• Title/Summary/Keyword: surgical diseases

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SEPSIS FROM ODONTOGENIC INFECTION : A CASE REPORT (패혈증으로 진행된 치성 감염 : 증례보고)

  • Oh, Seng-Seob;Park, Eun-Jin;Kim, Il-Kyu;Choi, Jin-Ho;Kim, Hyung-Don;Oh, Nam-Sik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.375-378
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    • 1999
  • Incidence and mortality rate of maxillofacial infection is relatively low in the era of antibiotics. Despite the use of antibiotics, delayed treatment, underlying systemic diseases, drug-resistant microorganisms may result in life-threatening situations. The deep neck infection developed from odontogenic infection may result in sepsis, mediastinitis, aspiration pneumonia, asphyxia. Sepsis is the most dangerous complication which can quickly result in a number of lethal situations. The treatment of sepsis includes awareness of such complication, use of sensitive antibiotics, removal of infection source, and hemodynamic, respiratory and metabolic support. We experienced a patient who died of sepsis, which developed from odontogenic infection. The initial diagnosis was a buccal space cellulitis. However, in spite of medical and surgical treatment, this progressed to Ludwig's angina and then deep neck infection and finally sepsis. On the 10th hospital day, the patient died of multiorgan failure caused by sepsis.

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Survey of Brassiere Related Clothing Tendency for Mastectomy Patients (유방절제 환자의 브래지어 착용 관련 의생활 분석연구)

  • Kim, Youn Joo;Koo, Da Som;Nam, Yun Ja;Seo, Kwan Sik;Lee, Eun Shin;Noh, Dong Young;Cho, Kyu Jin
    • Fashion & Textile Research Journal
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    • v.21 no.6
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    • pp.800-812
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    • 2019
  • Secondary diseases that occur during the rehabilitation of breast cancer survivors are factors that can negatively change the physical and psychological state of the patient. The rehabilitation after treatment of breast cancer survivors is an important process to prevent cancer recurrence and increase the survival rate because a negative psychological state significantly impacts the long-term survival rate. This study identifies user requirements for the development of functional bras for mastectomy patients in Korea. Participants included 133 patients with one or more breasts removed due to breast cancer and an average age of 53.2 years (53.21 ± 7.57 years, minimum 33 years, maximum 69 years). Women in their 50s had the highest participation rate of 48.9%. Most maintained the same bra size before surgery; however, some experienced changes in bra size because they are not irritated by wounds caused by surgery. Therefore, it is important to pay attention to material when designing a functional bra because it can irritate the surgical site. Only about 41.4% of bras were worn by breast cancer patients because of price burden and lack of education, not complaints related to clothing design and wearability or body shape. Most purchases at hospitals or medical institutions require consultation with a specialist who provides information about a bra mainly at the hospital. The most important considerations when buying a breast cancer bra were size, fit and shape stability.

Case Report of Low Back Pain patient treated with Motion Style Treatment (M.S.T로 호전된 요통 환자 1례 보고)

  • Kwon, Seung-Ro;You, Hye-Kyung;Kim, Kyu-Tae
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.93-100
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    • 2004
  • Low back pain(LBP) is known as one of the diseases that produce severe pains with 80% of the whole population having experienced it and reported that, even at this moment, 20-30% of the world population is suffering from it. The writer has performed 'Conservative remedies (non-surgical procedures taken)' from $1^{st}$ of January 2003 to $31^{st}$ of December the same year for 76 cases who have been hospitalized in Jaseng Hospital and adopted as having been diagnosed either HIVD L4-5 or HIVD L5-S 1 or as having both. The clinical analysis was made through statistical researches which include : the changing degree in SLR test of the Cheongpa-Jeon(CP) taking patient group and the non-taking group, the change of VAS (Visual analogue scale) against pains, and the days of hospital treatment. The result demonstrated that the CP taking group showed higher changes in SLR test, bigger reduction In VAS changes and the days for hospitalization shorter than the group that didn't take CP.

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Non-Melanocytic Benign Tumors of the Face: A Retrospective Study

  • Lee, Kyoung Min;Lim, Jung Soo;Min, Kyung Hee;Lee, Jong Hun;Hong, Sung Hee;Lee, Hye Kyung
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.201-206
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    • 2015
  • Background Although plastic surgeons daily encounter various facial tumors in the field, reports limited on face are scarce. In our study, we want to provide basic epidemiologic data to help clinicians to decide the proper management for their patients. Methods We retrospectively reviewed the medical records of patients including age and gender, location and size of the tumor, histopathologic result, recurrence, type of anesthesia and any associated disorders who had undergone a surgical removal of their facial tumors and received the histopathologic report in the same institution between January 2009 and October 2012. Results One hundred eighty-nine patients with 203 non-melanocytic benign tumors were included. The most frequent site of tumors was the central subunit of the forehead, followed by the lateral subunit of the cheek and the auricular unit. Of 36 different histopathologic results, the epidermal cyst was most frequent, followed by lipoma, pilomatricoma and osteoma. Statistical analysis showed that males were dominant in the epidermal cyst and lipoma groups. While, females were dominant in the osteoma and pilomatricoma groups. No associations were found between lesions and other diseases. Conclusions Our study is the at most specific and concentrated study on non-melanocytic benign tumors of the face. We expect the epidemiologic data of our study may help plastic surgeons who are confronted with so many facial lesions in the field to decide on the most proper management for their patients.

