• 제목/요약/키워드: Operative technique

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술중 풍선 확장을 이용한 일시적 근위부 결찰과 흡입, 감압술을 실시한 내경동맥의 거대동맥류 결찰 - 증례보고 - (Neck Clipping of Giant Aneurysm in ICA Using Intra-Operative Temporary Balloon Occlusion and Suction Decompression Technique - A Case Report -)

  • 원근수;신용삼;박한준;이성운;윤수한;조기홍;조경기
    • Journal of Korean Neurosurgical Society
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    • 제30권sup1호
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    • pp.165-169
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    • 2001
  • Apatient, 51 years old woman, had suffered form headache and decrease of visual acuity. She had $3{\times}3cm$ sized giant aneurysm originated in cavernous and clinoid portion of left ICA(C4,C5) in the cerebral angiography. Before craniotomy, left CCA was exposed and 6F double lumen catheter was inserted in left ICA through the sheath. Pre-operative angiography was done. balloon catheter was positioned at the petrous portion of ICA. Eyebrow approach was done and giant aneurysm was exposed. The proximal blood flow was controlled with balloon dilatation and suction and decompression was tried, then multiple clips were applied. The loss of distal blood flow under intra-operative angiography was notified after clipping. The position of clips were repositioned to preserve blood flow & the rich flow was confirmed at distal part of clipping. In the post-operative cerebral angiography, the same finding was shown.

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가성소다에 의한 식도협착에 대한 외과적 치료 (The Surgical Management of Esophageal Stenosis due to Lye Solution)

  • 정영환
    • Journal of Chest Surgery
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    • 제6권2호
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    • pp.219-224
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    • 1973
  • 82 cases of esophageal stenosis due to lye solution in our hospital, which is surgicallly treated with retrosternal esophagoplasty were reported. female was 2 times more then male and average age is 30 years old. Dyphagia and precordial pain were chief complaint. In this technique, jejunum, right and left colon were substituted for constricted esophagus. Postoperative complication rate 14.6%, mortality rate due to other complication were 21.9% but had not seen in this operative technique.

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배농관 삽입에 의한 치성양종의 치험예 (THE CASE REPORT OF THE DENTIGEROUS CYST TREATED BY INTUBATION TECHNIQUE)

  • 윤수한
    • 대한치과의사협회지
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    • 제15권2호
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    • pp.111-114
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    • 1977
  • The case of the extensive dentigerous cyst treated by intubation technique is reported. 1) An incision is made, and the sterile polyethylene tube is inserted into the prepared opening so that it gently contacts the base of the lesion in 11 year old man. 2) The purpose to maintain vitality of adjacent tooth was achieved by means of intubation in lesion. 3) After 9 months, the extensive periapical lesion was completely replaced with new bone tissue.

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Bacterial leakage and micro-computed tomography evaluation in round-shaped canals obturated with bioceramic cone and sealer using matched single cone technique

  • Yanpiset, Kallaya;Banomyong, Danuchit;Chotvorrarak, Kanet;Srisatjaluk, Ratchapin Laovanitch
    • Restorative Dentistry and Endodontics
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    • 제43권3호
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    • pp.30.1-30.12
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    • 2018
  • Objectives: To evaluate sealing ability of root canals obturated with bioceramic-impregnated gutta percha cone (BCC) or gutta percha (GP), with bioceramic sealer (BCS) or AH Plus (AH; Dentsply-Maillefer), in roundly-prepared canals using matched single-cone technique, based on bacterial leakage test, and to analyze obturation quality using micro-computed tomography (CT) analysis. Materials and Methods: Ninety-two distobuccal roots of maxillary molars were prepared using nickel-titanium files to apical size 40/0.06. The roots were divided into 4 groups (n = 20) that were obturated with a master cone and sealer: GP/AH, BCC/AH, GP/BCS, and BCC/BCS. Bacterial leakage model using Enterococcus faecalis was used to evaluate sealing ability for 60-day period. Obturated samples from each group (n = 4) were analyzed using micro-CT. Results: All groups showed bacterial leakage at 20%-45% of samples with mean leakage times of 42-52 days. There were no significant differences in bacterial leakage among the groups. Micro-CT showed minimal gaps and voids in all groups at less than 1%. Conclusions: In roundly-prepared canals, the single cone obturation with BCC/BCS was comparable to GP/AH for bacterial leakage at 60 days.

