• Archives of Plastic Surgery
• /
• 제38권1호
• /
• pp.121-126
• /
• 2011

Purpose: Vaccum-assisted closure (VAC) has rapidly evolved into a widely accepted treatment of contaminated wounds, envenomations, infiltrations, and wound complications. This results in a sealed, moist environment where tissue is given the opportunity to survive as edema is removed and perfusion is increased. Many plastic surgeons now place a VAC device directly over the fasciotomy site at the time of the initial procedure. Large amounts of the fluid are withdrawn, and fasciotomies can be closed primarily sooner. This study was designed to observe the effect of VAC in preventing complications in snake bitten hands. Methods: In our study of three cases of snake bite, three of them underwent the VAC treatment & fasciotomy of the wound in the hand. This cases, the posterior compartment of the hand was bitten for a few days, releasing incisions were made of the posterior hand and 125 mmHg of continuous vacuum was applied to fasciomy incision site and the biting wound. The dressings were changed three times per week. Results: Our study examining the effects of applied vacuum in preventing snake bite wounds showed that the incidence of tissue necrosis and compartment syndrome was significantly lower for vacuum-treated wounds than for conservative wounds. Serum myoglobin, CK-MB, and CPK levels measured after fasciotomy incision were significantly decreased. We obtained satisfactory results from early dorsal fasciotomy, drainage of the edema with the VAC system, and then primary closure. The postoperative course was uneventful. Conclusion: Envenomation is a term implying that sufficient venom has been introduced into the body to cause either local signs at the site of the bite and/or systemic signs. Use of the vacuum-assisted closure device in snake bite can result in a decreased rate of tissue necrosis, lymphatic fluid collection, hemolytic fluid collection, and edema. Early fasciotomy of the dorsal hand and VAC apply is the alternative treatment of the snake bite.

• Archives of Plastic Surgery
• /
• 제38권3호
• /
• pp.329-332
• /
• 2011

Purpose: In developed countries, vesicovaginal fistula occur from various pelvic operations including total hysterectomy, leading to urinary leakage and incontinence. Although various methods have been proposed for adequate tissue coverage in fistula repair, the surgical treatment of is not simple and still controversial. We report a case of neobladder-vaginal fistula repair using modified Martius fat pad flap. Methods: A 62-year-old female patient underwent radical cystectomy with total abdominal hysterectomy and neobladder formation due to invasive bladder tumor 5 years ago. For 3 years following the operation, urine leakage was observed. Exploration demonstrated neobladder-vaginal fistula and primary repair including fistulectomy and direct closure was performed. Urinary incontinence relapsed 2 years after primary repair, and after demonstrating the recurrence of fistula on urography, repair of recurrent fistula was performed. After dissection of vagina and neobladder and closure of fistula by urologic surgeon, fibroadipose flap was elevated, rotated and advanced through the tunnel at vaginal sidewall, and interpositioned to the fistula site between neobladder and vagina. Results: There was no acute complication after the surgery and urethral catheter was extracted on the 8th day after the operation. During six month follow-up period after the operation, there is no clinical evidence of fistula recurrence. Conclusion: From our clinical experience and literature review, we think Martius fat pad flap is a useful technique in management of neobladder-vaginal fistula, for it provides enough vascularity, major epithelization surface and better lymphatic drainage, and also prevents overlapping of vesical, vaginal suture lines at the same time.

• Journal of Chest Surgery
• /
• 제43권5호
• /
• pp.562-564
• /
• 2010

임파루는 대퇴부 절개를 이용한 혈관 수술시 흔히 발생하는 합병증이다. 임파선은 해부학적으로 혈관과 매우 가깝게 위치하기 때문에 혈관 노출 과정에서 드물지 않게 손상된다. 임파액을 적절하게 배액시키지 않으면 환자가 다른 합병증으로 이환되는 원인으로 작용할 수 있으며, 흔히 창상 감염을 야기한다. 이에 대한 다양한 치료법이 보고되었음에도 임파루는 치료하기 어렵고 결국에는 재원기간을 연장 시킨다. 서혜부 절개를 이용한 혈관 수술을 받은 72세 여자환자에게서 수술후 임파루가 발생하였으며 창상에 음압 요법을 시행하였다. 조기에 적절한 배액이 되었고, 창상 치유가 원활하여 창상 봉합이 가능하였기에 재원기간을 단축할 수 있었다.

