• Title/Summary/Keyword: Foreign hospital

Search Result 588, Processing Time 0.025 seconds

Gastrotomy Approach Retrieval of Esophageal Foreign Body using Long Forceps Technique in Five Dogs (위 절개술 접근과 긴 겸자를 이용한 식도 내 이물 제거 5례)

  • Yoon, Hun-Young;Kang, Myung-Gon;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
    • /
    • v.26 no.6
    • /
    • pp.628-631
    • /
    • 2009
  • Five dogs presented to the Veterinary Medical Teaching Hospital of the Konkuk University and Hangang Animal Hospital with a history of foreign body ingestion. On physical examination, five dogs showed lethargy, anorexia, or vomiting. Plain radiographs revealed that radiopaque foreign bodies lodged in the heart base or caudal thoracic esophagus. Positive contrast esophagogram revealed that large foreign bodies severely expanded the esophagus and there was no evidence of leakage of the contrast agent from the esophagus into the thoracic cavity. Gastrotomy for retrieval of esophageal foreign bodies using long forceps technique was performed. Esophageal foreign bodies were successfully retrieved in all dogs. The follow-ups were completed 10 days to 2 years after surgery. The follow-up information was based on physical examination by veterinarians and telephone interview with owners. The owners reported that there was no evidence of complications related to surgery such as vomiting, regurgitation, dysphagia, gagging, hyper-salivation, or anorexia in all dogs.

Application of Three-dimensional Reconstruction in Esophageal Foreign Bodies

  • Chang, Ji-Min;Yoo, Young-Sam;Kim, Dong-Won
    • Journal of Chest Surgery
    • /
    • v.44 no.5
    • /
    • pp.368-372
    • /
    • 2011
  • This study was conducted to investigate the clinical application of three-dimensional (3D) reconstructed computed tomography (CT) images in detecting and gaining information on esophageal foreign bodies (FBs). Two patients with esophageal FBs were enrolled for analysis. In both cases, 3D reconstructed images were compared with the FB that was removed according to the object shape, size, location, and orientation in the esophagus. The results indicate the usefulness of conversion of CT data to 3D images to help in diagnosis and treatment. Use of 3D images prior to treatment allows for rapid prototyping and surgery simulation.

A Comparative Study on the Deployment Characteristics of Korean and Foreign Mobile Hospitals Responding to Disasters (국내외 재난대응 이동형 병원의 배치특성 비교분석 연구)

  • Yang, Minkyu;Suh, Sangwook;Lee, Young
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.25 no.1
    • /
    • pp.29-40
    • /
    • 2019
  • Purpose: The purpose of this study is to analyze the deployment characteristics of korean and foreign mobile hospitals and to draw out the advantages and disadvantages based on the movement of patients. Methods: The arrangement and user movement lines of foreign mobile hospitals which were actually utilized, and the arrangements and user movement lines of korean mobile hospitals are compared and analyzed. Based on the results of the comparative analysis, we suggest the optimal placement of mobile hospital in Korea. Results: The recently developed Korean mobile hospitals have made many improvements. However, there is no practical use case for the mobile hospital in Korea, so it is necessary to establish the basis for the mobile hospital development site and the site access considerations. In addition, there is no detailed analysis of the movement of the administrators other than the medical staff, and it is considered that research on safe waste disposal is further needed. Implications: It is highly likely to be used as a basic data to find out the combination method of mobile hospitals that can efficiently deal with disasters through the arrangement and movement analysis of mobile hospitals in Korea and abroad.

A Case of Foreign Body Granuloma of the Posterior Mediastinum (후 종격동에 발생한 이물육아종 1예)

  • Choi, Eui-Hyuk;Yoo, Jong-Hoon;Lee, Jeong-Seok;Hong, Su-Hee;Gwon, Hyung-Joo;Park, Young-Woo;Lee, Moo-Yeol;Lee, Chul-Ho;Bang, Jung-Hyun;Im, Sung-Gyun;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
    • /
    • v.45 no.3
    • /
    • pp.609-613
    • /
    • 1998
  • A 21-year-old male was admitted for evaluation of a mass shadow on chest film. On chest computed tomography showed 5 cm sized homogeneous low density based on the second thoracic vertebral body in the posterior mediastinum. The patient had been performed thoracic sympathectomy 6 months before admission and oxidized cellulose was used for hemostasis at that operation. Surgical resection was performed and microscopic result was foreign body granuloma caused by oxidized cellulose. Oxidized cellulose is an absorbable sterile mesh and used to control capillary or venous bleeding. Although the manufacturer recommends its removal after hemostasis is achieved, in clinical practice it is usually left in situ to reabsorb spontaneously, usually with no untoward effect.

