• Title/Summary/Keyword: surgery method

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Endoscopy after Gastric Surgery: For Each Reconstruction Method, Operator's Point of View (위 수술 전후의 내시경 시술: 재건법에 따른 접근, 수술의 관점)

  • Yilseok Joo;Hyunjin Cho;Sooin Choi
    • Journal of Digestive Cancer Research
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    • v.11 no.2
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    • pp.66-76
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    • 2023
  • Endoscopy is an important noninvasive procedure for patients with gastrointestinal problems. However, surgical techniques are shifting to laparoscopic surgery, and changes in endoscopic findings after laparoscopic surgery differ from those after previous surgical methods. Postoperative endoscopic findings differ from normal anatomical structures, and findings reportedly vary depending on the type of surgical technique. Therefore, we aimed to summarize the surgical and endoscopic findings for each surgical method from the surgeon's point of view. The causes of gastric emptying delay, bleeding, afferent loop syndrome, or anastomosis leakage occurring after gastric cancer surgery can be identified via upper gastrointestinal endoscopy that is relatively less invasive than the surgical method. Regarding postoperative anastomosis leakage, endoscopy can directly evaluate the degree of leakage at the anastomosis site more accurately than computed tomography and enable immediate intervention. As endoscopy is less invasive than the surgical method, patients can be evaluated and treated more safely. However, coordination between the surgeon and the endoscopist is necessary to perform the procedures effectively. Therefore, reviewing the changes in surgical and endoscopic findings is important.

Parallel-excision infrabrow blepharoplasty with extensive excision of the orbicularis oculi muscle in an Asian population

  • Lee, Yoon Jae;Kim, SeongAe;Lee, Jisung;Chung, Joong Geel;Jun, Young Joon
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.171-177
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    • 2020
  • Background Infrabrow blepharoplasty has become a common surgical method used to rejuvenate aged upper eyelids in Asians. In this paper, we describe the parallel excision method for infrabrow blepharoplasty as a useful alternative to the conventional elliptical excision method. The authors' experience over a 3-year period is presented and reviewed. Methods A retrospective review of parallel excision infrabrow blepharoplasty cases at our hospital between 2014 and 2017 was performed. Three oculoplastic surgeons compared preoperative and postoperative photographs using the Strasser grading system. Results From the medical records of 123 patients, a total of 93 patients with moderate-to-severe bilateral dermatochalasis were selected as subjects. The exclusion criterion was levator function less than 8 mm. The total mean follow-up period was 2 years (range, 0.5-3.5 years). The mean skin excision height and width were 9.75 mm (range, 5-16 mm) and 58.51 mm (range, 42-75 mm), respectively. All patients who underwent surgery recovered without major complications, and all patients had high levels of satisfaction and improvements in their visual field. In the Strasser evaluation performed by the oculoplastic surgeons, most patients were found to have excellent results. Conclusions The parallel excision method for infrabrow blepharoplasty is a safe and effective technique that yields more natural- and youthful-looking eyelids than the conventional elliptical excision method. In our method, more effective manipulation of the orbicularis oculi muscle led to a reduction in frontalis compensation, resolution of sunken eyelids, and correction of lateral hooding.

Thoracic Duct Embolization with Lipiodol for Chylothorax due to Thoracic Endovascular Aortic Repair with Debranching Procedure

  • Lee, Kwang Hyoung;Jung, Jae Seung;Cho, Sung Bum;Lee, Seung Hun;Kim, Hee Jung;Son, Ho Sung
    • Journal of Chest Surgery
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    • v.48 no.1
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    • pp.74-77
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    • 2015
  • Chylothorax is a rare postoperative complication of a thoracic surgical procedure. Here, we report a case of chylothorax after thoracic endovascular aortic repair with debranching for the distal arch aneurysm of the aorta. First, the patient was treated by a medical method (nil per os, fat-free diet, and octreotide), but this method failed. The patient strongly refused surgical treatment. Therefore, we tried to occlude the thoracic duct by lymphangiography Lipiodol, and this line of treatment was successful.