Systemic Classification for a New Diagnostic Approach to Acute Abdominal Pain in Children

  • Kim, Ji Hoi;Kang, Hyun Sik;Han, Kyung Hee;Kim, Seung Hyo;Shin, Kyung-Sue;Lee, Mu Suk;Jeong, In Ho;Kim, Young Sil;Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.4
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    • pp.223-231
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    • 2014
  • Purpose: With previous methods based on only age and location, there are many difficulties in identifying the etiology of acute abdominal pain in children. We sought to develop a new systematic classification of acute abdominal pain and to give some helps to physicians encountering difficulties in diagnoses. Methods: From March 2005 to May 2010, clinical data were collected retrospectively from 442 children hospitalized due to acute abdominal pain with no apparent underlying disease. According to the final diagnoses, diseases that caused acute abdominal pain were classified into nine groups. Results: The nine groups were group I "catastrophic surgical abdomen" (7 patients, 1.6%), group II "acute appendicitis and mesenteric lymphadenitis" (56 patients, 12.7%), group III "intestinal obstruction" (57 patients, 12.9%), group IV "viral and bacterial acute gastroenteritis" (90 patients, 20.4%), group V "peptic ulcer and gastroduodenitis" (66 patients, 14.9%), group VI "hepatobiliary and pancreatic disease" (14 patients, 3.2%), group VII "febrile viral illness and extraintestinal infection" (69 patients, 15.6%), group VIII "functional gastrointestinal disorder (acute manifestation)" (20 patients, 4.5%), and group IX "unclassified acute abdominal pain" (63 patients, 14.3%). Four patients were enrolled in two disease groups each. Conclusion: Patients were distributed unevenly across the nine groups of acute abdominal pain. In particular, the "unclassified abdominal pain" only group was not uncommon. Considering a systemic classification for acute abdominal pain may be helpful in the diagnostic approach in children.

Evaluation of the Systemic Oxidative Stress Status during Major Orthopedic Surgery in Dogs: A Clinical Study (개에서 정형외과 수술에 따른 전신 산화스트레스 상태의 평가)

  • Lee, Jae Yeon;Won, Heung Seok;Hwang, Hag Kyun;Jeong, Seong Mok;Kim, Myung Cheol
    • Journal of Veterinary Clinics
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    • v.30 no.1
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    • pp.1-4
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    • 2013
  • The present study evaluated the systemic oxidative stress status during major orthopedic surgery in dogs. Sixteen dogs presented with various orthopedic diseases involving fractures or luxation of limbs. All patients underwent orthopedic surgery for treatment of fractures or luxation of limbs. A significant increase in the plasma total oxidant status (TOS) and oxidative stress index (OSI) levels in dogs after surgery was observed. Plasma total antioxidant status (TAS) levels were significantly decreased in dogs after surgery. The results of this study suggested that association or relationship in serum between TOS or TAS levels and redox imbalance were caused by surgical trauma in orthopedic disease conditions.

Surgical Observations of Diseases of the Aorta (대동맥질환에 대한 외과적 고찰)

  • Rho, Joon Ryang
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.251-264
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    • 1976
  • Forty three patients with disease of the aorta were admitted in this department during the period from beginning of 1956 to the end of 1976. They consisted of eighteen cases of aortic aneurysms, eight cases of Takayasu's arteritis, eight Leriche syndromes, six dissecting aneurysms, two aortic coarctations and one case of vascular ring. Of eighteen aortic aneurysms, twelve were operated resulting in eight survivors. Three of four mortalities were in shock preoperatively because of aneurysmal rupture. Among six dissecting aortic aneurysms, four were type III and two were type I according to DeBakey's classification. For the purpose of relief of acute arterial insufficiency in the lower extremities, a re-entry operation grafting a Y-shaped dacron vessel between abdominal aorta and common iliac arteries was performed. The patient regained consciousness soon after the operation and was well until postoperative second day, when severe convulsion developed abruptly and died. And in a chronic case of type III dissecting aneurysm, a dacron graft bypass shunt between ascending aorta and lower descending thoracic aorta with resection of the aneurysm was performed, but acute severe aortic insufficiency developed soon after the operation and fell into intractable heart failure resulting in death. The cause of the aortic insufficiency seems to be retrograde dissection from the proximal anastomosis site in the ascending aorta. Three cases were treated medically with Wheat's regimen. Two of them survived with relief of symptoms. Eight patients of Takayasu's arteritis were all females and aged between twenty and forty-four averaging twenty nine. Bypass graft operation between aortic arch and carotid arteries using Y-shaped nylon prostheses were performed in three patients resulting in death in two cases postoperatively due to severe cerebral arterial insufficiency during the procedure. All the patients with Leriche syndrome were males and over forty. In two cases, bypass graft with Y-shaped dacron vessel between terminal aorta and common iliac or femoral arteries were performed with good result. Thromboembolectomy or thromboendarterectomy was employed in three patients, of whom one was aggravated in sexual problem postoperatively. One out of two aortic coarctations and a vascular ring were treated surgically with excellent results.

