• Title/Summary/Keyword: Root anomaly

Search Result 54, Processing Time 0.016 seconds

Vaginal Reconstruction with Modified Singapore Flap in MRK Syndrome Patients (MRK증후군 환자에서 변형 Singapore피판술을 이용한 질 재건)

  • Kim, Do-Hoon;Pyon, Jai-Kyong;Mun, Goo-Hyun;Bang, Sa-Ik;Oh, Kap-Sung;Lim, So-Young
    • Archives of Plastic Surgery
    • /
    • v.38 no.5
    • /
    • pp.616-620
    • /
    • 2011
  • Purpose: Mayer-Rokitansky-Kuster syndrome (MRK) is second common cause of primary amenorrhea. It is a syndrome of vaginal aplasia and Mullerian duct anomaly. Vaginal aplasia varies from agenesis of whole vagina to aplasia of upper 2/3. For reconstructing vagina, various methods are introduced. Gracilis myocutaneous flap was the first attempt in that the flap is used in vaginal reconstruction. Various flap-based vaginal reconstruction methods have been introduced. Modified Singapore flap (pedicled neurovascular pudendal thigh fasciocutaneous flap) is one of those methods that used posterior labial artery as pedicle, and pudendal nerve branch as sensory root. As its donor lies on inguinal crease that is easily hidden and there are benefits on sexual intercourse by early sensory recovery, authors think that modified Singapore flap is effective for young MRK syndrome patients. Methods: Eight patients underwent surgery between 2008 and 2010. The flap was designed on both groin area with external pudendal artery branch as a pedicle. All flaps were fixated in pelvic cavity with absorbable suture, and additional compression on neovaginal wall was supplied by polyvinyl alcohol sponge ($Merocel^{(R)}$). Results: All patients were successfully reconstructed without flap related complications such as congestion or partial flap loss. The average size of the flap (each side) was 69.34 $cm^2$. Polyvinyl alcohol sponge ($Merocel^{(R)}$) was inserted into neovagina for 5 days on every patient. One case of rectal laceration was occurred while making pelvic pocket by OBGY team. Other complications such as lumen narrowing, wound contracture or vaginal prolapsed were not reported during 8 months of follow up. Conclusion: Modified Singapore flap is a sensate fasciocutaneous flap that is thinner than other myocutaneous flap such as VRAM, and more durable over skin graft. Therefore this is a good choice for vaginal reconstruction in MRK syndrome. And known complications of Modified Singapore flap could be reduced with careful procedure and mild compression techniques.

Impacts of Argo temperature in East Sea Regional Ocean Model with a 3D-Var Data Assimilation (동해 해양자료동화시스템에 대한 Argo 자료동화 민감도 분석)

  • KIM, SOYEON;JO, YOUNGSOON;KIM, YOUNG-HO;LIM, BYUNGHWAN;CHANG, PIL-HUN
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
    • /
    • v.20 no.3
    • /
    • pp.119-130
    • /
    • 2015
  • Impacts of Argo temperature assimilation on the analysis fields in the East Sea is investigated by using DAESROM, the East Sea Regional Ocean Model with a 3-dimensional variational assimilation module (Kim et al., 2009). Namely, we produced analysis fields in 2009, in which temperature profiles, sea surface temperature (SST) and sea surface height (SSH) anomaly were assimilated (Exp. AllDa) and carried out additional experiment by withdrawing Argo temperature data (Exp. NoArgo). When comparing both experimental results using assimilated temperature profiles, Root Mean Square Error (RMSE) of the Exp. AllDa is generally lower than the Exp. NoArgo. In particular, the Argo impacts are large in the subsurface layer, showing the RMSE difference of about $0.5^{\circ}C$. Based on the observations of 14 surface drifters, Argo impacts on the current and temperature fields in the surface layer are investigated. In general, surface currents along the drifter positions are improved in the Exp. AllDa, and large RMSE differences (about 2.0~6.0 cm/s) between both experiments are found in drifters which observed longer period in the southern region where Argo density was high. On the other hand, Argo impacts on the SST fields are negligible, and it is considered that SST assimilation with 1-day interval has dominant effects. Similar to the difference of surface current fields between both experiments, SSH fields also reveal significant difference in the southern East Sea, for example the southwestern Yamato Basin where anticyclonic circulation develops. The comparison of SSH fields implies that SSH assimilation does not correct the SSH difference caused by withdrawing Argo data. Thus Argo assimilation has an important role to reproduce meso-scale circulation features in the East Sea.