• 한국패션뷰티학회지
• /
• 제5권3호
• /
• pp.111-117
• /
• 2007

Essential oils aims to rejuvenate and beautify medical skin care the body through the use of essential oils, and generally to improve our outward appearance. Much of this section fouses on the different methods by which essential oils can be used to improve the complexion or to treat specific medical care skin conditions. Beauty, however, is not just skin-deep. The condition of the medical care express the overall health of an individual. A relaxed attitude, together with a well-balanced diet, enough exercise, and a daily intake of plenty of spring water or herbal teas, all help to keep the system in top condition. Essential oils is a healing art which has powerful effects on both mind and body. The vital element in essential oils is the pure oils which are extracted from various part of different plants. The key to medical aromatherapy care lies in its dual use of essential oils and medical care massage, thus masking full use of two of our most important senses-smell and touch. Medical aromatherapy care is holistic, working mainly on the nervous system and including the head and body as part of the same treatment. Using pressure points along the spine, Medical aromatherapy care on the autonomic nervous system and has an immediate effect of relexation. In directly it also acts on mood. Many of the medical massage movements help lymphatic drainage. Essential oils have many different qualities; they can be relaxing or invigorating and are generally antisepic and antibacterial. Medical aromatherapy care can have psychological benefits. The power of essences in healing has been recognized in the treatment of insect bites. Clove, thyme, sandalwood, and lavender are a few of the essences that have antiseptic. Essential oils effect the dry skin for small visual pores, dull matte finish, rough sandy feeling, tantskin. Essential oils effect the mature/sun damaged skin for some red or couperose areas, loose saggy skin, exposure to a lot of ultraviolet light. Essential oils effect the medical care nomal skin good elasticity, healthy color(good circulation), smooth terture.

• Archives of Plastic Surgery
• /
• 제47권1호
• /
• pp.3-8
• /
• 2020

Genital lymphedema (GL) is an uncommon and disabling disease that manifests as enlargement of the genital region resulting from the disturbance of lymphatic drainage. Although conservative treatment such as decompression is typically the first-line approach, surgical intervention has been shown to be effective in certain cases. This study aimed to systematically review studies evaluating available surgical alternatives for the treatment of male GL. A systematic search strategy using keyword and subject headings was applied to PubMed, Scopus, EMBASE, and Cochrane Library in May 2019. Studies investigating various surgical techniques to treat penile and scrotal lymphedema were included. The potential risk of bias of included trials was evaluated using the methodological index for non-randomized studies (MINORS). In total, 13 studies met the inclusion criteria, nine of which were determined to be high-quality. The average MINORS score was 12.45 for studies involving excision and 14 for studies involving lymphovenous anastomosis (LVA). The most common reason for a low score was a failure to describe the inclusion criteria. Recurrence of lymphedema during follow-up was reported in four studies involving excision and in no studies involving LVA. In general, the quality of the included literature was considered to be fair. Although surgical intervention might not always prevent the recurrence of lymphedema, all of the studies reported improved quality of life after the procedure. This study could be used as the basis for evidence-based guidelines to be applied in clinical practice for managing male GL.

• 대한통합의학회지
• /
• 제9권4호
• /
• pp.85-89
• /
• 2021

Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole. Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced. Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.