수요경향과 온도를 고려한 1일 최대전력 수요예측 (Daily peak load forecasting considering the load trend and temperature)

  • 최낙훈;손광명;이태기
    • 조명전기설비학회논문지
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    • 제15권6호
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    • pp.35-42
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    • 2001
  • 1일 최대전력 부하 예측 자료는 계통의 경제적 운용과 전력 감시에 필수적이므로 정확한 예측기법이 요구된다. 신경회로망이나 퍼지이론을 한 예측비법의 장점은 정도(精度)가 높고 운용하기가 편리한 점은 있으나 학습시간이 길고, 부하가 급변할 때는 예측오차가 크게 발생한다. 본 연구에서는 이러한 단점을 개선하기 위하여 새로운 예측 기법을 제시하였으며 예측결과에서 타당성이 입증되었다.

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상행 대동맥 질환의 외과적 치료 (Surgical treatment of the disease involving ascending aorta)

  • 백완기
    • Journal of Chest Surgery
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    • 제27권7호
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    • pp.581-586
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    • 1994
  • From February 1985 to February 1993, 18 operations were performed in 17 patients for treatment of aneurysmal disease [n=12] and/or dissection of the ascending aorta [n=6]. The ages ranged from 26 to 69 years [mean 44.3 $\pm$ 11.0 years].The proposed operations include composite graft replacement of aortic valve and ascending aorta with coronary reimplantation in 11, graft replacement of ascending aorta alone in 5, aortic valve replacement and supracoronary graft replacement in 1 and ascending aorta to abdominal aorta bypass with thromboexclusion of descending aorta in one patient. Both Bentall [n=6] and Cabrol [n=5] technique were utilized for reimplantation of coronary arteries.Concomitant replacement of aortic arch and arch vessel reconstruction was necessary in two patients. Hypothermic circulatory arrest was utilized in 6 patients. Recently, four patients were managed on warm blood continuous cardioplegia via retrograde route. There were no operative deaths. No significant postoperative complications were noted. Postoperative follow up was complete in 15 patients from 1 month to 72 months. Redo operation was necessary in one patient who had suffered from distal recurrence of dissection 5 years after successful Bentall operation. The other patients are all in excellent clinical condition. From our early experience with those 17 cases, we assume that satisfactory operative result could be achieved with a variety of surgical technique including hypothermic circulatory arrest. In addition, continuous perfusion of warm blood cardioplegia via retrograde route is supposed to be beneficial in selected cases.

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아킬레스건 파열에 대한 수술 후 조기 재활 치료 (Early Mobilization after Operative Treatment of a ruptured Achilles tendon)

  • 정형진;박준석;김현호;박용원
    • 대한족부족관절학회지
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    • 제7권1호
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    • pp.78-82
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    • 2003
  • Purpose: The purpose of the study is to evaluate the clinical outcomes of acute achilles tendon rupture patients treated by early mobilization after operative repair. Materials and Methods: In this retrospective study, 12 patients of acute Achilles tendon rupture were surgically treated from May 2001 to November 2002, with follow-up period of at least 6 months. There were 10 men and 2 women, and mean age was 35.9 year. The repair method was single Krackow suture technique. Two to three weeks after the operation, early ROM with removable ankle-foot orthosis(AFO) was started. We used Amer-Lindholm scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. Results: We had 11 excellent results(92%), and 1 good results(8%). One-leg heel raising was possible in all patients. All the patients returned to the preinjury occupations and 7 patients(58%) reached the preoperative level of sports activities. There was no significant difference in ankle ROM and ankle plantar flexion isokinetic strength compared to contralateral side. There was, no reruptures. Conclusion: Early mobilization proved to be a well tolerated, safe, and effective means for the compliant patient.

