. This is the case report of laparoscopic cryptorchidectomies in small breed dogs weigh less than 10 kg. Laparoscopic cryptorchidectomy could be considered as an alternative in small animal surgery.

무 시들음병에 대한 간편한 대량 저항성 검정법 개발 (Development of an Efficient Mass-screening Method for Testing the Resistance of Radish to Fusarium Wilt)

  • 이지현;장경수;최용호;김헌;최경자
    • 식물병연구
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    • 제22권3호
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    • pp.152-157
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    • 2016
  • 무 시들음병 저항성 검정에는 대부분 뿌리 침지(root-dipping) 접종 방법을 사용하고 있지만, 이 방법은 복잡한 접종 과정 때문에 많은 노동력과 시간이 소요된다. 본 연구는 F. oxysporum f. sp. raphani에 의해 발생하는 무 시들음병의 간편 대량 저항성 검정법을 확립하기 위하여 수행하였다. 간편 저항성 검정법을 개발하기 위해 scalpel 접종 방법, 접종 농도 및 생장 단계에 따른 무 감수성 및 저항성 품종의 시들음병 발생을 조사하였다. 그리고 그 결과로부터 무 시들음병 대량 검정을 위한 효율적인 간편 저항성 검정방법으로 14일 동안 재배된 유묘에 scalpel을 사용하여 지제부에서 0.5 cm 떨어진 곳에서 $90^{\circ}$ 각도 2 cm 깊이로 찔러서 뿌리에 상처를 주고 포자현탁액($1.0{\times}10^7conidia/ml$)을 10 ml씩 관주하여 접종하고 $25^{\circ}C$에서 하루 12시간씩 광을 조사하면서 약 4주간 재배하는 것이 효율적이라고 생각되었다. 본 연구를 통해 확립한 접종방법은 대량의 무 시료로부터 시들음병에 대한 저항성 개체를 효과적으로 선발하는 것을 가능하게 할 것이다.

고양이에서 발생한 난소 잔존 증후군에 대하여 복강경을 이용한 치료 증례 1 (Laparoscopic Treatment of Ovarian Remnant Syndrome in a Queen)

  • 박지영;이해범;정성목
    • 한국임상수의학회지
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    • 제32권6호
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    • pp.514-518
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    • 2015
  • 1년령의 중성화 암컷, 2.35 kg의 아메리칸 숏헤어 고양이가 난소 자궁 절제술을 실시한 후 3개월 시점으로부터 2개월간 지속된 발정 증상을 주증으로 내원하였다. 방사선 및 초음파 검사상, 양쪽 신장 후방에 위치한 낭성 구조물을 확인하였고, 이는 혈액검사상 나타난 고에스트로겐혈증을 고려하여 난소 조직으로 의심되었다. 복강경을 이용한 복강 탐색을 실시하였고, 양측 신장 후방의 낭성 병변을 초음파 수술도를 이용하여 절제하였다. 환자는 특이사항 없이 회복하여 술 후 2년간 증상의 재발 없이 지내고 있다. 증례를 통하여, 선택적 난소 절제술뿐만 아니라 잔존 난소의 경우에도 복강경을 유용하게 적용할 수 있음을 확인하였다.

A Case Report of Prolonged Hemorrhage Following Traditional Phlebotomy (Fasd)

  • Sajjad Sadeghi
    • 대한약침학회지
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    • 제27권1호
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    • pp.47-52
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    • 2024
  • Phlebotomy, a therapeutic method of bloodletting typically performed using a needle, has a traditional technique known as "Fasd." In this method, blood is extracted by creating a longitudinal incision on a vein (3-5 mm) with a surgical scalpel blade, usually blade No. 11. Due to the incision in the vessel wall, establishing hemostasis is more challenging compared to conventional methods. Hemostasis is usually achieved within minutes after Fasd. We present a case highlighting an uncommon yet significant complication of traditional phlebotomy. A 55-year-old man with no prior medical conditions underwent traditional phlebotomy at an academic traditional medicine clinic. Senior MD-PhD students in Iranian Traditional Medicine, under professor supervision, performed Fasd. A sterile scalpel blade No. 11 was used to create a longitudinal incision of approximately 4 mm on the patient's median basilic vein in the right hand. After removing 400 cc of blood, a pressure dressing was applied to the incision site. Despite attempts such as hand elevation, ice pack application, prolonged direct pressure, and tight elastic bandaging, bleeding from the incision persisted. After an hour of supportive therapy, hemostasis was eventually achieved within a few minutes using burnt cotton dressing (a traditional method for blood hemostasis). Following intravenous hydration, the patient was discharged in stable condition and reported no issues during the one-month follow-up. The traditional phlebotomy (Fasd) carries the risk of serious complications, including uncontrolled and prolonged bleeding. Further research on the efficacy and safety of burnt cotton dressing for controlling hemostasis is recommended.

Intracordal Cartilage Injection For Vocal Fold Augmentation : Results for 2 Years

  • Lee, Byung-Joo;Wang, Soo-Geun;Goh, Eui-Kyung;Chon, Kyon-Myong;Roh, Hwan-Jung;Lee, Il-Woo
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 2003년도 제19회 학술대회
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    • pp.181-181
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    • 2003
  • Objectives : Vocal fold augmentation using injectable material is an easy and simple operation. This study is to evaluate the histology of minced and injected autologous auricular cartilage and fat graft in the augmentation of unilateral vocal fold paralysis using a canine model for two years. Study Design : A prospective study with the contralateral side of the larynx used as the control Methods : Twelve dogs were operated. At first, a piece of auricular cartilage was harvested from ear and minced into tiny chips with a scalpel and scissors. And also, a piece of fat tissue was harvested from inguinal area and minced into tiny chips with a scalpel and scissors. The minced cartilage and fat-paste (0.2ml) was injected using a pressure syringe into the paralyzed thyroarytenoid muscle under direct laryngoscopy. Two animals were sacrificed at 3 days, three at 3 weeks. two at 3 months. one at 6 months, one at 12 months, three at 24 months. Each dog underwent laryngectomy and serial coronal sections of paraffin blocks from the posterior part of the vocal fold were made. Result : There was no significant complication perioperatively and during follow-up. There was acute inflammatory findings in the graft at 3 days and 3 weeks. Only a very small proportion of the injected cartilage was absorbed due to the degenerative change and the overall volume was preserved even when the cells died out. The injected cartilage remained in the larynx until 24 months. Conclusion : The autologous cartilage implant using auricular cartilage was the ideal vocal cord augmentative material for the treatment of glottic incompetence.

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