  • PDF

Impaction of a continuous glucose monitoring sensor

  • Park, Kyong Chan;Choi, Hwan Jun
    • Archives of Plastic Surgery
    • /
    • v.48 no.4
    • /
    • pp.392-394
    • /
    • 2021
  • A 33-year-old man presented to the plastic surgery department for foreign body removal 1 month after the insertion of a continuous glucose monitoring (CGM) sensor (Dexcom G5) in the left upper arm. The patient had used the CGM system for 5 years, and the insertion was done in the usual manner. The entire sensor wire was visible on simple radiography and ultrasonography. In the operating room, and the sensor wire was identified in the intermuscular septum and removed. No foreign body reaction or inflammatory signs were found around the CGM, and the extracted wire measured 2.5 cm. Thus, it was assumed that the whole sensor wire was detached from the transmitter, not fractured. No remnant foreign body was observed on follow-up simple radiography.

Delayed Foreign Body Reaction Caused by Bioabsorbable Plates Used for Maxillofacial Fractures

  • Jeon, Hong Bae;Kang, Dong Hee;Gu, Ja Hea;Oh, Sang Ah
    • Archives of Plastic Surgery
    • /
    • v.43 no.1
    • /
    • pp.40-45
    • /
    • 2016
  • Background Bioabsorbable plates and screws are commonly used to reduce maxillofacial bones, particularly in pediatric patients because they degrade completely without complications after bone healing. In this study, we encountered eight cases of a delayed foreign body reaction after surgical fixation with bioabsorbable plates and screws. Methods A total of 234 patients with a maxillofacial fracture underwent surgical treatment from March 2006 to October 2013, in which rigid fixation was achieved with the Inion CPS (Inion, Tampere, Finland) plating system in 173 patients and Rapidsorb (Synthes, West Chester, PA, USA) in 61 patients. Their mean age was 35.2 years (range, 15-84 years). Most patients were stabilized with two- or three-point fixation at the frontozygomatic suture, infraorbital rim, and anterior wall of the maxilla. Results Complications occurred in eight (3.4%) of 234 patients, including palpable, fixed masses in six patients and focal swelling in two patients. The period from surgical fixation to the onset of symptoms was 9-23 months. Six patients with a mass underwent secondary surgery for mass removal. The masses contained fibrous tissue with a yellow, grainy, cloudy fluid and remnants of an incompletely degraded bioabsorbable plate and screws. Their histological findings demonstrated a foreign body reaction. Conclusions Inadequate degradation of bioabsorbable plates caused a delayed inflammatory foreign body reaction requiring secondary surgery. Therefore, it is prudent to consider the possibility of delayed complications when using bioabsorbable plates and surgeons must conduct longer and closer follow-up observations.

Delayed Detection of a Penetrating Tracheal Foreign Body (수상 후 10년이 지나 발견된 기관 내 이물질)

  • Jang, Woo-Sung;Kim, Young-Tae;Kim, Joo-Hyun;Kang, Chang-Hyun
    • Journal of Chest Surgery
    • /
    • v.40 no.5 s.274
    • /
    • pp.384-387
    • /
    • 2007
  • The finding of a tracheal penetrating injury that's caused by a foreign body is rare in adulthood. A 42-year-old man had experienced penetrating trauma due to a glass fragment 10 years ago. He presented with blood tinged sputum and dyspnea on exertion, and this had developed 1 year previously. Chest CT scan and bronchoscopy revealed a foreign body crossing the tracheal lumen and the object arose from outside of the trachea; this was all associated with airway edema. We removed the foreign body, which was a 5cm length of glass fragment, and we repaired the tracheal defect using a simple primary suture. The postoperative course of the patient was uneventful and he is now being followed up at the outpatient department; he has had no additional symptoms.

