• 제목/요약/키워드: Foreign hospital

검색결과 586건 처리시간 0.022초

Multiple foreign bodies causing an orocutaneous fistula of the cheek

  • Kim, Woo Ju;Kim, Woo Seob;Kim, Han Koo;Bae, Tae Hui
    • 대한두개안면성형외과학회지
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    • 제19권2호
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    • pp.139-142
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    • 2018
  • Foreign bodies impacted in the maxillofacial region are often a diagnostic challenge. They can be a source of chronic inflammatory reactions and infections leading to the formation of an orocutaneous fistula. Such orocutaneous fistulas cause significant morbidity in most patients, eventually requiring surgery. Recently, we encountered a very rare case of an orocutaneous fistula caused by multiple foreign bodies in the cheek. Precise removal of the foreign bodies was required, and a double-sided anterolateral thigh free flap was used to reconstruct the defect. Surgeons should be aware of the complications of multiple foreign bodies and should be able to diagnose these on careful clinical examination.

Diagnosing Micro Foreign Bodies with the Microscope

  • Kwon, Chan;Rhee, Seung Chul;Bahk, Su Jin;Cho, Sang Hun;Eo, Su Rak
    • Archives of Reconstructive Microsurgery
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    • 제23권2호
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    • pp.93-96
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    • 2014
  • The microscope is a surgical instrument with wide use in plastic surgeries more often than other departments due to the high rate of microscopic surgeries. Unfortunately, because the microscope is used mainly for digital replantations and free flaps, the utilization rate is low compared to the price and usability of the microscope itself. From September 2013 to March 2014, a foreign body which was untraceable with radiology in a patient who desired surgical exploration (one case), and a foreign body which was detected but was smaller than 3 mm (two cases) were removed using the microscope. All foreign bodies, which were fish bone, thin metals, or wooden objects, matching the history of the patients, were completely removed without damage. There were no complications and patient satisfaction was high through follow-up. We have described the microscope as the last and optimal examination tool in removal of micro foreign bodies. A simple change of thought, so that the microscope can be used as a second diagnostic tool will decrease complications by foreign bodies.

C-arm 방사선 투영법을 이용한 식도 점막 하 이물 제거 (Removal of Esophageal Submucosal Foreign Body Under C-arm Fluoroscopic Guidance)

  • 김희진;김효상;차원재;성명훈;하정훈
    • 대한기관식도과학회지
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    • 제19권1호
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    • pp.15-18
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    • 2013
  • Esophageal foreign body is common condition for visit emergency room, and most of them were successfully removed with endoscopy. However, in case of esophageal foreign body impaction, it can be difficult to localize the foreign body. We report a 29-year old man with esophageal foreign body impaction. We successfully localized and removed the esophageal submucosal foreign body using rigid endoscopy under C-arm guidance, avoiding more invasive procedure. The patient was followed up without any complication.

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Chronic Traumatic Glass Foreign Body Removal from the Lung through a Direct Parenchymal Incision

  • Yoon, Su Young;Kim, Si Wook;Lee, Jin Suk;Lee, Jin Young;Ye, Jin Bong;Kim, Se Heon;Sul, Young Hoon
    • Journal of Trauma and Injury
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    • 제32권4호
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    • pp.248-251
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    • 2019
  • Traumatic intrapulmonary glass foreign bodies that are missed on an initial examination can migrate and lead to severe complications. Here, we present a rare case of a traumatic intrapulmonary glass foreign body surgically removed by a direct pulmonary incision, which preserved the pulmonary parenchyma and avoided severe complications caused by migration.

Successful removal of a foreign body by endoscopic balloon dilatation at the colonic stricture

  • Im, Chang Jo;Na, Ji Hoon;Kim, Hyun Sik;Ha, Sung Sam;Lim, Yoo Li;Lee, Ji Hyeon;Choi, Hee Kyoung;Kim, Hee Man
    • Journal of Yeungnam Medical Science
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    • 제33권1호
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    • pp.29-32
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    • 2016
  • Most ingested foreign bodies pass readily throughout intestinal tract if they reach the stomach. In some cases, foreign bodies may be impacted behind a luminal constriction but are rare in colon. Here, we report the case of a 59-year-old man who did laparoscopic anterior resection due to sigmoid colon cancer 2 years ago and ischemic colitis was repeated on the anastomosis site. He initially presented with symptoms of abdominal pain 3 months before and melena 1 day before admission. Abdomen computerized tomography showed a 3.2 cm segment of luminal narrowing of the proximal colon involving upstream foreign material stasis. Sigmoidoscopic approaches revealed near complete obstruction on the anal verge of 20 cm and scope passing failed. Balloon dilatations were done on the obstruction site four times all and a foreign body impacted above the obstruction site was removed by an alligator without any complications. The foreign body removed looks like plastic or a shell, about 20 mm in size.

