• Title/Summary/Keyword: surgical procedure

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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.

Operative Treatment for Bilateral Chronic Recurrent Dislocation of the Peroneal Tendon: A Case Report (양측 족관절에 발생한 만성 재발성 비골건 탈구의 수술적 치료: 증례 보고)

  • Na, Hwa-Yeop;Song, Woo-Suk;Lee, Joo-Young
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.4
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    • pp.161-164
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    • 2020
  • A peroneal dislocation is a rare disease that is often misdiagnosed as a simple sprain and can be treated inadequately in the acute phase. For this reason, it is important to have an appropriate diagnosis in the early stages because it can progress to chronic and recurrent conditions. Surgical treatment is considered mainly when progressing to chronic recurrent dislocation. Recently, patients with an acute peroneal dislocation tend to prefer surgical treatment, so accurate initial diagnosis and management are very important. This paper reports a case of chronic recurrent peroneal tendon dislocation in both ankle joints, which was treated by a superior peroneal retinaculum reconstruction and a groove deepening procedure.

Disease Progression-Associated Diagnostic and Treatment Procedure for a Dog with Hepatic Abscesses: A Case Report

  • Hyunji Lee;Sungwon Ann;Youngsam Kwon;Min Jang;Sangkwon Lee;Taeho Oh;Seulgi Bae
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.360-365
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    • 2022
  • A 15-year-old spayed female Yorkshire Terrier was presented to our hospital with a history of anorexia, depression and abdominal pain. Diagnostic procedures including blood test, radiography and ultrasonography were performed. Abdominal ultrasonography revealed multiple hypoechoic cysts in the left lobe of the liver. Over time, the cysts increased in size and became more echogenic. Four days later, the rupture of the largest cyst was suspected, and hepatic abscesses with bacteria were confirmed by aspiration of the cyst. Despite surgical resection of the abscessed liver lobe, antibiotic administration, and supportive therapy, the dog died 9 days after presentation to the hospital and 4 days after the surgical procedure. The present case report described the overall diagnostic and therapeutic approaches for liver abscesses in a dog.

Postinflammatory Hyperpigmentation Secondary to Liposuction Successfully Treated with a 1,064-nm Picosecond-Domain Neodymium:Yttrium-Aluminum-Garnet Laser

  • Lee, Hae-Jin;Kim, Young Koo
    • Medical Lasers
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    • v.8 no.2
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    • pp.87-89
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    • 2019
  • Post inflammatory hyperpigmentation (PIH) is a reactive hypermelanosis of the skin that occurs as a result of various inflammatory responses such as surgical procedure, trauma, and many inflammatory conditions. There are several reported studies of various modality in managing PIH. However, the treatment of PIH can prove to be challenging. In this report, we treated a patient with PIH using picosecond-domain Nd:YAG lasers. After ten sessions of 1,064-nm picosecond-domain Nd:YAG laser treatment, the patient presented considerable improvement with no remarkable side effects or recurrence over the duration of 6 months. We suggest that a 1,064-nm picosecond-domain Nd:YAG laser can be effectively and safely used for treating pigmented lesions resulting from surgical procedure in the skin of Asian patients.

Superior capsular reconstruction for irreparable rotator cuff tear: a review of current methods

  • Seok Won Chung;Dong-Hyun Kim;Hyun Joo Lee;Won Ki Hong;Seung Ho Chung;Jong Pil Yoon
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.438-444
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    • 2023
  • Irreparable massive rotator cuff tears can significantly impact daily life; and these types of tears can be difficult to repair completely, especially in younger patients who are more active and have higher functional requirements. Since its introduction by Mihata and the colleagues, superior capsular reconstruction (SCR) has gained popularity in the treatment of irreparable massive rotator cuff tears and has shown promising short-term results. A variety of studies have focused on the clinical and biomechanical outcomes of this procedure. This article reviews the biomechanics, indications for the surgical procedure, graft options, surgical technique, and rehabilitation from SCR.

