• Journal of Chest Surgery
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• v.56 no.1
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• pp.56-58
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• 2023

Untreated severe tricuspid regurgitation (TR) is associated with poor outcomes. Functional TR occurs secondary to dilatation of the annulus and tethering of the leaflets. Ring annuloplasty alone can correct most cases, but is insufficient in cases of severe annular dilatation due to severe leaflet tethering. In such cases, a tricuspid edge-to-edge technique may be an option. However, stitching of the leaflet tips alone is likely to result in tearing of the leaflets. Approximation of the durable chordae tendineae is considered helpful for this problem. Herein, we present the case of a 39-year-old man who had undergone open-heart surgery for acute type A aortic dissection 13 months earlier. A right mini-thoracotomy approach with a beating-heart strategy was used, which did not require unnecessary pericardial adhesiolysis and dissection. This technique had the advantage of reducing the operation time and the risk of bleeding. To summarize, we present a case of tricuspid valve repair in a high-risk patient with severe leaflet tethering that was successfully managed using these methods.

• Clinics in Shoulder and Elbow
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• v.17 no.3
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• pp.134-137
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• 2014

To report the fracture of proximal humerus in the lateral anchor site after suture bridge repair. A 57-year-old female patient with shoulder pain on the right-side was admitted through the emergency room following a car accident. Seven weeks before the accident, the patient had undergone surgery at a different hospital for the repair of supraspinatus tendon rupture on the right-side via suture bridge technique. Humerus surgical neck fracture was confirmed by X-ray, and proximal humerus fracture at the anchor site was confirmed by magnetic resonance imaging. Following 7 months of conservative treatment resulted in satisfactory bone union and motion of the shoulder joint. We report the need of close observation during and after the arthroscopic repair of the rotator cuff in patients with osteoporosis.

• Journal of Chest Surgery
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• v.27 no.11
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• pp.902-906
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• 1994

Between May 1991 and August 1993, 16 patients underwent repair of complete atrioventricular septal defect without another major anomaly at Cardiovascular Center,Yonsei University College of Medicine. Ages of the patients ranged from 3 months to 38 years with a mean of 42 months. Among 16, 10 patients[63%] are associated with Down`s syndrome. All patients underwent primary repair except and one who received had been repaire of coactation of aorta and patent ductus arteriosus 2 month before. Preoperative mitral valve regurgitation [MR] was evaluated with Doppler echocardiography and angiography which revealed absent or grade I in 1, grade II in 8, grade III in 4, and grade IV in 3. Operative technique was performed under the moderate hypothermic cardiopulmonary bypass with crystalloid cardioplegia. Intraoperative echocardiography was performed epicardial approach [n=7] in the operative table or transthoracic approach [n=9] at intensive care unit. In all patients except 3, MR were improved. But in 3 patients, was not improved or exagerated comparing preoperative one. All of them were died.One patient was showed MR grade IV in intraoperative echocardiography, we re-repaired atriventricular valve with cardiopulmonary bypass. During follow-up period [at a mean of 11 months after repair], doppler echocardiography was performed in all patients. The follow up echocardiography revealed that the degree of MR in immediate postoperative period was not changed except in two patients in whom it was aggravated. Thus it seems that intraoperative and early postoperative echocardiography was employed important role of survival and can be predictable for long term results.

• Structural Engineering and Mechanics
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• v.50 no.4
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• pp.525-539
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• 2014

Bonded composite-patch repair has been widely used to restore or extend the service life of damaged structures due to its effectiveness as a mechanical repair technique. In this paper using extended finite element method (XFEM), three-dimensional crack models are developed to examine the fracture behavior of centrally cracked aluminum plates repaired with single and double sided composite patches. Stress intensity factor (SIF) at the crack tip is used as the fracture criterion. In this regard, the effects of the crack lengths, patch materials, orientation of plies, adhesive and patch thickness are examined to estimate the SIF of the repaired plate and the repair performance. The obtained results show that composite patches have significant effect on reduction of the SIF at the crack tip. It is also proved that using double symmetric repair, in comparison to single one, reduces considerably SIF at the crack tip. Hence, the residual strength can be improved significantly as well as fatigue life of the structure. Investigation of ply orientation effects shows SIF increase as the ply orientation is changed from $0^{\circ}$ (perpendicular to the advancing crack) to $90^{\circ}$ (parallel to the crack line). However, the effectiveness of the ply orientation depends on the loading direction and the crack direction.