직장을 통해 들어간 대장과 직장의 이물: 증례보고 (Colorectal Foreign Bodies: Six Cases Report and Review of the Literature)

  • 김형란;최석호;윤정석
    • Journal of Trauma and Injury
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    • 제28권1호
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    • pp.51-54
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    • 2015
  • The incidence of foreign body insertion in the anorectum is rare, however, it is increasing, especially in urban populations. Foreign objects in the anorectum can be of different sizes, shapes and materials. Frangible objects like glass or beakers, and sharp foreign bodies that may easily injure the bowel mucosa are particularly dangerous. Physicians have to consider more innovative options on how to extract these foreign bodies without inciting injury; and, if injury would occur, consider different techniques to repair it, whether transanally or transabdominally, and opt for primary repair, or resection with either anastomosis or stoma creation. Here, I introduce our cases with colorectal foreign bodies and present several literatures to help physicians decide when presented with cases like these.

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Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

  • Pak, Seong Min;Lee, Yeoun Joo;Hwang, Jae Yeon
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권1호
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    • pp.87-91
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    • 2022
  • Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

Removal of a Left Upper Lobar Bronchial Foreign Body Using Fogarty Catheter and Rigid Bronchoscope

  • Woo, Hyunjun;Kim, Seo Young;Kwon, Seong Keun
    • 대한후두음성언어의학회지
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    • 제33권1호
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    • pp.37-41
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    • 2022
  • Airway foreign body aspiration in children can lead to accidental death, due to the foreign body itself or the removal procedure. Depending on its location, removal of the foreign body can be challenging. Here, we present a case of successful removal of a foreign body from the left upper lobar bronchus via ventilating bronchoscopy with a rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial foreign bodies in locations that are difficult to reach with forceps, due to an acute angle or the small diameter of the pediatric bronchial tree, can be effectively removed with a Fogarty arterial embolectomy catheter.

병원시설의 녹색건축 인증기준 국내외 비교연구 (The comparison of hospital certification between G-SEED and foreign certification criteria)

  • 왕정준;김정현;김병선
    • KIEAE Journal
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    • 제14권4호
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    • pp.81-89
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    • 2014
  • This research introduces necessity to derive new certification criteria for the hospital considering healing environmental factors in G-SEED. The method of research is reference study to discuss concept of healing environment factors and case study to find ways for problem and improvement by comparison of G-SEED with foreign certification system. And the research conclusion is such as follows. First, it is necessary to develop certification criteria of the hospital for G-SEED which is lack of healing environmental assessment factors unlike foreign certification system. Second, The hospitals are certified by criteria of The Other Buildings in G-SEED which dose not take into account the characteristics of the hospital. Especially hospital waste and use of enormous water are the important factors required, which is already evaluated in foreign certification criteria.

성형외과 영역에서 이물질 주사에 대한 고해상초음파 검사의 유용성 (Usefulness of High-Resolution Ultrasonography after Foreign Body Injection on Aesthetic Plastic Surgery)

  • 고응열;성하민;조건;박영규;탁경석;서인석;양익
    • Archives of Plastic Surgery
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    • 제37권4호
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    • pp.385-390
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    • 2010
  • Purpose: The purpose of this study is to demonstrate the usefulness of the high resolutional ultrasonographic features in patients with foreign body. Methods: From September 2007 to August 2009, we retrospectively reviewed high resolutional ultrasonogram using 5~12 MHz linear transducer of 13 patients presenting with inflammation after foreign body injection. They were referred for complications after foreign body injection. Injected foreign bodies were 4 silicone, 4 paraffin, 2 artecoll, and 3 unknown. We treated them with foreign body removal (7), foreign body removal and corrective plastic surgery (4), and conservative treatment with antibiotics and steroid injection (2). Results: High resolutional ultrasonography well demonstrated the existence of foreign body and it's overall size, location within the tissue layer, and vascularity. Comparison between preoperative and postoperative ultrasonographic findings was useful not only to evaluate the prognosis but also to plan the treatment. These ultrasonographic findings aided in precise assessment of the contour and location of the foreign body and led to an accurate surgery. We were able to acquire various information in order to set a detailed plan for the operation which in turn, led to a precise, successful surgery. After the treatment, complication did not occur in 12 patients, except 1 patient. But this patient was also treated after reoperation. Postoperative high resolutional ultrasonography shows almost foreign body removed and inflammation disappeared. Conclusion: Considering the usefulness of highresolution ultrasonography in foreign body injection, highresolution ultrasonography would be necessary for both the patient and the doctor. Preoperative and postoperative high resolutional ultrasonography is highly accurate, safe, inexpensive and easy. It can be a useful modality in foreign body after plastic surgery.