Ultrasonographic Diagnosis of Retained Wood Foreign Body in the Finger (초음파를 이용하여 진단한 수지 잔존 식물성 이물질 - 증례 보고 -)

  • Kim, Joo Yong;Choi, Jang Seok;Kim, Jung Han;Jeong, Dong Woo
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.4 no.1
    • /
    • pp.20-23
    • /
    • 2011
  • Penetrating injury and retained foreign substances in human body are the main causes of visiting to the emergency room. In hand, foreign substances are caused by trauma. The most common plant pieces, the glass fragments and metal fragments should occur in the order. Especially, it's hard to find fragments of plants and plastic materials because of their radiolucency. And although these fragments are removed, it's difficult to differentiated clearly whether residual foreign bodies are in human hand or not. This study reports the authors' experience in the treatment of a patient from whom he removed a residual tree thorn in the operating room. The thorn was found 4 weeks after the trauma by ultrasonography and then the patients' symptoms were improved.

  • PDF

The Calculation of the Effected Rate in Medical Insurance Fee Schedules according to Fluctuation of Foreign Currency Exchangerate through Cost Analysis in a University Hospital (환율변동에 따른 의료보험 진료수가의 영향률 산출 - 한 대학병원의 원가분석을 중심으로 -)

  • 박은철;박웅섭;김소윤;김한중;손명세;임종건;김영삼
    • Health Policy and Management
    • /
    • v.8 no.2
    • /
    • pp.76-87
    • /
    • 1998
  • This study analyzed the effect of foreign currency exchange rate on the increasing rate of medical care cost by items of fee schedule of Korean Medical Insurance. This study uses the data of cost analysis including cost of imported goods and the data of for a university hospital National Federation's Medical Insurance for a trend of claim. The method of cost analysis is as same as that used in the study of the development of Korean RBRVS(Resource Based Relative Valus Scale). The main findings of this study are as follows; 1. The proportion of imported goods in cost related to Medical Insurance fee schedule is 7.93%, and in case of substitution of available domestic goods 6.96%. 2. If foreign currency exchange rate changes from 800wen per $1 to 1,300won, the affecting rate of Medical Insurance fee schedules is 5.00%. If the imported goods will be substituted with available domestic goods, the rate 4.35%. Our results can be used a data for updating Medical Insurance fee schedule. But this result is limited to be generalized, because this study used the cost analysis for a university hospital.

  • PDF

Clinical Experiences with Foreign Body Granuloma of the Nose: 7-Year Experience with 18 Patients (비부 이물 육아종의 임상적 경험)

  • Park, Tae-Hwan;Seo, Sang-Won;Kim, June-Kyu;Chang, Choong-Hyun
    • Archives of Plastic Surgery
    • /
    • v.38 no.4
    • /
    • pp.391-397
    • /
    • 2011
  • Purpose: The injection of various materials, including medical fillers and unregulated products, is widespread, potentially causing the development of foreign body granulomas. Should this occur on the nose, the contour deformity and inflammatory signs that result from these granulomas are aesthetically undesirable to patients. The purpose of our study is to share our experiences using different surgical approaches, depending on the affected portion of the nose, to optimize management of this challenging problem and to evaluate patient's satisfaction using our in-house questionnaire along with degree of improvement by two independent plastic surgeons. Methods: We treated 18 patients who underwent surgical excision of nasal foreign body granulomas via a perilesional approach to the lesion (n=12) or by transcolumellar incision (n=6) at our hospital over a period of seven years from March 2003 to October 2010. Nonparametric statistics were used and are presented as medians (25th-75th). Patient satisfaction was evaluated on a scale of 1 to 5 using an in-house questionnaire. All pre-and post-operative photographs were analyzed by two independent plastic surgeons. Post-operative outcomes were evaluated based on the surgeons' consensus ratings. Results: All patients receiving the transcolumellar approach reported a high level of satisfaction with the results. All but two patients who received the perilesional approach were satisfied with the outcome. No outcomes were rated as no change or worse by the consensus ratings. Conclusion: For the upper two-thirds of the nose, perilesional surgical excision can lead to substantial patient satisfaction with modified contour deformity and infection control. The transcolumellar approach resulted in better outcomes and patient satisfaction for the lower one-third of the nose.