• Title/Summary/Keyword: surgical diseases

Search Result 918, Processing Time 0.023 seconds

Chinese "External Medicine" and Its Views of the Body: A Case Study of the Manuscript "A Treatise on Seeking the Roots of Ulcer Medicine" (Yangyi Tan Yuan Lun (瘍醫探源論)) (中醫外科?什?不動手術? - ?代手抄本 ≪瘍醫探源論≫ 的身體物質觀)

  • Li, Jianmin
    • The Journal of Korean Medical History
    • /
    • v.28 no.2
    • /
    • pp.121-138
    • /
    • 2015
  • This paper primarily discusses the materiality of the body in Chinese "external medicine". Chinese external medicine views the body as something consisting of sinew and flesh. Furthermore, there are times when Chinese surgical techniques must be applied to the body in order to manage rotting flesh and other abnormal manifestations. The materiality of the Chinese body of external medicine encompasses the way in which Chinese doctors manufactured surgical implements, the sick person's bodily experience of pus and pain associated with external diseases, and the details of the process by which doctors evaluated whether or not to carry out surgical interventions. This essay will use the Qing manuscript "A Treatise on Seeking the Roots of Ulcer Medicine" as a central case study for discussing these issues, while also showing the connections between it and other external medicine texts of the Ming and Qing era. Its author, Zhu Feiyuan, was a doctor who lived during the 18th to 19th century in Qingpu (today's Shanghai). My essay will thus discuss Chinese external medicine from a historical perspective. The way in external medicine treated illness differed from the prescriptions and pulse signs that "internal medicine" employed, and its view of the body likewise differed from that of internal medicine. I hope that this essay can provide new viewpoints on the history of the body in Chinese medicine.

Strangulating Large Colon Volvulus: A Diagnostic and Surgical Challenge in a Post-Partum Thoroughbred Mare

  • Jungho Yoon;Youngjong Kim;Jongyoung Park;In-Soo Choi;Peter Colket Rakestraw;Ahram Kim
    • Journal of Veterinary Clinics
    • /
    • v.39 no.6
    • /
    • pp.405-410
    • /
    • 2022
  • An 11-year-old thoroughbred post-partum broodmare presented with the symptoms of colic. The physical and clinical examinations indicated a large colon displacement or volvulus. Immediate surgical intervention was performed, and a strangulating large colon volvulus (LCV) was defined as a volvulus of >540° in the counterclockwise direction. After correcting and assessing the gut viability, approximately 80% of the entire large colon was resected and anastomosed using an end-to-end technique. With supportive care after surgery, the horse regained its appetite and vitality without significant clinical complications and was discharged on postoperative day 9. This report presents the first surgical correction using a large colon resection and anastomosis (LCRA) and the critical care for a strangulating LCV in a horse in Korea. This case enhances the current knowledge of clinical LCV and the related considerations for treatment.

A Study on the Space Composition of Hybrid Operating Unit in General Hospital (1) (종합병원 하이브리드수술유니트의 공간구성에 관한 연구 (1))

  • Kim, Byeong Soo;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.30 no.2
    • /
    • pp.23-34
    • /
    • 2024
  • Purpose: The Hybrid care environment, combining interventional procedures and surgeries in one space, is crucial for managing complex diseases, responding to emergencies, and reducing recovery times and pain. This study provides foundational data for creating architectural guidelines for a Hybrid Operating Unit in a general hospital's surgical department, focusing on cardiovascular care. Methods: The study analyzed the spatial and configuration types of the Vascular Angiography Unit and the Cardiac Operating Unit, which are the basic components of the Hybrid Operating Unit, through a literature review. Based on the initial research findings, interviews with experts were conducted. Results: In the Hybrid Operating Process, the study proposed spatial configuration alternatives that consider the positioning of medical staff and the types and arrangement changes of equipment, including Angiography, Heart-lung machines, and other surgical tools and instruments. Implications: The integration of the two units leads to increased diversity and demand for medical staff, equipment, and supplies during surgical and interventional procedures. Therefore, strategic spatial configurations and equipment placement are necessary to effectively respond to these needs.

Palmar annular ligament desmitis in horses: retrospective study between desmotomy and desmectomy techniques

  • Escodro, Pierre Barnabe;Lopes, Priscila Faria Rosa;Bruhn, Fabio Raphael Pascoti
    • Korean Journal of Veterinary Research
    • /
    • v.53 no.4
    • /
    • pp.257-261
    • /
    • 2013
  • This study evaluated two different surgical techniques for the treatment of palmar annular ligament desmitis (PAL) in horses. The group 1 (G1) consisted of 11 Thoroughbred submitted to desmotomy, and G2 of 22 horses that underwent PAL desmectomy. There was no statistically significant difference between mean palmar annular ligament thickness in both groups evaluated (p = 0.800). In this study, the horses of G1 had 12 times more chance to return to physical activity, when compared to animals of G2 (p = 0.033; O.R. = 12.0; C.I.95% = 1,142 - 126,122). Desmectomy was more efficient in promoting the resolution of the injury and the return to sports activity.