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일차성 자연기흉에서 Naruke개흉기를 이용한 최소 액와절개술 (Transaxillary Minithoracotomy with Naruke Thoraco-opener in the Operative Treatments of Primary Spontaneous Pneumothorax)

  • 김병호;허동명
    • Journal of Chest Surgery
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    • 제32권7호
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    • pp.648-652
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    • 1999
  • 배경: 액와절개술을 통한 폐기포절제술은 일차성 자연기흉의 수술적 치료로 많이 사용되어왔다. 대상 및 방법: 액와절개술시 사용되는 개흉기의 종류에 따른 임상성적을 비교하기 위하여 Naruke개흉기(N군)와 Finochieto개흉기(F군)를 이용하였다. 1997년 9월부터 1998년 9월 까지 대구 파티마 병원에서 일차성 자연기 흉에 있어서 액와절개술로 교정한 46례 중 Finochieto개흉기를 이용한 군이 22례 였으며, Naruke개흉기를 이 용한 군이 24례 였다. 결과: 수술시간 및 입원기간, 술 후 입원기간, 술 후 흉관 삽관 기간, 술 후 재발율이나 합병증에는 두 군간에 유의한 차이가 없었다. 결론: 일차성 자연기흉의 수술적 치료에 있어서 Naruke 개흉기 를 이용한 방법이 매우 유용할 것이다.

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양악 악교정 수술에서 르포트 I형과 U-자형 복합 골절단술 후 상악골의 안정성에 관한 임상적 연구 (POST-OPERATIVE SKELETAL STABILITY OF THE MAXILLA TREATED WITH LE FORT I AND U-SHAPED OSTEOTOMIES IN SIMULTANEOUS MAXILLOMANDIBULAR ORTHOGNATHIC SURGERY)

  • 김민근;박영욱
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제31권6호
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    • pp.485-491
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    • 2009
  • Postoperative skeletal stability was evaluated in combination of Le Fort I and U-shaped osteotomies for superior repositioning of maxilla in bi-maxillary surgeries in 30 consecutive patients. The fifteen patients underwent Le Fort I osteotomy alone and the other fifteen patients underwent Le Fort I and U-shaped osteotomies. In all patients, the maxilla was first osteomized and fixed with absorbable plates system. A bilateral sagittal split ramus osteotomy (BSSRO) of the mandible was then carried out and fixation was performed using absorbable plates. Maxillo-mandibular fixation with rubber ring was used for two weeks post-operatively in all patients. Lateral cephalograms were obtained pre-operatively, 1 day post-operatively, 6 months after surgery. The changes in anterior nasal spine (ANS), point A, upper incisior (U1), and point of maxillary tuberosity (PMT) were examined. The maxillas in the fifteen patients of both examination group were repositioned nearly in their planned positions during surgery and no significant post-operative changes in the examined points of the maxilla were found. These results suggest that a combination of a Le Fort I and U-shaped osteotomy is a useful technique for reliable superior repositioning of the maxilla. The post-operative change in the maxilla using this combination osteotomy was comparatively stable.

관상동맥 우회수술의 조기성적 (술후 혈관조영술을 통한 분석) (Early Result of the Coronary artery Bypass Surgery (Analysis with the Postoperative Coronary artery Angiography))

  • 류경민;김삼현;박성식;류재옥;서필원
    • Journal of Chest Surgery
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    • 제33권6호
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    • pp.487-493
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    • 2000
  • Background: Early patency of the coronary artery bypass grafting is determined mainly by surgical technique and status of coronary artery. We analyzed the early result, focusing on the relationship between postoperative angiographic findings and the patency rate. Material and method: During the period of July 1997- August 1999, 86 cases of CABG were performed and the postoperative coronary artery angiography was done in 76 cases on postoperative day 7 to assess the graft patency. Result: Overall graft patency was 90.2% on the angiographic finding. Factors influencing the early graft occlusion were the surgeon's experience, small coronary artery size less than 1.5mm in diameter, coronary arteries related to pre-operative myocardial infarction, and local atheroma at the anastomosis site(p<0.001). Operative mortailty was 2.3%. Early recurrence of the symptom was 19.8% during the follow up period. Conclusion: We examined the postoperative coronary angiography and found that the surgeon's experience, small coronary artery size less than 1.5mm in diameter, bypass surgery on the coronary arteries related to pre-operative myocardial infarction, and local atheroma at the anastomosis site were the factors for the graft occlusion.

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