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Surgical Tretment of the Esophageal Diseases (식도질환의 외과적 수술에 대한 임상적 고찰)

  • Hur, Y.;Lee, K.S.;Lee, J.J;Kim, B.Y;Lee, J.H.;Yu, H.S.
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1060-1070
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    • 1988
  • Since Jan. 1957, 142 cases of benign esophageal stricture, 55 males and 87 females, were managed in our hospital, and their ages ranged from 3 to 77 years. old[mean 31.2yrs]. The most common cause was caustic burns and they all complained dysphagia and some loss of weight, general malaise and substernal pain, which usually appeared in 1 month to 1 year after ingestion of corrosive agents. The mid 1/3 of the thoracic esophagus was the most prevalent portion[29%] but rather evenly distributed along the entire esophagus. Operations were done on 129 patients, of whom 50 patients had ECG[esophagocologastrostomy], 5 PCG[pharyn-gocologastrostomy], 34 EG[esophagogastrostomy], 4 EJG[esophagojejunogastrostomy], 3 PG[pharyngogastrostomy], 2 esophageal end to end anastomosis and 31 Gastrostomy. There were 6 deaths in the postoperative period, so its operative mortality was 4.7%, among them 3 were ECG cases, 2 EG and 1 EJG. And 34 complications occurred so it recorded 24% complication rate. and in details in ECG 46%, PCG 60%, EG 17.6%, EJG 25%, and PG 33%. When we reviewed periodic variations, the mortality rate of the first 20 yrs. period was 6.9%, next 10yrs. 2.6% and now for last 2yrs non.

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Primary Hyperparathyroidism With Functioning Parathyroid Adenoma - A Case Report - (기능성 부갑상선 선종에 의한 원발성 부갑상선 기능항진증 - 1예 보고 -)

  • Chin Hyung-Min;Lee Seung-Ha;Lee Yoon-Bok;Kim Jun-Gi;Park Woo-Bae;Chun Chung-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.1
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    • pp.58-64
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    • 1996
  • The parathyroid adenoma is the most common cause of the primary hyperparathyroidism. The characteristic of primary hyperparathyroidism is hypercalcemia and high value of serum parathyroid hormone. The primary hyperparathyroidism with parathyroid adenoma is treated by excision of parathyroid gland involved. Especially, parathyroid storm in patients with primary hyperparathyroidism is more prevalent than commonly appreciated. The symptoms and signs of the syndrome are not only due to the hypercalcemia, but also to the toxic effects of the parathyroid hormone. Its wide, but nonspecific clinical presentations make it easily confused with other cardiovascular or renal diseases. The mortality rate in untreated cases of parathyroid storm is essentially 40%. A 33 year old woman with primary hyperparathyroidism was found to have a left lower parathyroid adenoma, presented with hypercalcemic crisis. Initially, good responsiveness to a saline infusion, furosemide administration was noted. Unfortunately, she became consciousness disturbance after fine-needle aspiration of the parathyroid tumor. The recurrent storm was refractory to medical therapy, but was treated succesfully by emergent surgical removal tumor revealed a parathyroid adenoma with parathyroid hormone. Hypercalcemia was alleviated postoperatively. These observations corroborated a functioning parathyroid adenoma.

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High Intensity Laser for Laser Acupuncture Application (침구치료에 사용되는 고출력 레이저에 대한 고찰)

  • Yang, Chang-Sop;Sun, Seung-Ho;Jang, In-Soo
    • Korean Journal of Acupuncture
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    • v.28 no.3
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    • pp.1-12
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    • 2011
  • Objectives : The purpose of this study is to review laser acupuncture studies to find possibility for applying high intensity laser to acupuncture and moxibustion treatment. Methods : Searching papers was performed using search engines of five electronic databases, including Pubmed, Thomson ISI, EMBASE, Sciencedirect, and EBSCO, from inception to May 2011 without language limitation. Inclusion criteria were clinical studies with human, randomized controlled trials (RCTs), case-control studies, and case reports. Selecting papers was performed with titles and abstracts in first step, scrutinize full text in second step, and then the extrated data was analyzed by two authors independently. The methodological quality for RCTs was evaluated using Jadad's scale. Results : Total 8 papers, (3 RCTs, 5 controlld studies, and 1 case reports), were finally selected. The study dealt with surgical laser, argon and $CO_2$ laser was one for each, with GaAs laser was two, and with new semiconductor laser, GaN, were four. The output range was from 110 mW to 15 W. The study diseases were alcohol addiction, knee osteoarthritis, bronchopneumonia and asthma for children, and circulation. All studies reported positive effect. The methodological quality in all RCTs was low because of below 3 points and all studies had few subject numbers. Conclusions : We suggest that high intensity laser can be applied to acupuncture and moxibustion. Further rigorous and well-designed study will be needed for various disease. The oriental medical society needs to take active measures to study and clinical application of acupuncture and moxibustion treatment with high intensity laser.