• Title/Summary/Keyword: Rupture site

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Rupture of a large colon associated with sand impaction in a Thoroughbred horse (Thoroughbred 말에서 sand impaction과 연관된 대결장 파열 1례)

  • Yang, Jae-Hyuk;Yang, Young-Jin;Moon, Ja-Ho;Kim, Han-Nah;Hwang, Kyu-Kye;Lim, Yoon-Kyu
    • Korean Journal of Veterinary Research
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    • v.45 no.4
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    • pp.601-606
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    • 2005
  • The disease causing colic is the greatest cause of death in the domestic horse population today and accidental deaths as a result of colic leads to decreased productivity and economic losses in the horse breeding industry. Large colon impaction is the most common cause of colic in horses. Horses may ingest sand either by eating from the ground in sandy locations, or because of its inclusion in hay. In certain areas sand impaction is relatively common. The horse (4 year, female) presented with abdominal pain, which was charactered by willing to lie down, pawing, and looking at flank. A month later, the horse died suddenly at sand paddock. Post-mortem examination revealed the sand impaction as a lot of feces, sand and gravels in the right dorsal colon. In addition, there was necrosis and debilitation in mucosal lining of the large colon and rupture site on the right dorsal colon. The purpose of this article is to review sand impaction and emergencies in Thoroughbred horses.

Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture

  • Lee, Weon-Yong;Kim, Sung-Jun;Kim, Kun-Il;Lee, Jae-Woong;Kim, Hyoung-Soo;Lee, Hee-Sung;Cho, Sung-Woo
    • Journal of Chest Surgery
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    • v.44 no.2
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    • pp.186-188
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    • 2011
  • Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality rate is high. We have experienced a case of a 75-year-old female patient who suffered posterior VSD due to acute myocardial infarction, and attained good result by approaching the lesion through right atrial incision and repaired the defect by using patch closure technique.

Traumatic Intimal Tearing of the Descending Thoracic Aorta -A Case Report- (외상성 하행흉부대동맥 내막 파열 -치험 1예 보고-)

  • Chang, M.;Jang, J.S.;Kang, M.S.;Cho, B.K.;Hong, P.W.
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.269-273
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    • 1980
  • The rupture of the aorta commonly follows major blunt trauma to the thorax. It has markedly increased in recent years, paralleling the rising number of vehicular accidents. The most frequent site of rupture is the area of the isthmus, with the ascending aorta second. The diagnosis of the condition from clinical data is difficult, and aortography is used whenever aortic tear is suspected. We are presenting a case of patient who had intimal tearing of the thoracic aorta with multiple injuries. The patient underwent surgical repair 28 days after injury with left heart [LA-Femoral artery] bypass.

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Surgical Treatment of Post-Infarction Ventricular Septal Defect with Left Ventricular Rupture -A Case Report- (심근 경색후 발생한 좌심실 파열을 동반한 심실중격 결손의 외과적 치료 -1례 보고-)

  • Kim, Hyun-jo;Kim, Doo-Sang;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.857-860
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    • 1995
  • In a 53-year old male with post-infarction ventricular septal defect [VSD , owing to an acute exacerbation of pulmonary edema, respiratory failure developed, and the ventilatory support and intraaortic balloon counterpulsation [IABP were applied. At the following day, operation was performed with the aid of IABP. Under the cardioplumonary bypass, he underwent infarctectomy, trimming of VSD margin, patch closure of VSD and infarctectomy site. Left ventricular free wall rupture was detected during operation, which was confined with pericardial adhesion. Post-operative course was uneventful, and he could be discharged with minimal degree of dyspnea [NYHA class II .

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Important Parameters Related With Fault for Site Investigation of HLW Geological Disposal

  • Jin, Kwangmin;Kihm, You Hong;Seo, Dong-Ik;Kim, Young-Seog
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.19 no.4
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    • pp.533-546
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    • 2021
  • Large earthquakes with (MW > ~ 6) result in ground shaking, surface ruptures, and permanent deformation with displacement. The earthquakes would damage important facilities and infrastructure such as large industrial establishments, nuclear power plants, and waste disposal sites. In particular, earthquake ruptures associated with large earthquakes can affect geological and engineered barriers such as deep geological repositories that are used for storing hazardous radioactive wastes. Earthquake-driven faults and surface ruptures exhibit various fault zone structural characteristics such as direction of earthquake propagation and rupture and asymmetric displacement patterns. Therefore, estimating the respect distances and hazardous areas has been challenging. We propose that considering multiple parameters, such as fault types, distribution, scale, activity, linkage patterns, damage zones, and respect distances, enable accurate identification of the sites for deep geological repositories and important facilities. This information would enable earthquake hazard assessment and lower earthquake-resulted hazards in potential earthquake-prone areas.