• Archives of Plastic Surgery
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• v.47 no.3
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• pp.263-266
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• 2020

Infantile hemangiomas have a growth phase and an involution phase. For this reason, serial observation has generally been recommended as the treatment for uncomplicated infantile hemangiomas. Recently, however, individualized approaches have been emphasized. Although cleft lip and infantile hemangioma are common congenital diseases, infantile hemangiomas on the cleft side (i.e., in the operative field of the cleft lip) are extremely rare, and no clear guidelines have been established for their treatment. We experienced a case in which a patient with a cleft lip had an infantile hemangioma on the cleft side. In accordance with general treatment guidelines, cleft repair was performed 3 months after birth. The Millard rotation-advancement technique, which involves the use of a lower small triangular flap, was used for the repair. No intraoperative complications, such as massive bleeding, or postoperative complications were noted. The patient has received regular follow-up for the past 18 years, and other than a reddish scar on the lower lip, he currently has no related issues. Therefore, this case demonstrates that cleft lip repair performed according to cleft lip treatment guidelines produces good outcomes, even in cases involving a hemangioma on the cleft side.

• Clinics in Shoulder and Elbow
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• v.9 no.1
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• pp.27-33
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• 2006

Purpose: To investigate early complications after repair of massive rotator cuff tears and to find out factors that compromise the results. Materials and Methods: Fourteen patients who had two or more cuff tendons involved were included. All patients were operated by open acromioplasty and rotator cuff repair. At 3 months after operation, we investigated whether there were any early complications or not. We used ASES scoring system for preoperative and follow up evaluation. In addition, various preoperative factors, such as duration of symptom, degree of tendon retraction, degree of fatty degeneration, and acromio-humeral distance, were compared between the complicated patients and non-complicated patients. Results: At 3 months after operation, the ASES score and pain were improved in any degree in all patients. But 5 patients complained persisting pain, and three of them showed major complications such as re-rupture of rotator cuff or deltoid rupture. But no preoperative factors in complicated patients were significantly different from those in non-complicated patients. Conclusion: None of the preoperative factors were related to the complications. There was a tendency of overestimation of fatty degeneration in MRI. Some factors in surgical technique and rehabilitation were highly suspected to be related to the complications.

• Proceedings of the Korea Concrete Institute Conference
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• 2006.11a
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• pp.397-400
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• 2006

Most of the civil structures in Korea and abroad have many kinds of damages when they are facing over-loaded traffics, long-term serviceability, and severe environmental conditions. Repair, rehabilitation, and retrofit are important for maintaining the serviceability of structures. In recent year, VES-LMC has been widely used as repair material for bridge deck repair and rehabilitation, because the VES-LMC has a various benefits such as traffic opening after 3 hours of curing, higher durability and bond strength. In case of any structure repaired or rehabilitated with VES-LMC, those were influenced capacity of bond between the base layer of slab and VES-LMC as well as physical properties of each other materials. The capacity of bond depended on purity of interface, micro cracks, curing of VES-LMC and so like. A kind of popular concrete repair technique, High pressure water jetting equipment is extremely efficient at removing damaged concrete. Removing damaged or poor quality concrete from sensitive structures such as bridge, tunnels, multi-story car parking decks and runways, using the high pressure water jetting could remove damaged or poor quality concrete remaining healthy and sound concrete. Accordingly, the purpose of this study is that it was to evaluate effect of hydrodemolition on the bond strength of VES-LMC overlay compared with effects of other method such as breaker, untreated. Also, it was evaluated the effect of surface moisture.

• Structural Engineering and Mechanics
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• v.91 no.2
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• pp.135-147
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• 2024

The objective of this study is to analyze, using the finite element method, the durability of damaged and repaired structures under the effect of mechanical loading coupled with environmental conditions (water absorption and/or temperature). The study is based on the hybrid patch repair technique, considering several parameters based on the J integral to observe the behavior of the adhesive in transferring load from a damaged plate to the repair patch. The results clearly show that water absorption and increased temperature cause degradation of the mechanical properties of the adhesive, leading to an increase in its plasticization, which is beneficial for the assembly's strength. However, the degradation of the adhesive's properties due to aging in the repair results in poor load transfer from the damaged area to the patch. The findings of this study allowed the authors to conclude that the [0°]8 sequence consistently offers the best performance, with the lowest J integral values and superior crack resistance. The lowest the J integral for the [0°]8 stacking sequence is typically 3-7% lower than that of the [0/-45/45/90]S and [0/-45/90/45]S sequences at elevated temperatures. At 60℃, the J integral increases by approximately 3-6% compared to 40℃ and 20, depending on the aging duration and stacking sequences.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.31 no.4D
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• pp.565-569
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• 2011

This paper presents minimum area repair method that is one of the preventive maintenance techniques in asphalt concrete pavements. In this method, a 70cm-width as an effective repair zone was suggested considering the conventional longitudinal damages (rutting and fatigue cracking) in early stages. In addition, the repair zone can be readjusted according to the pavement damage levels. A field test bed was constructed to verify the adaptness for the repair method. Test results revealed that the minimum area repair method can be adopted as a preventive maintenance technique in flexible pavements to recover an appropriate serviceability level. The preventive maintenance method may be one of the major maintenance methods of flexible pavements with an appropriate application. It is also noted that the method may be a long term maintenance cost effective and pavement life ensuring one.

• Archives of Plastic Surgery
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• v.38 no.3
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• pp.329-332
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• 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.