• Title/Summary/Keyword: surgey

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Analysis of KTDB Registered Trauma Patients from a Single Trauma Center in Korea (일개 권역외상 센터의 외상등록체계(KTDB) 입력 대상 분석)

  • Yu, Byungchul;Chung, Min;Lee, Giljae;Lee, Mina;Park, Jaejeong;Choi, Kangkook;Hyun, Sungyeol;Jeon, Yangbin;Ma, Daesung;Yoon, Young-cheol;Lee, Jungnam
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.123-128
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    • 2015
  • Purpose: Establishment of the trauma system changed quality of trauma care in many countries. As one of the first designated level 1 trauma center in Korea, we analyzed trauma registration data in 2014. Methods: Data was extracted from Korean Trauma Data Base (KTDB) that was started from august 2013. Variables related to demographics and trauma was collected through the year 2014. Results: There were 3269 trauma patients who admitted to our hospital and registered to KTDB in 2014. Median age was 49 years, 64.4% were men, and 90% of patients were blunt in mechanism. Median injury severity score (ISS) was 5, mean revised trauma score (RTS) was 7.65. There were 138 (4.2%) deaths and 87 (2.7%) patients of them was death after admission. Conclusion: This is the first report using KTDB registration from our institution. Trauma volume is appropriate but it should be compared with other trauma centers in Korea. In future national analysis of KTDB is mandatory.

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CLINICAL STUDY OF ARTHROCENTESIS-CASES OF CLOSED LOCK (CLOSED LOCK증례에 대한 악관절 세정술의 임상적 연구)

  • Hyun, Young-Ok;Kang, Chang-Hee;Noh, Yang-Ho;Chun, Young-Doo;Lee, Hee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.70-76
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    • 2001
  • Purpose : To evaluate the efficacy of arthrocentesis for treatment of closed lock. Material : 42 patients were diagnosed to closed lock by physical, radiographic examriation and undergone arthrocentesis. All patients have a pain and mouth opening limitation on affected site. Method : Arthrocentesis was done under conscious sedation and local infiltration anesthesia, normal saline and some steroid was injected on upper compartment of tempormandibular joint. After pumping and lavage, manual reduction procedure of anterially displaced disc was done. All the patients wear an anterior repositioning splint just after arthrocentesis. The result of arthrocentesis was assessed by pain and difference of mouth opening. Result : Difference of mouth opening after arthrocentesis was improved to 18.85mm and pain was gradually decreased. All patients were worn stabilization type splint after mean 1.84 months. 6 patients had relapse of mouth opening limitation so done arthrocentesis again and delivered good results.

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Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in an Adult - A case report - (성인에서 발견된 좌관상동맥의 폐동맥 이상기시증 - 1예 보고 -)

  • Kim, Keun-Woo;Choi, Chang-Hyu;Park, Chul-Hyun;Jeon, Yang-Bin;Lee, Jae-Ik;Park, Kook-Yang
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.503-507
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    • 2007
  • Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) has rarely been reported on in adults because 90% of the untreated infants die in the first year of life. We report here on a case of AICAPA that was detected in a 41-year-old woman and she was successfully treated by direct re-implantation of the anomalous coronary artery into the aorta.

Traumatic Systemic Artery to Pulmonary Vessel Fistula - A case report - (외상에 의해 발생한 체동맥-폐혈관루 - 1예 보고 -)

  • Kim, Keun-Woo;Kim, Jeong-Ho;Choi, Soo-Jin;Park, Kook-Yang;Park, Chul-Hyun;Lee, Jae-Ik
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.74-78
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    • 2007
  • Systemic artery to pulmonary vessel fistula (SAPVF) is an abnormal communication between the systemic arterial circulation and the pulmonary circulation. Most SAPVF are congenital, but some SAPVF may also develop as a consequence of trauma, neoplasm, and inflammation of pleura or lung parenchyma. A 38-year-old man was referred to our department for hemoptysis. He underwent an operation for traumatic diaphragm rupture 16 years ago. Chest CT scan and angiography revealed SAPVF between several intercostal arteries and pulmonary vessels. He had an angiographic transcatheter embolization and the SAPVF disappeared at follow-up chest CT. To the best of our knowledge, this is the first case report of traumatic SAPVF in Korea.

Arthroscopic Resection of Prepatellar Bursitis (슬개골전 점액낭염의 관절경적 절제술)

  • Chae In-Jung;Han Seung-Beom;Lee Byung-Taek
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.1
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    • pp.38-41
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    • 2000
  • Purpose : We report a result of arthroscopic resection after inner-wall staining for treatment of prepatellar bursitis which was not treated conservatively. Materials and Methods : Between January 1996 and October 1998, We treated arthroscopically 11 patients with prepatellar bursitis. Arthroscopic resection was performed with shaver after inner-wall staining using Methylene Blue and then placed continuous suction drainage and compressive dressing. Results : All patients had no tender scars and were able to walk immediately after procedure. We found one case of late infection during follow-up. Conclusion : Arthroscopic bursectomy minimizes the complication of open bursectomy such as pain or large scar. Skin perforation would be prevented by inner-wall staining.

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