Geophysical characteristics of seamounts around Dok Island (동해 독도주변 해산의 지구물리학적 특성)

  • 강무희;한현철;윤혜수;이치원
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
    • /
    • v.7 no.4
    • /
    • pp.267-285
    • /
    • 2002
  • Dok Island, a Pliocene volcano, lies in the southwestern part of the East Sea. Most the work to date have focused primarily on the petrolography of the island, and as a result, the morphological characteristics and internal structure of the volcanic edifices of the Dok Island remain poorly understood. To provide better constraints on these features, bathymetric data with multibeam echo sounder, 32-channel seismic and 3D gravity modeling were used in this study. Three positive topographic highs are present in the study area, and these highs satisfy the seamount criteria. They are named as Dokdo, Tamhae, and Donghae seamounts. 32-channel seismic survey was conducted to investigate the sediment thickness of the area, which shows that there are no sediments near the summit of seamounts. Away from the seamounts, however, sediment becomes thick(>2000 m) toward the western part of the study area, and sediments in the northern and southern parts are about 1000 m thick. Free-Air gravity anomalies in this study generally follow the bathymetric feature with less than -20 mGal at the western part, but increase towards the seamounts. In the summit of the Dokdo Seamount, anomalies reach over 120 mGal, and in Tamhae and Donghae seamounts, the peak anomaly shows 90 and 70 mGals, respectively. All seamounts have an isolated volcanic conduit in their centre and show regional compensation root with 0.5~1.5 km thickness. The flat-topped summit of the seamounts is probably caused by wave truncation, indicating the sea level at the time of formation of the flat-topped geometry. Comparison between the present-day sea level and subsidence level during the opening of the East Sea suggests that the seamounts in the study area have subsided by 200~300 m after the formation. Furthermore, it implies that the seamounts formed over 12~10 Ma.

Estimation of the Surface Currents using Mean Dynamic Topography and Satellite Altimeter Data in the East Sea (평균역학고도장과 인공위성고도계 자료를 이용한 동해 표층해류 추산)

  • Lee, Sang-Hyun;Byun, Do-Seong;Choi, Byoung-Ju;Lee, Eun-Il
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
    • /
    • v.14 no.4
    • /
    • pp.195-204
    • /
    • 2009
  • In order to estimate sea surface current fields in the East Sea, we examined characteristics of mean dynamic topography (MDT) fields (or mean surface current field, MSC) generated from three different methods. This preliminary investigation evaluates the accuracy of surface currents estimated from satellite-derived sea level anomaly (SLA) data and three MDT fields in the East Sea. AVISO (Archiving, Validation and Interpretation of Satellite Oceanographic data) provides a MDT field derived from satellite observation and numerical models with $0.25^{\circ}$ horizontal resolution. Steric height field relative to 500 dbar from temperature and salinity profiles in the East Sea supplies another MDT field. Trajectory data of surface drifters (ARGOS) in the East Sea for 14 years provide another MSC field. Absolute dynamic topography (ADT) field is calculated by adding SLA to each MDT. Application of geostrophic equation to three different ADT fields yields three surface geostrophic current fields. Comparisons were made between the estimated surface currents from the three different methods and in-situ current measurements from a ship-mounted ADCP (Acoustic Doppler Current Profiler) in the southwestern East Sea in 2005. For offshore areas more than 50 km away from the land, the correlation coefficients (R) between the estimated versus the measured currents range from 0.58 to 0.73, with 17.1 to $21.7\;cm\;s^{-1}$ root mean square deviation (RMSD). For coastal ocean within 50 km from the land, however, R ranges from 0.06 to 0.46 and RMSD ranges from 15.5 to $28.0\;cm\;s^{-1}$. Results from this study reveal that a new approach in producing MDT and SLA is required to improve the accuracy of surface current estimations for the shallow costal zones of the East Sea.