Pneumoperitoneum from vaginal cuff dehiscence following blunt trauma in a patient with a history of robotic hysterectomy in Korea: a case report

  • Byung Hee Kang;Donghwan Choi
    • Journal of Trauma and Injury
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    • v.37 no.1
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    • pp.83-85
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    • 2024
  • Pneumoperitoneum usually presents as a surgical emergency, especially in patients with a history of trauma. However, we recently encountered an atypical case of pneumoperitoneum at a hysterectomy site following blunt trauma, indicating that immediate laparotomy may not always be necessary. In this report, we present the case of a 45-year-old woman who was transferred to our trauma center from a local hospital after being involved in a traffic accident the day before. Although she underwent an emergency laparotomy, no bowel perforation was detected. Instead, a rupture was found at the site of a hysterectomy that had been performed 8 months earlier. After repairing the hysterectomy site, the pneumoperitoneum resolved, and the patient was subsequently discharged without further complications.

Long-term Result after Repair of Sinus Valsalva Aneurysm Rupture (발살바동류 및 파열의 수술 후 장기 성적)

  • Lim, Sang-Hyun;Chang, Byung-Chul;Joo, Hyun-Chul;Kang, Meyun-Shick;Hong, You-Sun
    • Journal of Chest Surgery
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    • v.38 no.10 s.255
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    • pp.693-698
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    • 2005
  • Background: Sinus valsalva aneurysm (SVA) is a rare disease, and it is frequently accompanied by ventricular septal defect and aortic valve regurgitaion. For treatment of SVA, several surgical mordalities were applied, but there was no report on the long-term result after surgical repair in Korea. We reviewed our 28 years of experiences and analyzed the long-term results after treatment of sinus valsalva aneurysm with or without rupture. Material and Method: Between March 1974 and February 2002, 81 patients were operated under the impression of sinus valvsalva aneurysm or sinus valsalva aneurym rupture. Retrospectively we reviewed the patients' record. Mean age of patients was $29.2\pm11.5$ and there were 49 males. Accompanyng diseases were as follows: VSD in 50, PDA in 2, Behcet's disease in 2, TOF in 1, RVOTO in 1, AAE in 1. Seventy-seven $(95\%)$ patients had sinus valsalva rupture and in 14 patients, subacute bacterial endocarditis was accompanied. Degree of aortic valve regurgitation was as follows: grade I: 8, II: 10, III: 9, IV: 4. Most common rupture site was right coronary sinus (66 patients, $81\%$) and most common communication site was right ventricle (53 patients). In repair of sinus valsalva rupture, patch was used in 37 patients, and direct suture was done in 38 patients. Result: There was one surgical death $(1.2\%)$. Follow up was done in 78 patients $(97.5\%)$, mean follow up period was $123.3\pm80.9(3\~330\;months)$. During the follow up period, 3 patients died $(3.8\%)$. One patient died of heart failure, another patient died of arrhythmia and the other one died of unknown cause. In two patients, complete atrio-ventricular block was developed during follow up period, and there was no operation related event or complication. Kaplan-Meier survival analysis revealed $92.5\pm3.5\%$ survival at 15 and 27 years and it seems to be satisfactory. Conclusion: Long-term surgical results and survival is satisfactory after repair of sinus valsalva aneurysm with or without rupture.

Changes of Tracheal Anastomosis Site in Growing Rats (흰쥐에서 기관절제 단단 문합부의 성장에 따른 변화)