Cleft Lip and Palate Repair Using a Surgical Microscope

  • Kato, Motoi;Watanabe, Azusa;Watanabe, Shoji;Utsunomiya, Hiroki;Yokoyama, Takayuki;Ogishima, Shinya
    • Archives of Plastic Surgery
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    • v.44 no.6
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    • pp.490-495
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    • 2017
  • Background Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Magnification adjustments are convenient for precise procedures such as muscle dissection of the soft palate. Methods We performed a comparative investigation of 18 cleft operations that utilized either surgical loupes or microscopy. Paper-based questionnaires were completed by staff nurses to evaluate what went well and what could be improved in each procedure. The operating time, complication rate, and scores of the questionnaire responses were statistically analyzed. Results The operating time when microscopy was used was not significantly longer than when surgical loupes were utilized. The surgical field was clearly shared with surgical assistants, nurses, anesthesiologists, and students via microscope-linked monitors. Passing surgical equipment was easier when sharing the surgical view, and preoperative microscope preparation did not interfere with the duties of the staff nurses. Conclusions Surgical microscopy was demonstrated to be useful during cleft operations.

TOOTH EXTRACTION USING REPLACEMENT THERAPY AND SURGICAL SPLINT IN HEMOPHILIAC PATIENT (응고인자 투여와 surgical splint를 이용한 혈우병 환자의 발치 치험례)

  • Lee, Jae-Mun;Nam, Soon-Hyeon;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.575-581
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    • 1996
  • Hemophilia is a hereditary condition in which one of the normal blood clotting factors is absent. This sex-linked, recessive disease, transmitted by the female and expressed in some of her male offspring, is characterized by significantly delayed coagulation times and by the tendency to hemorrhage. On the dental treatment especially, surgical procedure, appropriate methods of hemorrhage control are required. These methods are replacement therapy, antifibrinolytic agents, and local hemostatic methods. In this case, we successfully extract residual roots of hemophiliac patient without eccessive post operative bleeding using replacement therapy and surgical splint.

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Electrosurgery Sparks induced Stimulating Current at Active Electrode

  • Kim, Ji-Hun;Na, Byeong-Geun;Bae, In-Sik;Seol, Yu-Bin;Jang, Hong-Yeong
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.08a
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    • pp.318-318
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    • 2011
  • Electrosurgery has been widely used in surgical procedures for many years. The surgical procedure using radiofrequency power generated occasionally sparks causing electrical stimulations. According to a paper of commercialized APC (Argon Plasma Coagulation) in the gastrointestinal endoscopy, Patients treated by APC had experienced pain and neuromuscular stimulation. This study aimed to investigate the electrosurgery sparks. In this experiment, current threshold of electrosurgery using rf was investigated. Sparks analogous to surgical situation was generated and measured the I-V figure. Asymmetric current, observed by other researchers, was also measured. This could be explained by difference between positive phase and negative phase. Furthermore, a method was developed to remove asymmetric current and to make safer device for surgical field.

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Complications after Surgical Correction of Hallux Valgus (무지 외반증 교정 수술 후 합병증)

  • Bae, Su-Young;Lee, Oei-Jong
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.2
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    • pp.50-54
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    • 2017
  • The goal of surgical correction for hallux valgus is to achieve a painless, shoe-wearable, and relatively straight toe with a balanced joint motion that results in aesthetically and functionally satisfactory toe. To date, there has not been a consensus on the ultimate surgical procedure for hallux valgus correction. Unfortunately, such a consensus may be difficult since it is not uncommon to encounter complications after hallux valgus correction. Postoperative soft tissue complications include difficult wound healing, infection, hypertrophy, or pain of the scar, joint stiffness, and tendon or sensory nerve damage. Postoperative bony complications include malunion, nonunion, failure of fixation, failure of angle correction, recurred deformity, osteomyelitis, and failure of balance between the metatarsal heads. Herein, we review common complications after surgical correction of hallux valgus, such as stiff joint, bony complications, recurrence of the deformity, and hallux varus.

Reconstructive Strategies for Chronic Achilles Tendon Rupture (만성 아킬레스건 파열의 수술 전략)

  • Cho, Byung-Ki;Ahn, Byung-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.2
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    • pp.80-88
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    • 2021
  • Chronic Achilles tendon rupture is likely to result in functional impairment in gait and sports activity. The presence of a large defect secondary to retraction of the tendon ends, atrophy of the calf muscles, and vulnerable vascularity of the soft tissue envelope make it a challenging problem to treat. Surgical reconstruction aims to restore the length and tension of the gastrocnemius-soleus complex. Various surgical treatment options have been described, depending on several factors, including residual gap size after scar tissue removal, remaining tissue quality, and vascularity. Despite good results being reported, there is a lack of high-level, evidence-based clinical guidelines available to select the first-line surgical procedure. This paper overviews the current available surgical options for patients with chronic Achilles tendon rupture.