• Title/Summary/Keyword: 제거수술

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A Clinical Study on Relationship of Surgical Glove and Back Pain after Lumbar Puncture in Children (소아에서 요추천자 후 발생하는 요통과 수술용 장갑과의 관계에 대한 임상적 연구)

  • Han, Sung Ryoung;Choi, Wan Suk;Lee, Hae Jeong;Kim, Hyun Seok;Lee, Ju Suk;Cho, Kyung Lae
    • Clinical and Experimental Pediatrics
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    • v.48 no.3
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    • pp.310-314
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    • 2005
  • Propose : In this study, we evaluated whether powder on surgical gloves is a cause of postpuncture backpain in children. Mothods : In 164 children with meningitis between July and September 1997, we did not remove powder from surgical gloves. However, in 149 children with menigitis between May and October 2001 the powder was removed from the surgical gloves. Results : Out of the 164 patients in 1997, 41 cases(25.00%) were found to have postdural puncture backpain. On the other hand, out of 149 patients in 2001, with whom we used gloves from which the powder was removed, we found only 8 patients(5.36%) with postdural puncture backpain. Conclusion : We conclude that the powder on surgical gloves is one of the main causes of postdural puncture backpain in children.

A Surgical Treatment of the Esophageal Foreign Body (10 cases report) (수술적 처치가 필요했던 식도이물에 관한 임상적 고찰)

  • 황의두;황경환
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1117-1120
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    • 1997
  • Ten cases with esophageal foreign body were treated surgically from July 1980 to October 1995 at the Departme t of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. The mean age was 45.3 years, with a range from 25 to 71. Out of ten cases, 6 were female and four were male. Common symptoms were dysphagia, fever, foreign body sensation and neck pain. Three cases of foreign bodies were of fish bones, two of bubble paclcage of drugs, one case of a Eeer bottle cap, one of a piece glass, one of a bathtub plug, one of chicken and one of a bean. The diagnosis was established by esophagography using a water soluble contrast material and esophagoscopy. Among of ten cases, two had esophageal stricture due to the ingestion of Aye at a young age. One case had experienced psychological problems. All foreign bodies were removed by surgical procedures. Five cases were treated by cervical esophagostomy, one case by right thoracotomy, one case by retrograde bougienation through gastrostomy and two cases by cervical incision and drainage for cervical abscess. Three cases developed pos operative esophageal leaks which healed spontaneously and transient hoarseness developed in one case. One case developed traumatic pneumothorax and subcutaneous emphysema which was treated by closed thoracostomy. There were no operative deaths. C(ocean J Thorac Cardiovasc Surg 1997;30:1117-20)

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The Efficacy of Surgical Treatment with Flexible Alligator Forceps in Dogs with Heartworm Infection (심장사상충 감염견에서 Flexible Alligator Forceps을 이용한 외과적 치료)

  • Yoon Hun-young;Jeong Soon-wuk;Kim Jun-young;Han Hyun-jung;Jang Ha-young;Lee Bora;Namkung Hyo-sun
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.309-313
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    • 2005
  • This study was performed to assess the efficacy of surgical treatment with flexible alligator forceps (FAF) on heartworm infected dogs. Twenty dogs (10 males and 10 females) with heartworm infection, age $5.3\pm3.0\;(mean{\pm}S.D.)$ years and weight $9.3\pm6.5(mean{\pm}S.D.)kg$ were treated with FAF. Adult heartworms were removed by fluoroguided technique with FAF under inhalation anesthesia with isoflurane. For evaluation of the efficacy, removal rate and surgical time were measured, and removal sites were found. Antigen ELISA kit test and autopsy were performed to examine remained adult heartworms. Removal rate of total heartworms was $91.4\%$ including 15 complete retrieval cases and surgical time was $30.0\pm7.6(mean{\pm}S.E.)$ minutes. Heartworms were removed from the right ventricle, main pulmonary artery, and right and left pulmonary artery. Surgical treatment with FAF is an effective method with high removal rate, short surgical time, and various removal sites and it could be considered for the removal of adult heartworms in a dog.

Surgical Technique thor the Removal of Deep Vein Thrombi of the Lower Extremities (하지 심부정맥 혈전의 외과적 제거)

  • 이상호;최준영;김성호;김병균;장인석;이정은;옥창대;김종우;나재범
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.402-406
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    • 2002
  • The conventional surgery method of thrombectomy of venous thrombi from the deep veins of the lower extremity was the use of Forgarty balloon catheter. The catheter is inconvenient due to the presence of the balloon and prohibiting venous valves within the venous trees. With the use of a stone-forceps(Fig. 1), thrombi within iliofemoral vein could be easily removed without the obstacle of the valves because the instrument keeps valves open. This instrument is also useful in monitoring the back-flow from the iliac vein. Thrombi within the veins below the level of inguinal incision are removed successfully only by effective manual compression of the calf and thigh muscles. 1 recommend operating on the iliac vein first rather than the lower venous tree.

