• Title/Summary/Keyword: Invasive

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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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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.

An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball (진균구를 동반한 비정형적 만성 침습형 진균성 부비동염 1예)

  • Jung, Young Do;Kim, Bo Mun;Kang, Byung Jun;Shin, Seung Heon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.264-268
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    • 2018
  • Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.

Diagnosis of Helicobacter pylori Infection (헬리코박터 파일로리 감염 진단의 최신 지견)

  • Huh, Cheal Wung;Kim, Byung-Wook
    • The Korean Journal of Gastroenterology
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    • v.72 no.5
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    • pp.229-236
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    • 2018
  • Accurate diagnosis of Helicobacter pylori (H. pylori) infection is mandatory for the effective management of many gastroduodenal diseases. Currently, various diagnostic methods are available for detecting these infections, and the choice of method should take into account the clinical condition, accessibility, advantage, disadvantage, as well as cost-effectiveness. The diagnostic methods are divided into invasive (endoscopic-based) and non-invasive methods. Non-invasive methods included urea breath test, stool antigen test, serology, and molecular methods. Invasive methods included endoscopic imaging, rapid urease test, histology, culture, and molecular methods. In this article, we provide a review of the currently available options and recent advances of various diagnostic methods.

A Study on Jaundice Computer-aided Diagnosis Algorithm using Scleral Color based Machine Learning

  • Jeong, Jin-Gyo;Lee, Myung-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.12
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    • pp.131-136
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    • 2018
  • This paper proposes a computer-aided diagnostic algorithm in a non-invasive way. Currently, clinical diagnosis of jaundice is performed through blood sampling. Unlike the old methods, the non-invasive method will enable parents to measure newborns' jaundice by only using their mobile phones. The proposed algorithm enables high accuracy and quick diagnosis through machine learning. In here, we used the SVM model of machine learning that learned the feature extracted through image preprocessing and we used the international jaundice research data as the test data set. As a result of applying our developed algorithm, it took about 5 seconds to diagnose jaundice and it showed a 93.4% prediction accuracy. The software is real-time diagnosed and it minimizes the infant's pain by non-invasive method and parents can easily and temporarily diagnose newborns' jaundice. In the future, we aim to use the jaundice photograph of the newborn babies' data as our test data set for more accurate results.

A Case of a 16-Year-Old Patient With Chronic Invasive Aspergillosis in the Trachea Treated With Segmental Tracheal Resection and Cricotracheal Anastomosis

  • Heo, Yujin;Choi, Nayeon;Yoo, Keon Hee;Chung, Man Ki
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.1
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    • pp.42-44
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    • 2022
  • Chronic invasive aspergillosis is a life-threatening disease, especially in immunocompromised patients. The diagnosis and treatment of tracheal aspergillosis (TA) are challenging because of its rarity and nonspecific clinical presentations. The treatment standard of TA has been medical treatment like other forms of invasive aspergillosis, but patients with medically resistant TA require surgical intervention. We demonstrated a successful surgical outcome of chronic invasive TA in a 16-year-old patient with immunocompromised status related to acute myelocytic leukemia.

Lower Leg Abscess in Klebsiella pneumoniae Invasive Syndrome Caused by Hypervirulent Klebsiella pneumoniae: A Case Report (고병원 폐렴막대균 침습 증후군에 동반된 하지 농양: 증례 보고)

  • Kim, Dong Seok;Kim, Dae-Yoo
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.107-110
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    • 2022
  • Klebsiella pneumoniae is known to cause an invasive syndrome characterized by primary liver abscess associated with metastatic infection. The characteristics of the metastatic infection involving the musculoskeletal system in this invasive syndrome are not well understood. The authors present a case report of a patient who developed abscesses of the lower extremities along with abscesses of multiple organs, such as the liver and eye, caused by K. pneumoniae. The patient was diagnosed early, and the infection was successfully controlled after several surgical treatments.

New Report of Vicia grandiflora Scop. in Korea

  • Jang, Young Jong;Lee, Kang-Hyup;Kang, Eun Su;Park, Beom Kyun;Son, Dong Chan
    • Korean Journal of Plant Resources
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    • v.35 no.3
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    • pp.405-410
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    • 2022
  • We have discovered Vicia grandiflora Scop., a newly invasive alien species in Baekun-ri, Okcheon-gun, Chungcheongbuk-do, Korea. This species is native to regions from Central and Southeast Europe to Central Asia and Iran and is reported as an invasive species in North America and Japan. This species is similar to the Vicia sativa complex (V. sativa subsp. sativa, V. sativa subsp. nigra) but can be readily distinguished by the undivided ovate to semi-hastate stipules of the upper leaves, yellowish petals, large size of its flower, and elongated hilum. In the field, V. grandiflora grows in disturbed sites near cultivated land, suggesting that their seeds are typically transported by vehicles along with fertilizer or livestock feed. Here, we present the morphological description, photographs, and sites of V. grandiflora growth, which will be useful in guiding the management of this invasive alien plant.

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.

Considerations for Invasive Dental Treatment in Disabled Patients

  • Eun-Jung Kwak
    • Journal of Korean Dental Science
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    • v.16 no.1
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    • pp.1-8
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    • 2023
  • Dental treatment for the disabled should be a customized that considers the characteristics and degree of cooperation of each disabled patient. There are additional considerations during implant treatment and tooth extraction in disabled patients. Since some brain lesion disorder or cardiac disease patients may be taking antiplatelet or anticoagulant medications, it is necessary to evaluate whether these medications should be discontinued before an invasive procedure. Precautions should be taken for patients with heart valve disease considering the risk of infective endocarditis, especially during invasive dental procedures. Moreover, disabled patients may have difficulty in following instructions and cautions. There are specific considerations for each stage of implant treatment in disabled patients. In the case of patients who are in the pre- or post-transplant state, it is necessary to assess their general condition and oral disease due to the risk of infection. Since disabled patients with various systemic diseases may visit the dental clinic, it is important to understand their characteristics and treatment process in order to flexibly adjust the dental treatment plan accordingly.