• Title/Summary/Keyword: Repair technique

Search Result 680, Processing Time 0.023 seconds

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

  • Lim, Jae Hong;Sung, Yong Won;Oh, Se Jin;Moon, Hyeon Jong;Lee, Jeong Sang;Choi, Jae-Sung
    • Journal of Chest Surgery
    • /
    • v.47 no.1
    • /
    • pp.71-74
    • /
    • 2014
  • For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

A Simulation Study of Navy Drydocks (해군 건선거 모의실험 연구)

  • Jo Deok-Un
    • Journal of the military operations research society of Korea
    • /
    • v.9 no.2
    • /
    • pp.23-30
    • /
    • 1983
  • A simulation study was conducted to determine optimum capacity of Navy drydock facility using GASP-IV, an advanced FORTRAN-based simulation language, under demands of regular overhauls and emergency repairs by ships of an hypothetical fleet composition. Three year dock usage data was analyzed to produce probability distributions underlying drydock repair demands. The present facility size of two drydocks was simulated and was found to be somewhat short of adequate service capability, showing excessive average waiting time and average queue length. The simulation model was then modified to include an additional drydock of similar size as the other two and a year's simulation was again conducted. All repair needs were quite satisfactorily met and all docks showed very high utilization factor (0.98). This contributed to an increase in the fleet's ship availability from 0.95 to 0.99. This study illustrates the usefulness of simulation technique as a tool for analyzing policy alternatives in military long-term investment areas.

  • PDF

Analysis of Thermal Residual Stress in Composite Patches (복합재 패춰의 열잔류응력 해석)

  • 김위대;김난호
    • Proceedings of the Korean Society For Composite Materials Conference
    • /
    • 2000.11a
    • /
    • pp.63-66
    • /
    • 2000
  • This research addresses study on thermal residual stress of a composite patch repair of the edge cracked aluminium panel of aging aircraft. Composite patch repair is an efficient and economical technique to improve the damage tolerance of cracked metallic structures. These are thermal residual stresses due to the mismatch of coefficient of thermal expansion, and these are affected by the curing cycle of patch specimen. In this study, three curing cycles were selected for F.E. analysis. This study features the effect on composite patch and aluminum by thermal residual stress during crack propagation in aluminum plate.

  • PDF

Repair of an oroantral communication by a human amniotic membrane: a novel technique

  • Lakshmi, Subha;Bharani, Siva;Ambardar, Kalhan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.41 no.4
    • /
    • pp.194-197
    • /
    • 2015
  • The amniotic membrane is the innermost layer of fetal membrane and is attached to the chorion in the placenta. This membrane has been used for nearly a century in varied fields such as ophthalmology, reconstructive surgery, and burn treatment. In this case report, we used a human amniotic membrane to repair an iatrogenic oroantral communication that occurred during the extraction of the patient's right upper second molar. A splint was given after the perforation was covered with human amniotic membrane and healing was clinically evaluated at various intervals. The outcome of the study revealed that the human amniotic membrane was an efficient graft material for repairing the defect caused by an iatrogenic oroantral communication following tooth extraction.

Study on the Evaluation Methode of HVDC Cable (HVDC 케이블 평가방법 연구)

  • An, Y.H.;Jang, T.I.;Jung, G.J.;Yu, H.Y.;Kim, J.N.;Jeon, S.I.;Han, B.S.
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
    • /
    • 2005.07a
    • /
    • pp.229-231
    • /
    • 2005
  • HVDC(High Voltage Direct Current) is an underwater cable between Jeju Island and Haenam in main land and supplies approximately 50% of electrical usage in Jeju Island. If there is any power failure due to HVDC, it will cost approximately 50,000 US dollars per day including Thermal Electrical Generation. Therefore it is absolutely necessary to recover the problem in rapid timely basis. In conclusion, evaluation methode of HVDC cable is needed urgently to upgrade current HVDC underwater cable repair technique in Korea to minimize the cost and time factors.

  • PDF

Surgical Treatment of Aneurysm of the Ascending Aorta with Aortic Insufficiency (상행 대동맥류와 대동맥 판막 폐쇄부전증이 동반된 환자의 외과적 치료)

  • 장재현
    • Journal of Chest Surgery
    • /
    • v.25 no.5
    • /
    • pp.550-554
    • /
    • 1992
  • The selection of an appropriate surgical technique for repair of aneurysm of the ascending aortia with aortic insufficiency is unsettled. The etiology of the disease process has been the best indicator for the type of repair. Placement of a supracoronary graft[seperate graft and valve] is a compromise if the coronary ostia are displaced cephalad by the aneurysm, where as insertion of a valved conduit is difficult and unnecessary if the coronary ostia are normally placed. A 53 year old female patient underwent primary repaiar of proximal dissected layer and aortic valve replacement with 24mm carbomedics, The operative findings consisted of a supravalvular intimal tear, cicumferential dissection, dilated aortic annulus and normal position of coronary ostia. She is good physical activity now llmonths posoperatively.