• Archives of Plastic Surgery
• /
• 제48권3호
• /
• pp.246-253
• /
• 2021

In order to provide a physiological solution for patients with breast cancer-related lymphedema (BCRL), the surgeon must understand where and how the pathology of lymphedema occurred. Based on each patient's pathology, the treatment plan should be carefully decided and individualized. At the authors' institution, the treatment plan is made individually based on each patient's symptoms and relative factors. Most early-stage patients first undergo decongestive therapy and then, depending on the efficacy of the treatment, a surgical approach is suggested. If the patient is indicated for surgery, all the points of lymphatic flow obstruction are carefully examined. Thus a BCRL patient can be considered for lymphaticovenous anastomosis (LVA), a lymph node flap, scar resection, or a combination thereof. LVA targets ectatic superficial collecting lymphatics, which are located within the deep fat layer, and preoperative mapping using ultrasonography is critical. If there is contracture on the axilla, axillary scar removal is indicated to relieve the vein pressure and allow better drainage. Furthermore, removing the scars and reconstructing the fat layer will allow a better chance for the lymphatics to regenerate. After complete removal of scar tissue, a regional fat flap or a superficial circumflex iliac artery perforator flap with lymph node transfer is performed. By deciding the surgical planning for BCRL based on each patient's pathophysiology, optimal outcomes can be achieved. Depending on each patient's pathophysiology, LVA, scar removal, vascularized lymph node transfer with a sufficient adipocutaneous flap, and simultaneous breast reconstruction should be planned.

• Tuberculosis and Respiratory Diseases
• /
• 제56권6호
• /
• pp.646-656
• /
• 2004

연구배경 : 폐암의 종격동 림프절 전이에 관한 연구들은 대부분 외과적 절제술을 통해서 조직학적으로 진단된 예들에서 림프절 전이 양상을 조사하였는데, 이러한 연구는 상대적으로 초기 폐암 환자를 대상으로 하였기 때문에 진행된 폐암에서의 종격동 림프절 전이양상을 규명 하는데는 한계가 있다. 저자들은 흉부 전산화단층촬영상 종격동 림프절 종대가 있는 비소세포 폐암 환자들을 대상으로 종양의 위치에 따른 종격동 림프절 종대의 분포를 조사하고 이를 토대로 림프절 전이양상을 조사하기 위해 본 연구를 시행하였다. 대상 및 방법 : 1995년 1월부터 1998년 12월까지 경북대학교병원에서 비소세포 폐암으로 진단된 환자 가운데 흉부 전산화단층촬영상 종격동 림프절 종대(림프절 단경${\geq}1$ cm)를 보인 256예를 대상으로 임상적 특징, 폐암의 위치, 종격동 림프절 종대 구역을 조사하였다. 결 과 : 1. 우상엽 폐암은 우측 상부 종격동 림프절 종대만 있는 경우(36.8%)와 구역 7 림프절 종대와 우측 상부 종격동 림프절 종대가 함께 있는 경우(33.3%)가 가장 많았으며, 좌상엽 폐암은 좌측 상부 종격동 림프절 종대만 있는 경우가 가장 많았다(50.0%). 우상엽 및 좌상엽 폐암 모두에서 동측 상부 종격동림프절 종대 없이 구역 7 림프절 종대가 있는 경우는 드물었다(각각 7.0% 및 13.2%). 2. 우하엽 및 좌하엽 폐암은 모두 구역 7 림프절 종대의 빈도가 가장 높았고(각각 88.2% 및 65.7%), 구역 7 림프절 종대가 있는 경우 우하엽 폐암은 동측 혹은 양측 종격동 림프절 종대가 있는 경우의 빈도가 유사하였으나 (각각 33.3% 혹은 29.4%), 좌하엽 폐암의 경우는 동측 상부 종격동 림프절 종대 보다 양측 상부 종격동 림프절 종대가 있는 빈도가 높았다(각각 8.6%와 25.7%). 결 론 : 우상엽 폐암과 좌상엽 폐암은 동측 상부 종격동 림프절로의 직접전이가 주된 전이경로로 생각되며, 우하엽 폐암과 좌하엽 폐암은 구역 7 림프절을 경유한 상부 종격동 림프절로의 전이가 주된 기전으로 생각된다.