Treatments of Esophageal Perforation - A Report of 14 cases - (식도천공의 치료)

  • Gu, Ja-Hong;Jo, Gap-Ho;Kim, Gong-Su
    • Journal of Chest Surgery
    • /
    • v.24 no.11
    • /
    • pp.1107-1114
    • /
    • 1991
  • We have experienced fourteen patients of esophageal perforation at the department of thoracic and cardiovascular surgery, Chonbuk National University Hospital during the period from mar. 1980 to Oct. 1990. The ratio between male and female patients was 5 : 9, and their age ranged from 22 years to 69 years. The causes of th eesophageal perforation were iatrogenic in 6 cases, foreign body 5 cases, diverticulitis 2 cases, and postpneumonectomy 1 case. The locations were cervical esophagus in 2 cases, upper thoracic in 2 cases, mid-thoracic 4 cases, and lower thoracic 6 cases. The underlying diseases associated with perforation were lye stricture, diverticulum, achalasia, and postpneumonectomy empyema. The treatments were supportive in 6 cases and combined with surgical measures in 8 cases. surgical measurs were as follows : incision and drainage in 2 cases, esophagectomy with esophagogastrostomy 3 cases, esophagocardiomyotomy with partial fundoplication in 1 case, simple closure with myoplasty and thoracoplasty 1 case, and empyema drainage and gastrostomy 1 case. There was no mortality.

  • PDF

Closure of Bronchoesophageal Fistula with Tissue Adhesive Tisseel - 2 cases report - (조직접합제를 이용한 기관지식도루 폐쇄술 -치험2예-)

  • Lee, Du-Yeon;Yun, Chi-Sun;Hong, Seung-Rok
    • Journal of Chest Surgery
    • /
    • v.24 no.5
    • /
    • pp.470-474
    • /
    • 1991
  • This BEF will be resolved with tissue adhesive application The bronchoesophageal fistula[BEF] is a rare lesion in thoracic surgical diseases & is difficult to be closed surgically. Tissue adhesives has been used widely in surgical fields, or in endoscopy, for some time and seems to be potentially useful in cardiothoracic surgery. We have experienced the closure of BEF with tissue adhesive Tisseel in 2 cases recently. One is 60 years old male who had taken the closure of BEF with Tisseel through right bronchotomy. The other is 57 years old female who had taken the closure of BEF with Tisseel with flexible gastrofiberscopy. The postoperative courses are uneventful for 4 months to now.

  • PDF

Surgical Treatment of Pulmonary Aspergilloma (폐 국균증의 외과적 치료)

  • Park, Hyun;Ku, Bon-Il;Oh, Sang-Joon;Lee, Hong-Sup;Kim, Chang-Ho
    • Journal of Chest Surgery
    • /
    • v.28 no.3
    • /
    • pp.293-296
    • /
    • 1995
  • Between September, 1987 and March, 1994, 11 patients were treated for the pulmonary aspergilloma.The mean age was 59.6 years. Hemoptysis was the most common chief compliants[100% .Postoperative pathology showed bronchiectasis and tuberculosis were most common underlying diseases.Operative procedures were wedge resection in one patient, segmentectomy in 2, lobectomy in 7. One patient treated conservative.In 3 patients, the postoperative air leakage persisted longer than after other pulmonary resectional surgery.There was no postoperative death. The surgical resection is strongly recommended when the patient develops hemoptysis.

  • PDF

A clinical study of bronchopleural fistula (기관지흉막루의 임상적 연구)

  • Kim, Jong-Won;Lee, Jong-Rae
    • Journal of Chest Surgery
    • /
    • v.17 no.4
    • /
    • pp.747-752
    • /
    • 1984
  • Bronchopleural fistula is the communication between a bronchus or bronchiole and the pleural space, clinically bronchopleural fistula is usually combined with infection. But pneumothorax is the communication between a peripheral air space such as a ruptured bleb, and the pleural space. The author studies on the 62 bronchopleural fistula patients who were admitted to P.N.U.H. from 1974 to October, 1984 according to causative mechanism which was postresectional origin, non resectional surgical origin and spontaneous origin, and its underlying diseases. The following results were obtained. 1.The causes of BPF: 5.16% was spontaneous origin, 30.6% was postresectional origin, 17.7% was other surgical origin. 2.The causes of BPF after resectional operation: 42.1% was tuberculosis, 21.1% was tumor resectional case. 3.The proper operational method for BPF was thoracoplasty with myoplasty. 4.The average operation for BPF was 2.7 times.

  • PDF

Surgical Treatment of Pulmonary Aspergillosis; 11 Cases Report (폐국균증에 대한 외과적치료;11례 보고)

  • 조재호
    • Journal of Chest Surgery
    • /
    • v.26 no.5
    • /
    • pp.380-383
    • /
    • 1993
  • Aspergillosis is not only the problem increasing the freguency for recent decades but also a serious one. Coexistent pulmonary diseases are frequent and the most common antecedent disease is Tuberculosis with healed cavitary lesion. Interest of the surgeons is aroused because of it`s predilection to sudden life-threatening, exsanguinating pulmonary hemorrhage. 11 patients with pulmonary aspergillosis evaluated at this hospital in a 7-year period, and the results were as follows: 1.male to female ratio was 1:1.75. 2.The most common symptom was gross or microscopic hemoptysis[72.7%]and other symptoms were chest pain[9.1%] and chronic productive coughing[9.1%]. 3.The right upper lobe was most common involving site[81.8%] 4.Surgical interventions were 8 cases of lobectomy, 1 case of lobectomy with wedge resection, 2 cases of wedge resection. 5.Post-operative complications developed in 5 patients and were 4 cases of wound infections, 2 cases of empyemas, 1 case of bleeding, 1 case of atelectasis.

  • PDF

Crossed Renal Ectopia and Aorto-Occlusive Disease: A Management Strategy

  • Ng, Eugene;Campbell, Ian;Choong, Andrew MTL;Dunglison, Nigel;Aziz, Maged
    • Journal of Chest Surgery
    • /
    • v.48 no.5
    • /
    • pp.371-374
    • /
    • 2015
  • We present a rare case of a patient with aortoiliac occlusive disease on the background of type A crossed renal ectopia, for whom open surgical intervention was required. Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon. The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure. We present and discuss the operative details of our patient and outline an approach to this subset of patients.