  • PDF

Applications of Agent-Based Modeling (ABM) in Enhancing Facility Operation and Management

  • Khodabandelu, Ali;Park, JeeWoong
    • International conference on construction engineering and project management
    • /
    • 2022.06a
    • /
    • pp.393-400
    • /
    • 2022
  • Agent-based modeling (ABM), as a relatively new simulation technique, has recently gained in popularity in the civil engineering domain due to its uniquely advantageous features. Among many civil engineering applications, ABM has been applied to facility operation and management, such as energy consumption management, as well as the enhancement of maintenance and repair processes. The former studies used ABM to manage energy consumption through simulating human energy-related behaviors and their interactions with facilities, as well as electrical, heating, and cooling systems and appliances, while the latter used ABM to enhance maintenance process through facilitating coordination, negotiation, and decision making between facility managers, service providers, and repair workers. The present study aims to provide a short qualitative review on the most recent applications of ABM in the above-mentioned areas. Based on the review and follow-up analysis, the study identifies the advantages, disadvantages, and limitations of ABM applications to facility operation and management, and offers several potential future research topics in the hope of filling the existing literature gaps.

  • PDF

Novel Repair of Clamshell Thoracotomy Sternal Dehiscence after Lung Transplant: A Case Report

  • John O. Barron;Nethra Jain;Mujtaba Mubashir;Haytham Elgharably;Daniel P. Raymond;Dean P. Schraufnagel
    • Journal of Chest Surgery
    • /
    • v.57 no.2
    • /
    • pp.213-216
    • /
    • 2024
  • Bilateral transverse thoracosternotomy, or "clamshell" thoracotomy, can be complicated by dehiscence. A 65-year-old male underwent lung transplantation via clamshell thoracotomy, with subsequent sternal dehiscence on postoperative day 11. Upon repair, the previous sternal wires had pulled through, so a Sternal Talon connected to a Recon Talon was utilized to re-approximate the inferior sternum. On follow-up at 3 months, the patient recovered well. Use of the Sternal Talon provides an effective technique for repairing transverse sternal dehiscence.

Outcomes of Primary Unilateral Cheiloplasty in Same-Day Surgical Settings

  • Khan, Mansoor;Ullah, Hidayat;Aziz, Asif;Tahir, Muhammad
    • Archives of Plastic Surgery
    • /
    • v.43 no.3
    • /
    • pp.248-253
    • /
    • 2016
  • Background Financial, clinical, and psychological considerations have made same-day surgery an attractive option for a variety of procedures. This article aimed to analyse the postoperative results of same-day primary unilateral cleft nasolabial repair. Methods This study was performed from 2011 to 2014. Unilateral cleft lip patients fulfilling the inclusion criteria were preoperatively classified as mild, moderate, and severe. All patients underwent same-day surgery and were discharged after satisfying the appropriate clinical criteria, receiving thorough counselling, and the establishment of a means of communication by phone. Postoperative outcomes were assessed and stratified according to preoperative severity and the type of repair. Results A total of 423 primary unilateral cleft lip patients were included. Fisher's anatomical subunit approximation technique was the most common procedure, followed by Noordhoff's technique. The postoperative outcome was good in 89.8% of cases, fair in 9.9% of cases, and poor in 0.2% of cases. The complication rate was 1.18% (n=5), and no instances of mortality were observed. The average hospital stay was 7.5 hours, leading to a cost reduction of 19% in comparison with patients who stayed overnight for observation. Conclusions Mild unilateral cleft lip was the most common deformity for which Fisher's anatomical subunit approximation technique was performed in most of the cases, with satisfactory postoperative outcomes. Refinements in the cleft rhinoplasty techniques over the course of the study improved the results regarding cleft nasal symmetry. Single-day primary unilateral cleft cheiloplasty was found to be a cost-effective procedure that did not pose an additional risk of complications.

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

  • Lee, Hyun Il;Ryu, Ho Young;Shim, Sang-Jun;Yoo, Jae Chul
    • Clinics in Shoulder and Elbow
    • /
    • v.18 no.4
    • /
    • pp.197-205
    • /
    • 2015
  • Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying (one medial-row tie among 4 medial-row sutures) on the medial-row in double-row suture-bridge configuration ($2{\times}2$ anchor with $4{\times}4$ suture stands). Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using $2{\times}2$ anchor double-row configuration. The mean age was 61.3 years (range, 31-81 years). Two double-loaded suture anchors were used for medial-row. Four medial-row stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre- and postoperative MRI. Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery. Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears.