• Title/Summary/Keyword: 최소침습

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Videothoracoscopic Repair of Diaphragmatic Eventration -A Case Report- (흉강경을 이용한 횡격막 거상증 치험 1례)

  • Jeong, Yoon-Seop;Youm, Wook
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.330-332
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    • 1999
  • A 40-year-old woman underwent plication by video-assisted thoracoscopy for left diaphragmatic eventration. Normalization in the position of the left diaphragm and a marked improvement in the left lung expansion were identified on the chest X-ray. This technique offers the patients many advantages of the minimally invasive operation.

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Combined Percutaneous Transluminal Coronary Angioplasty and Minimally Invasive Coronary Arterial Bypass Grafting(Hybrid CABG) (경피적 경혈관 관상동맥 중재술과 최소침습성 관상동맥 우회술의 병용요법)

  • 장지민;유원희;김기봉
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1127-1130
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    • 1999
  • Percutaneous coronary intervention including intracoronary stenting is currently an accepted treatment modality in the treatment of coronary artery disease and is widely performed to treat the patient with multivessel disease with decreased morbidities and less cost compared with conventional coronary rtery bypass grafting(CABG), Repeated interventions due to restenosis even after successful angioplasty are the major disadvantage of the angioplsty especially when the lesion is located inthe left anterior descending artery(LAD) Recently CABG through left anterior small thoracotomy using the left internal thoracic artery to revascularize the LAD territory without cardiopulmonary bypass so called Minimally Invasive Direct Coronary Artery Bypass(MIDCAB) was intrduced and performed with comparable early outcomes. In this regard the integrated approach with percutaneous coronary intervention and minimally invasive direct coronary artery bypass surgery so called 'Hybrid CABG' was suggested to be an effective treatment in suitable patients with multivessel coronary artery disease. We report three cases of Hybrid CABG.

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Force Feedback Control of 3 DOF Haptic Device Utilizing Electrorheological Fluid (ER 유체를 이용한 3 자유도 햅틱 장치의 힘 반향 제어)

  • Han, Y.M.;Kang, P.S.;Choi, S.B.
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2005.11a
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    • pp.213-216
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    • 2005
  • This paper presents force feedback control performance of a 3DOF haptic device that can be used for minimally invasive surgery (MIS). As a first step, a 3DOF electrorheological (ER) joint is designed using a spherical mechanism. And it is optimized based on the mathematical torque modeling. Subsequently, the master haptic device is manufactured by the spherical joint. In order to achieve desired force trajectories, model based compensation strategy is adopted for the ER master. Therefore, Preisach model fur the PMA-based ER fluid is identified using experimental first order descending (FOD) curves. A compensation strategy is then formulated through the model inversion to achieve desired force at the ER master. Tracking control performances for sinusoidal force trajectory are presented, and their tracking errors are evaluated.

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Minimally Invasive Proximal Transverse Metatarsal Osteotomy Followed by Intramedullary Plate Fixation for Hallux Valgus Deformity: A Case Report (무지외반증 교정을 위한 최소침습적 근위 중족골 횡절골술 및 골수강 내 금속판 고정: 증례 보고)

  • Kim, Jong Hun;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.3
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    • pp.141-144
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    • 2021
  • More than 120 surgical methods for the correction of hallux valgus deformities have been reported. For the correction of moderate to severe hallux valgus deformities with aesthetic demands, minimally invasive surgery at the proximal area can be considered. This paper reports a case of moderate hallux valgus deformity treated by a minimally invasive proximal transverse metatarsal osteotomy followed by intramedullary plate fixation.

Minimal Invasive Surgery for Acute Achilles Tendon Rupture (급성 아킬레스건 파열의 최소 침습적 봉합술)

  • Lee, Myoung Jin;Kim, Min-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.2
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    • pp.76-79
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    • 2021
  • Recently, the incidence of Achilles tendon rupture has been increasing with an increase in the elderly and the sports population. Various kinds of surgical options have been introduced up to now. Among them, the traditional open repair is most commonly used despite the risk of re-rupture or post-operative infections, which in turn can impair the blood flow to the Achilles tendon. Therefore, minimally invasive methods to overcome these complications have been studied with excellent outcomes.

Clinical Practice of Class IV Direct Compoiste Resin Restoration (4급 와동의 직접 레진 수복의 과정)

  • Jang, Hee-seon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.1
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    • pp.18-23
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    • 2018
  • With the increasing demand for esthetics and minimum intervention concept, people want to restore the fractured tooth with direct composite restoration. But even now, many dentists hesitate to do the direct resin restoration in the anterior region and shift the responsibility to dental technicians. This article describes each steps in restoring Class IV cavity. To obtain an esthetic result in anterior restoration, layering technique is mandatory and clinical tips suggested in this article would be useful.

Ultrasound-Guided Minimally Invasive Procedure Using Thread (실을 이용한 초음파 유도하 최소침습시술)

  • Park, Hae-Yeon;Kim, Jae Min
    • Clinical Pain
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    • v.20 no.2
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    • pp.70-73
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    • 2021
  • A minimally invasive procedure refers to a procedure that minimizes tissue damage due to incision. By limiting the size of the incision, it can be expected to reduce the time taken for wound healing, reduce pain, and reduce the risk of infection. Recently, studies have been attempted to dissect the structures of the neuromusculoskeletal system using ultrasound-guided minimally invasive technique. Among those, dissecting thread may be utilized in several musculoskeletal diseases, including carpal tunnel syndrome, cubital tunnel syndrome, trigger finger, and selective crural fasciectomy. In this brief review, the use of dissecting thread in treating neuromusculoskeletal diseases are described.

DENTAL MANAGEMENT OF CHILDREN WITH HEMOPHILIA UNDER THE GENERAL ANESTHESIA : A CASE REPORT (혈우병 B 환아의 전신마취 하 치과치료 : 증례보고)

  • Kim, Soo-Kyoung;Park, Jea-Hong;Lee, Keung-Ho;Kim, Kwang-Chul;Choi, Sung-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.4 no.1
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    • pp.7-11
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    • 2008
  • Hemophilia is a group of gender-linkage inherited bleeding disorders that impair the body's ability to control blood clotting or coagulation. This sex-linked disorder is transmitted on the X chromosome. These genetic disorders have lower blood plasma clotting factor level of coagulation factor. Most common form is Hemophilia A and B. Restorative dental care and simple surgery for the hemophiliac patient are quite often neglected for fear of bleeding during procedures. Even dental specialist avoid these patients and make them severe problem patients. On the dental treatment especially, invasive procedure, special considerations of bleeding control are required. Inter-consultation with the hematologist will provide orientation on the best approach to dental treatment, such as the need of replacement therapy, the modification of antifibrinolytic therapy, the application of local hemostatic methods. In this case reports, we successfully treat early childhood caries of patient with hemophilia B under the general anesthesia.

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A Study on the Intervertebral Disc Temperature Distribution During Electrothermal Therapy (추간판의 전기열치료시 온도분포에 관한 연구)

  • 진의덕;탁계래;구자중;김한성;이성재;이정한
    • Journal of Biomedical Engineering Research
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    • v.24 no.1
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    • pp.23-29
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    • 2003
  • The prevalence of discogenic pain among patients with chronic low back pain is estimated to be about 40%. Lumbar discectomy is being performed as a treatment according to the studies done so far. Recently IDET- Intradiscal electrothermal therapy which is minimally invasive technique is being introduced. This study will investigate important factors of this procedure such as the temperature of heat source, loading times, and the temperature distribution within the intervertebral disc. This study utilized finite element analysis and experiment. It was able to analyze the temperature range of inner intervertebral disc by two mechanisms which are known to alleviate pain clinically. As a result, verification of temperature distribution to 15.6mm($\geq$45$^{\circ}C$) (Mechanism 1-coagulation inner annulus by heat) and 9mm($\geq$6$0^{\circ}C$) (Mechanism 2- contraction inner nucleus by heat) from the heat source was done.

Clinical Effect of Arthrocentesis for Patients with Disc Displacement without Reduction of Temporomandibular Joint : Report of Cases (측두하악관절의 비정복성 관절원판변위 환자에 대한 관절강 세정술의 임상효과 : 증례보고)

  • Kim, Cheul;Kim, Young-Jun
    • Journal of Oral Medicine and Pain
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    • v.31 no.2
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    • pp.177-183
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    • 2006
  • The management of refractory pain and limitation of mouth opening in the temporomandibular joint (TMJ) is both challenging and controversial. Arthrocentesis is a simple technique and it can be used instead of more invasive surgical procedures for patients who failed to conventional conservative treatments. The patients in this case report had complained persistent severe pain and restricted mandibular movement of TMJ, although they had been treated with conservative therapy, e.g., stabilization splint therapy, behavioral therapy, physical therapy, pharmacological therapy. Therefore we employed arthrocentesis for these patients, and they showed significant reduction of pain and improvement of mandibular movement after repetitive arthrocentesis. We recommend arthrocentesis as an effective, minimally invasive technique for patients with continuing severe pain and restricted mobility in the TMJ that is unresponsive to conservative management.