• Title/Summary/Keyword: 간 절제

Search Result 407, Processing Time 0.041 seconds

Arthroscopic Treatment of the Prepatellar Bursitis - A Report of Three Cases of Percutaneous Mattress Suture Technique - (슬개골전 점액낭염의 관절경적 치료 - 경피적 연차봉합술 3례 보고 -)

  • Lee, Byung-Ill;Min, Kyung-Dae;Choi, Keun-Sun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.3 no.1
    • /
    • pp.35-39
    • /
    • 1999
  • The authors introduce an operative technique which is simple and effective for the treatment of the large prepatellar bursitis, avoiding problems by the conventional open technique such as tender scar, infection and recurrence. We treated three cases of the large refractory prepatellar bursitis caused by acute direct trauma. Bursectomies were performed by using an arthroscope and percutaneous multiple sutures were applied to the overlying skin with mattress fashion. There were no complications after treatment over one year follow-up. We suggest that this technique is very useful, greatly minimizes the chance of recurrence and reduces the possibility of post-operative infection.

  • PDF

Synovial Chondroma Causing Radial Nerve Palsy (요골 신경 마비를 유발한 활액막 연골종)

  • Chun, Young-Soo;Kim, Joon-Yong
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.13 no.1
    • /
    • pp.55-59
    • /
    • 2007
  • Synovial chondroma is an uncommon benign lesion characterized by metaplastic cartilage formation within the synovial connective tissue, usually intraarticular, commonly affects the knee, hip and elbow. We would like to present the case of a 65-year-old man suffering from synovial chondroma of the right elbow responsible for radial nerve entrapment neuropathy. This is a case of synovial chondroma of the right elbow in an 65-year-old man presenting with pain and restricted joint movement of the right elbow, loss of extension and sensation of the right thumb and wrist. Plain radiographs showed narrowing of elbow joint space, bony spur on the edge of the joint, and radio-opaque sclerotic change of subchondral area. MRI revealed $16{\times}12$ mm sized round mass on the radial head, homogenous low signal on T1WI, heterogenous high and low signal on T2WI. The patient underwent marginal excision of the mass, compressing the radial nerve. Diagnosis was confirmed by histologic examination.

  • PDF

A Case of Pulmonary Aspergilloma in Bronchogenic Cyst Associated with An Actinomycosis (흉부 방선균증이 동반된 기관지 기원 낭내 폐 국균종)

  • Kim, Gun Hyun;Kim, Kwang Hyun;Kim, Min Seon;Park, Jae Eun;Kim, Dae Jin;Son, Hyuk Su;Kim, Yeon Jae;Lee, Byung Ki;Huh, Dong Myung;Gu, Mi Jin
    • Tuberculosis and Respiratory Diseases
    • /
    • v.57 no.6
    • /
    • pp.584-588
    • /
    • 2004
  • Pulmonary aspergilloma usually arises in preexisting lung cavities characterized by recurrent hemoptysis. Although surgical resection of the aspergilloma is the best treatment, most patients are poor candidates for surgery because of far-advanced underlying pulmonary disease. On the other hand, pulmonary actinomycosis is a chronic, indolent bacterial infection and follows aspiration of oropharyngeal material. Bronchiectasis and obstructive lung disease are often associated underlying conditions. We report a case of pulmonary aspergilloma in bronchogenic cyst associated with an actinomycosis in 21-year-old woman treated by thoracoscopic surgery with a review of literature.

Oral Amelanotic Malignant Melanoma in a Dog: Melan A Immunohistochemical Findings (개에서 발생한 구강 멜라닌결핍 악성흑색종 예 : Melan A 면역화학조직 염색 고찰)

  • Kang, Min-Hee;Park, Chul;Park, Hee-Myung
    • Journal of Veterinary Clinics
    • /
    • v.26 no.6
    • /
    • pp.612-615
    • /
    • 2009
  • A 10-year-old intact male mixed breed dog was presented with a three-month history of massive oral mass. Physical examination revealed extending mass from the right upper gingiva. No metastasis was found at the time of presentation. Histopathologic examination of biopsied tissue from the oral mass was consistent with a neuroendocrine tumor with generalized epithelioid cells and few spindle cells. There were highly mitoses and no visible melanin granules with H&E staining. Immunohistochemical staining for Melan A was performed on section of tumor and was strongly positive. Diagnosis was made as amelanotic malignant melanoma based on histopathology with Melan A immunohistochemistry. This case study indicates that the Melan A immunohistochemical staining may be valuable to diagnose amelanotic malignant melanoma in dogs.

The Effects of Forest Experience Activities for Developing a Moral Sense on Moral Development of Children (도덕성 함양을 위한 숲 체험 활동이 유아의 도덕성 발달에 미치는 영향)

  • Kang, Young-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.4
    • /
    • pp.2486-2494
    • /
    • 2015
  • This study is intended to look into the effects of forest experience activities for developing a moral sense on moral development of children. To achieve this, forest experience activities were performed to 40 5-year-old children from H kindergarten in Chungnam area through April 7 to July 25, 2014. They were classified into an experimental group(9 male children and 11 female children) and a control group(9 male children and 11 female children). Forest experience activities and Nuri curriculum-related forest experience activities were performed to the experimental group and the control group 10 times, respectively. The results were as follows. First, forest activity education had an effect on improving children's moral judgment. Second, moral behaviors showed that the experimental group improved in order, courtesy and moderation, which forest experience activities had a significant effect on improvement in their moral behaviors. As stated above, children's forest activities will valuable education to enhance moral development that identifies the preciousness of life through communion and interaction with nature along with peers, and order, manners and self-control by joint cooperative activities between peers.