RIDGE EXPANSION OSTEOTOMY TECHNIQUE FOR IMPLANTATION IN THE MAXILLA (상악골에서 IMPLANT 매식을 위한 치조제 확대 골절단술)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.2
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    • pp.149-155
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    • 1997
  • Ridge expansion osteotomy(REO) technique is a simple and more conservation method to widen a narrow alveolar ridge in the maxilla. This method is superior to drilling method in soft and narrow maxillary alveolar ridge and allows the surgeon to widen the ridge in routine office procedure. Therefore, it is the treatment of choice to implant the maxilla with narrow alveolar ridge. This article presents clinical cases and discusses the advantages, rationale and surgical protocol of REO technique.

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Lower facial contouring surgery using a novel method: M-genioplasty

  • Lee, June Bok;Han, Jin Woo;Park, Jun Hyung;Min, Kyung Hee
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.572-577
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    • 2018
  • Background Mandibular contouring surgery to produce a more slender and small face has become popular, especially in East Asia. Narrowing genioplasty should be simultaneously performed with mandibular angle resection to achieve satisfactory results. In Korea, T-genioplasty has been frequently performed for chin narrowing. The authors developed a new, safe, and reliable method, termed M-genioplasty, that can provide a more slender and attractive lower face. Methods From June 2013 to December 2017, 36 patients underwent M-genioplasty with mandibular angle resection for lower facial contouring. Horizontal and vertical osteotomies were performed obliquely. The resected bone segments were wedge-shaped. The remaining two bone segments were rotated and approximated centrally. The lateral mandible bony step-off was trimmed off for mandibular angle resection. Results In all patients, the facial contour sufficiently improved, and most patients were satisfied with the outcome. No severe complications took place during postoperative follow-up. Conclusions M-genioplasty can provide more mandibular angle resection and can create a more acute chin angle without bone resorption than other methods, including T-genioplasty. M-genioplasty with mandibular angle resection is a safer, more accurate, and more reliable method for lower facial contouring.

A Safe Method of Central Venous Catheterization by Peripheral Venous Cutdown in Infants (소아에서 말초정맥을 이용한 중심정맥로 확보법)

  • Han, Seck-Joo;Choi, Seung-Hoon;Hwang, Eui-Ho
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.46-52
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    • 1995
  • Percutaneous infraclavicular subclavian catheterization has been widely used for a total parenteral nutrition, hemodynamic monitoring and for venous access in difficult clinical situations. Many authors have claimed the infraclavicular cannulation of the subclavian vein in the tiniest infants can be performed with safety and ease, but there are always possibility of serious complications in this method. We present our experiences of peripheral venous cutdown with Broviac catheter. Author routinely introduced Broviac catheter into central vein via peripheral venous cutdown. There was no life threatening complications and no catheter related death. The complication rate was very low. The catheter related sepsis was documented in only two patient(4.7%). The average catheter longivity was 19.59 days. In view of the safety and low rate of complication, we think that peripheral venous cutdown with Broviac catheter should be the method of choice when central venous access is necessary in infants. The infraclavicular subclavian catheterization should be reserved in infants with few accessible peripheral vein.

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Development of Facial Rejuvenation Procedures: Thirty Years of Clinical Experience with Face Lifts

  • Kim, Byung Jun;Choi, Jun Ho;Lee, Yoonho
    • Archives of Plastic Surgery
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    • v.42 no.5
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    • pp.521-531
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    • 2015
  • Facial rejuvenation procedures can be roughly divided into face lift surgery and nonoperative, less invasive procedures, such as fat grafts, fillers, botulinum toxin injections, thread lifts, or laserbrasion. Face lift surgery or rhytidectomy is the procedure most directly associated with rejuvenation, due to its fundamental ability to restore the anatomical changes caused by aging. Various methods of face lift surgery have been developed over the last hundred years, thanks to advances in the understanding of facial anatomy and the mechanisms of aging, as well as the dedication of innovative surgeons. However, no generally applicable standard method exists, because the condition of each patient is different, and each operative method has advantages and disadvantages. Specific characteristics of the skin of Asians and their skeletal anatomy should be considered when determining the operative method to be used on Asian patients. Plastic surgeons should improve their ability to analyze the original aesthetic properties and problem areas of each patient, drawing on scientific knowledge about the aging process, and they should develop the skills necessary to perform various rejuvenative techniques. In the present article, we reviewed various face lift procedures and the current methods of modified double plane face lift, based on our clinical experience of over 30 years.