Arthroscopic Treatment of Metallic Suture Anchor Failures after Bankart Repair (Bankart 수술 후 발생한 금속 봉합 나사못 합병증의 관절경적 치료)

  • Shin, Sang-Jin;Jung, Jae-Hoon;Kim, Sung-Jae;Yoo, Jae-Doo
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.70-76
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    • 2006
  • Purpose: This study presents 5 patients who had metallic anchor protrusion on glenoid after Bankart repair in anterior shoulder instability and reviewed the cause, clinical feature and arthroscopic removal technique. Method and Materials: 5 male with average age of 22 years (range 19 to 25 years) were included. 4 patients had arthroscopic Bankart repair and 1 patient had open repair for anterior shoulder instability. They had protruded metallic suture anchors on glenoid and the protruded suture anchors were removed arthroscopically using larger suture anchor empty inserter. Results: 4 patients had painful clicking sound with motion of abduction and external rotation and 1 patient showed shoulder instability. The ROM showed normal except mild degrees loss of external rotation. The position of protruded metallic anchor was 2, 3 and 5 O'clock in three patients and 4 O'clock in 2 patients. In 2 patients, the metallic suture anchor was malpositioned about 5mm off on the medial side from the anterior glenoid edge. All had Outerbrige classification Grade II-III chondral damage on humeral head and 1 patient showed glenoid cartilage destruction. None had shoulder instability after 2 years of follow-up. Constant score was 65 preoperatively and 89 postoperatively. ASES score was 67 preoperatively and 88 postoperatively. Conclusion: Symptoms of protruded suture anchor are not combined with instability. Most of symptoms were revealed from the rehabilitation period and confused with postoperative pain. Prompt diagnosis and early arthroscopic removal or impaction of protruded metallic suture anchor is recommended because of serious glenohumeral cartilage destruction. This is easy and simple and reproducible method to remove protruded metallic suture anchor arthroscopically.

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Cardiac Transplantation in a Jehovah's Wittness A Case Report (여호와의 증인의 심장이식 - 1례 보고 -)

  • 박국양;박철현
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.537-539
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    • 1997
  • An orthotopic cardiac transplantation was successfully performed in a 40 year-old Jehovah's witness without use of any blood product. Preoperatively, the patient had been on coumadin to prevent left atrial thrombi and the INR(Internation Normalized Ratio)of prothrombin titre was 2.4. During the operation, cell saver was used for shed blood and aprotinin was admini tered intravenously for platelet function. Total postoperative drainage was 860cc and the lowest hemoglobin was 12.2 gmldl. Postoperative course was complicated by central nervous system infection by wisteria monocytogenes and two episodes of rejection, both of which were effectively treated. The patient is on his 5th postoperative month and doing well.

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Approach-avoidance, Stress Response, and Body Temperature of Dogs Following Removal of the Mamillary Bodies (유두체를 떼어버린 개의 접근-회피반응, 스트레스에 대한 반응 및 체온 변동)

  • Kim, Chul;Park, Rho-Soon
    • The Korean Journal of Physiology
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    • v.2 no.1
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    • pp.1-8
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    • 1968
  • As a continuation of a series of work on the physiology of the mamillary bodies, 3 experiments were carried out using 8 pointer dogs subjected surgical removal of this hypothalamic structure by subtemporal approach. In the first experiment, animals were tested per- and postoperatively in approach-avoidance situation. Food served as incentive, electric shock to the tongue as punishment, and response latency of postpunishment trial as an index of fear. The second experiment dealt with per- and postoperative tests in stress situation. A high frequency sound (12,000 cycle, 100 db sound for 1 hour) was regarded as a stressor, and decrease in blood eosinophil cell count as an index of response th the stress. Pre- and postoperative measurement of rectal temperature was carried out in the third experiment, using a clinical thermometer with decimal centigrade scale. The results obtained were as follows: 1. Tests in approach-avoidance situation showed no indication of increased or decreased fear response following removal of the mamillary bodies. 2. Postoperative stress response was as marked as that of preoperative period, but the recovery from the stress was significantly retarded after surgery. 3. The body temperature dropped slightly, but significantly following damage to the mamillary bodies.

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