• Journal of Hospice and Palliative Care
• /
• 제12권1호
• /
• pp.27-31
• /
• 2009

목적: 림프부종은 림프계 이상으로 림프액 이동이 원활하지 못하여 생기는 팔다리 조직의 팽창을 의미한다. 현재 가장 효과적인 치료법은 복합적인 림프부종 치료법이지만 이 치료는 수술적 치료가 요구되는 환자에게는 효과가 없다. 이번 연구에서는 물리 치료법에 실패한 환자의 피하 지방조직에 비침습적 바늘 흡인술을 실시하여 그 효과를 알아보고자 하였다. 방법: 2003년 8월 1일부터 2004년 2월 28일까지 일개대학 병원 림프부종 클리닉에 방문하여 상하지 림프부종 2${\sim}$3기를 진단받은 환자를 대상으로 실시하였다. 모든 환자는 1년 이상 복합적인 림프부종 치료법을 실시하였으나 치료에 반응이 없었으며 9명의 환자는 유방암, 12명의 환자는 자궁경부암 환자였다. 치료 전 자기공명영상(MRI)을 실시하여 부종이 가장 심한 부위를 찾아 바늘 흡인술을 실시한 후 3개월 동안 추적 관찰하였다. 치료의 효과는 치료 전과 치료 3개월 후 부종 부피를 계산하여 Wilcoxon signed rank-test를 통해 비교하였다. 결과: 치료 전과 치료 3개월 후의 평균 부종 감소율은 29.1%였다(P=0.001). 국소적 출혈 이외 다른 특별한 부작용은 없었다. 결론: 바늘 흡인술은 복합적인 림프부종 치료법에 반응이 없는 림프부종 2, 3기 환자에게 수술에 앞서 고려해볼 수 있는 안전하고 효과적인 방법이다.

• 대한골관절종양학회지
• /
• 제16권2호
• /
• pp.69-73
• /
• 2010

목적: 사지에 발생된 편평 상피암이나 악성 흑색종에서 술 중 소속 림프절 생검의 의미에 대해 알아보고자 한다. 대상 및 방법: 2005년 9월부터 2009년 1월까지 본원에서 악성 흑색종 또는 편평상피세포암으로 진단된 환자 중, 원발 부위의 광범위 절제술을 시행한 이후 술 후 면역항암화학요법을 시행하고 1년 이상 추시가 가능하였던 악성 흑색종 15예, 편평상피암 10예, 총 25예를 대상으로 하였고, 이 중 소속 림프절 생검을 시행한 군은 10예였다. 평균 연령은 64세였으며, 남자 15예, 여자 10예였다. 결과: 총 25예의 3년 생존율은 100%였고, 3년 무병 생존율는 76%였다. 총 6예에서 전이가 발생하였고, 서혜부 림프절 4예, 슬부 주위 연부조직 1예, 좌측 아킬레스건 1예였다. 소속 림프절 절제술을 시행하지 않았던 15예에서는 평균 생존율은 93.3%였고, 무병 생존율은 73.3%였다. 소속 림프절 절제술을 시행한 10예에서 평균 생존율은 100%였고, 무병 생존율은 90%였다. 술 중 소속 림프절 절제술을 시행한 10예 중 단 1예에서만 조직검사 상 양성 소견을 보였고, 소속 림프절 절제술을 시행하였던 10예 모두에서 추시 상 전이는 없었다. 소속 림프절 절제술 이후 합병증이 발생한 경우는 없었다. 결론: 소속 림프절의 생검 및 절제는 과거의 전 림프절 절제술과 비교하여 간단하고 적은 합병증으로 높은 정확도를 보이며, 종양의 정확한 병기 설정으로 치료 방향을 결정하는 것이 환자의 생존율을 높이는데 도움을 줄 수 있다고 판단된다.