Stomach Cancer Surgery after Coronary Artery Bypass Surgery with in situ Right Gastroepiploic Artery Graft (정위 우위대망동맥을 이용하여 관상동맥우회술을 시행한 환자에서의 위암수술)

  • 황호영;김기봉
    • Journal of Chest Surgery
    • /
    • v.37 no.5
    • /
    • pp.444-447
    • /
    • 2004
  • A 59 year-old male diagnosed as unstable angina underwent off-pump coronary artery bypass surgery using in situ left internal mammary and right gastroepiploic artery grafts. During harvesting the right gastroepiploic artery, there was no abnormal finding in intraabdominal organs including stomach and liver. He was discharged at the 3rd postoperative day without complication. In case of using in situ right gastroepiploic artery, we recommend gastrofberscopic study at regular follow-up, The patient underwent the gastrofiberscopic study at postoperative 3rd month and diagnosed as advanced gastric cancer on the posterior wall of gastric fundus. At 5th postoperative month, total gastrectomy without intraoperative injury of the right gastroepiploic artery was performed at the department of general surgery. He was discharged at the 9th postoperative day. Follow-up coronary angiography performed at the 1st postoperative year demonstrated patent grafts including right gastroepiploic artery.

Prosthetic rehabilitation for patient with hemi-maxillectomy: Obturator combined with a hybrid telescopic double crown using friction pin (편측 절제된 상악골 환자에서 하이브리드 텔레스코픽 이중관 의치를 이용한 구강 폐색기 수복 증례)

  • Seo, Jeong-Gyo;Cho, Jin-Hyun
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.34 no.4
    • /
    • pp.317-323
    • /
    • 2018
  • When oral cancer develops in the maxilla, oro-nasal communication occurs after surgical treatment including removal of the primary site. Restoration through an obturator is necessary to prevent food from storing due to non-oral opening, and to ensure proper pronunciation and aesthetic restoration. In this case, the patient was treated with right hemi-maxillectomy due to oral cancer and has residual abutment and poor periodontal support due to the effect of head and neck radiotherapy. The obturator was treated with a hybrid telescopic double crown denture. Reporting a successful prognosis in 18 months of follow-up.

Giant Tophi Involving Both Suprapatellar Pouches and Upper Poles of the Patellae: Treatment with Febuxostat and the 6 Years Follow-Up (슬개골낭과 상부 슬개골을 침범한 무증상성 거대 통풍 결절: 약물 치료 후 경과관찰 6년 추시)

  • Kim, Sung Tae;Lee, Sang Yup;Kim, Sang Jae;Kim, Bum Soo
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.1
    • /
    • pp.78-83
    • /
    • 2019
  • Tophi is one of the clinical manifestations of gout. On the other hand, it does not draw the patient's attention when it is asymptomatic, which leads to delayed management. The current case is a typical example of delayed diagnosis and management. The authors' preferred management of tophi was medical not surgical, even though the hitherto therapeutic issue has been conservative versus surgical. The authors chose conservative treatment in the osteolytic lesion resulting from huge tophi in the patella, and the report the results of 6 years follow-up.

Pharmacological activity of extracts Artermisia iwayomogi : liver regeneration and chronic hepatotoxicity

  • Lee, Soon-Bok;Cheol Jeong;Jeong, Seong-Hak;Lee, Sun-Mee;Cho, Tai-Soon
    • Proceedings of the Korean Society of Applied Pharmacology
    • /
    • 1996.04a
    • /
    • pp.200-200
    • /
    • 1996
  • 간재생 및 만성 간질환모델에 대한 인진호 추출분획의 간장 약효검색 방법 1. 간세포 재생능력에 대한 효과 : SD계 수컷 흰쥐(체중 300-350g)를 마취하에서 복부정중선을 따라 개복후 간의 중앙엽 및 좌측엽을 절제하여 봉합하고 수술조작을 끝낸 추 4시간, 익일부터 7일간 오후 5시에 약물을 경구투여하고 마지막투여 후 20시간 절식, 부검하여 간재생률 및 BSP 정체율을 측정하였다. 2. $CCl_4$ 만성간장해 모델에 대한 효자 SD계 수컷 흰쥐(체중 200-250g)에 $CCl_4$ : olive oil 40%용액을 0.5 $m\ell$/kg b.wt. 용량으로 6일간 결구투여 한 후 7일째부터 매일 시험약물을 $CCl_4$ 혼합액 투여 4시간전 및 4시간후에 2회 경구투여하였으며 이 조작을 8일간 하고 마지막 투여 24시간 후에 부검하여 혈액내 ALT 및 AST치, 간조직내 total protein, triglyceride 및 hydroxyproline 양을 측정하였으며, 간중량도 측정하였다. 3. 약물투여 음성대조 : 1% CMC-Na 용액(10$m\ell$/kg b.wt.) 양성대조 : silymarin(25mg/kg), DDB(37.5mg/kg) 인진호추출분획 : KP(180mg/kg), PS-1(300mg/kg), PS-2(300mg/kg), EE (500mg/kg ), HH(640mg/kg), BE(1500mg/kg)

  • PDF

Hourglass-Like Constrictions of Peripheral Nerve in the Upper Extremity (상지에서 발생한 말초 신경의 모래시계형 협착)

  • Hur, Jae-Seung;Shin, Hyun Sik;Lee, Chang-Hun;Lee, Kwang-Hyun
    • Journal of the Korean Orthopaedic Association
    • /
    • v.56 no.5
    • /
    • pp.455-460
    • /
    • 2021
  • Nerve torsion is a rare condition that causes sensory abnormalities and decreased muscle strength due to a nerve-twisting phenomenon in the peripheral nerves. To date, the progression of the condition from its cause to diagnosis and treatment has not been established. The authors report three cases of good results from the treatment of nerve torsion in the anterior interosseous and radial nerves with epineurotomy and neurolysis.