  • 박희철
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.343-348
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    • 1993
  • Growth of suture line and anastomosis is required for long-term success after the tracheal and bronchial surgery in infant and pediatric patient. We used various suture materials in these cases, but the results were differ. To select the adequate suture material in tracheal surgery, we tried next. Tracheal anastomoses were performed in 150 Sprague Dawley rats, aged 4 to 8 [mean 5.8] weeks and weight 62 to 106[mean 83.6] gram, to compare polydioxanone[PDS] 7-0, polyglactin 910[Vicryl]7-0, and polypropylene [prolene] 8-0 suture materials. In 150 rats, only 29[20%] were lived over 300 days, and the weight was 250 to 320[mean 289.5]gram. Cross sectional area of the anastomoses and two or three tracheal rings below anastomosis site were measured under microscope, and calculated and compared as Hsieh`s equition. Cross-sectional area,anastomosis site/normal site 100, were 89.4 $\pm$ 5.34% in PDS group[n=9], 75.7 $\pm$ 6.06% in Vicrylgroup [n = 10], and 80.8$\pm$ 4.06% in Prolene group[n = 10]. Histopathologic studies were done for all autopsies or put in death around 300 days postoperatively. PDS absorblion was not seen 16 weeks after suture but disappeared over 24 weeks slide. Vicryl absorbtion was noted postoperative 8 to 16 weeks, with marked tissue reaction. Prolene showed least tissue reaction, but the suture material was persisted with regional fibrotic capsule.Causes of death were respiratory failure in 76 cases, tracheal rupture in 22 cases, hemorrhage, biting, starvation and etc. in 23 cases. With the brief review of literatures, we report the results.

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EXPERIMENTAL STUDY ON THE HEALING PROCESSES AFTER MICROVASCULAR ANASTOMOSES;Light and Scanning electron microscopic observations (미세혈관 문합수술후 치유과정에 관한 실험적 연구)

  • Yoon, Jae-Hyun;Lee, Eun-Joo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.1
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    • pp.72-81
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    • 1990
  • Because failure of microvascular flap grafting has sometimes been attributed to vascular obstruction in the anastomotic site, this study investigated the healing process after microvascular anastomoses. The healing process of anastomotic sites were observed by the use of the light and the scanning electron microscope after microvascular anastomoses of the right common carotid artery in rats. The experimental animals were sacrificed on the 4th day, 1st, 2nd, 4th and 6th week. Throughout the whole experimental period, arterial patency rate was 78% (11/14). At the early stage, it was possible to recognize histologically disappearance of endothelial cell and rupture of part of the media. Subintimal hyperplasia and the growth of media appeared around the suture line at the 2nd week. Endothelial cell regeneration occurred and the depth of vessel wall was normalized at the 4th week. By the scanning electron microscope, at the early stage, the anastomotic site was covered with many platelets, red blood cells, fibrins and macrophages. At the 4th week, the insertion site of the thread was completely covered with normal endothelial cells which were parallel to longitudinal axis of vessels and complete reendothelialization over the anastomotic site seemed to take about 6th week.

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Evaluation of Growth and Wood Traits in E. camaldulensis and Interspecific Eucalypt Hybrid Clones Raised at Three Diverse Sites in Southern India

  • Rathinam Kamalakannan;Suraj Poreyana Ganapathy;Shri Ram Shukla;Mohan Varghese;Chandramana Easwaran Namboothiri Jayasree
    • Journal of Forest and Environmental Science
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    • v.39 no.1
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    • pp.27-39
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    • 2023
  • Twenty-five Eucalyptus clones (14 E. camaldulensis - EC and 11 interspecific eucalypt hybrid clones - EH) grown in three contrasting sites were evaluated for the growth and few wood traits at 4 years of age. The stability, genotype-site interaction and suitability of these clones for pulp and solid wood industry sectors were studied. Growth of eucalypt clones was significantly higher at site 1 with higher rainfall, but wood density did not differ significantly from lower rainfall sites. Kraft pulp yield (KPY) decreased from sites 1 to 3 based on moisture availability, but not between two groups of clones. Volumetric shrinkage (VS) was significantly higher in EC clones at site 3 with lowest rainfall, but there was no specific trend at other two sites with maximum (site 1) and intermediate (site 2) rainfall. The mechanical traits modulus of rupture (MOR) and modulus of elasticity (MOE) were at par in sites 1 and 2, but significantly lower at the driest site 3. The growth rate had a significant positive correlation with KPY, MOR and MOE and a negative correlation with VS, but no significant impact on wood density in both groups of clones. Genotype×environment interaction (G×E) was evident in most traits due to the difference in response of clones to moisture availability. Since wood density was negatively correlated to KPY, it has to be kept at an optimum level for the profitability of pulp industry. There was no significant difference between EC and EH clones for most traits except VS at site 3. Stability of clones varied across sites in different traits, and hence clones may be selected for deployment at each site by screening for growth, followed by wood density, considering the relationship of growth and density with other traits required by pulp and solid wood industry sectors.