Factors Influencing Body Temperature in Elderly Surgical Patients (가온요법을 받은 노인 수술 환자의 체온과 영향요인)

  • Kwon, Mi Hee;Byeon, Young Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.2
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    • pp.108-117
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    • 2013
  • Purpose: The purpose of this study was to identify the factors that affect body temperature in elderly operation patients using a warming method and to examine differences in post operative body temperature by characteristics of the patients. Methods: Data were collected from 200 patients, aged 65 years or more undergoing surgery with a warming method. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test and multiple regression with the SPSS 18.0 Program. Results: The mean score for body temperature of elderly operation patients using a warming method after surgery was $36.1{\pm}0.6^{\circ}C$ including 74 patients with hypothermia and 126 patients with normal body temperature. The body temperature according to general characteristics differed by age and whether the surgery was emergency surgery or not. The body temperature according to surgery-related factors differed by anesthesia type, length of operation, anesthesia time, magnitude of surgical procedure, amount of fluid, transfusion requirements, and preoperative body temperature. Factors influencing body temperature were age, BMI, transfusion requirements and preoperative body temperature. Conclusion: The results indicate that age, BMI, transfusion requirements and preoperative body temperature significantly influenced on body temperature after surgery. Thus preoperative body temperature needs to be maintained through pre-warming as a nursing intervention.

Comparison of postoperative pain according to the harvesting method used in hair restorative surgery

  • Kim, Yang Seok;Na, Young Cheon;Park, Jae Hyun
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.241-247
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    • 2019
  • Background Postoperative pain is one of the most common concerns of patients undergoing hair transplantation surgery. Because most patients are satisfied with the cosmetic improvement after transplantation, amelioration of postoperative pain would help to increase patient accessibility to hair restorative surgery and greatly impact patient satisfaction with the final cosmetic results. This study was performed to investigate postoperative pain after hair transplantation. Methods In total, 241 patients (202 who underwent follicular unit transplantation [FUT] and 39 who underwent follicular unit extraction [FUE]) were eligible for the study. Postoperative pain was evaluated on postoperative days 1, 2, 3, 4, 5, and 7 using the Wong-Baker Faces Pain Scale. The patients' medical records were retrospectively reviewed for information on the harvesting method, number of transplanted grafts, size of donor design, and laxity, elasticity, and glidability of the scalp in relation to postoperative pain. Results Postoperative pain after hair transplantation, assessed with the Wong-Baker Faces Pain Scale, seemed to provide very subjective results. None of the variables were correlated with postoperative pain in the FUT group. Such pain, however, tended to disappear by postoperative day 3. Patients in the FUE group experienced significantly less severe pain than those in the FUT group. Conclusions Postoperative pain was significantly less severe in patients whose donor hair was harvested by the FUE than FUT method. Postoperative pain had almost disappeared by postoperative day 3 in the FUT group, whereas only minimal pain was present even on postoperative day 1 in the FUE group.

Development of New Orthognathic Model Surgery Technique Based on the Reference Points onto the Teeth and the Use of Occlusal Index (치아 기준의 악교정 수술용 석고모형 수술, 과연 가능하고 정확한가)

  • Lee, Seung-Hoon;Oh, Seong-Seob;Yi, Choong-Kook;Park, Kyung-Ran;Lee, Sang-Hwy
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.128-136
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    • 2011
  • Purpose: Errors in orthognathic model surgery occur during the planning, measuring and/or moving of the models. However, there has been little effort to find ways to reduce these errors. In this study, we introduce a new orthognathic model surgery technique (Yonsei method) which adopts the tooth point as the reference and the occlusal index as a moving vehicle for the model. Methods: The technique consists mainly of: 1) measuring the three-dimensional lengths of model points, 2) fabricating and moving the occlusal index and 3) verifying the movement. Then we compared the accuracy of the Yonsei method to conventional methods, with special reference made to influencing factors. Results: Errors for the Yonsei method with the occlusal index were reduced to the range of 0.61~1.04 mm in three-dimension, providing a more accurate model surgery technique than conventional methods which have errors ranging from 0.77~3.11 mm. Conclusion: It provided us a more accurate model surgery technique based on the reference points onto the teeth and the use of occlusal index.