• Journal of Korean Neurosurgical Society
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• 제54권2호
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• pp.112-117
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• 2013

Objective : We performed this study to investigate whether the use of closed-suction drainage following microvascular decompression (MVD) causes cerebrospinal fluid (CSF) leakage. Methods : Between 2004 and 2011, a total of 157 patients with neurovascular compression were treated with MVD. MVD was performed for hemifacial spasm in 150 (95.5%) cases and for trigeminal neuralgia in 7 (4.5%) cases. The mean age of the patients was $49.8{\pm}9.6$ years (range, 20-69). Dural substitutes were used in 44 (28.0%) patients. Ninety-two patients (58.6%) were underwent a 4-5 cm craniotomy using drainage (drainage group), and 65 (41.4%) did a small 2-2.5 cm retromastoid craniectomy without closed-suction drainage (no-drainage group). Results : Eleven (7.0%) patients experienced CSF leakage following MVD based on the criteria of this study; all of these patients were in the drainage group. In the unadjusted analyses, the incidence of CSF leakage was significantly related with the use of closed-suction drainage following MVD (12.0% in the drainage group vs. 0% in the no-drainage group, respectively; p=0.003; Fisher's exact test). Those who received dural substitutes and the elderly (cut-off value=60 years) exhibited a tendency to develop CSF leakage (p=0.075 and p=0.090, respectively; Fisher's exact test). In the multivariate analysis, only the use of closed-suction drainage was significantly and independently associated with the development of CSF leakage following MVD (odds ratio=9.900; 95% confidence interval, 1.418 to infinity; p=0.017). Conclusion : The use of closed-suction drainage following MVD appears to be related to the development of CSF leakage.

• Archives of Plastic Surgery
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• 제45권6호
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• pp.542-549
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• 2018

Background Despite the increasing popularity of prosthetic breast reconstruction, scant data exist on the microbiological profile of drainage fluid from closed-suction drains and the relationship thereof to surgical-site infections (SSIs) in breast reconstruction surgery. This study aimed to determine whether bacteria isolated from drainage fluid were associated with the development of SSIs, and whether the bacterial profile of drainage fluid could be a clinically useful predictor of SSIs. Methods We performed a retrospective chart review of 61 women who underwent tissue expander/implant or direct-to-implant reconstructions. Patient demographics and culture studies of drainage fluid from suction drains collected on postoperative day 7 were evaluated. Results Sixteen patients (26.23%) were culture-positive, and 45 patients (73.77%) were culture-negative. The most frequently isolated bacteria were coagulase-negative staphylococci, followed by Staphylococcus aureus. SSIs were diagnosed in seven patients and were mostly resolved by systemic antibiotics; however, the tissue expander or implant was explanted in two patients. Positive culture of drainage fluid from closed-suction drains was significantly associated with the development of SSIs (P<0.05). The positive predictive value was 37.50%, and the negative predictive value was 97.78%. Conclusions To our knowledge, this study is the first to demonstrate a significant association between the microbiological profile of drainage fluid from closed-suction drains and the development of SSIs in patients with prosthetic breast reconstructions. The high negative predictive value suggests that microbial testing of drainage fluid from closed-suction drains may have clinical utility. Further prospective studies with larger sample sizes are required to confirm our findings.

• Tuberculosis and Respiratory Diseases
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• 제61권2호
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• pp.178-183
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• 2006

61세 만성폐쇄폐질환 남자 환자로 호흡곤란을 주소로 내원하여 만성폐쇄성폐 질환 급성 악화 진단 하에 입원치료를 시작하였다. 입원치료 도중 다량의 자발성 피하공기증이 생기면서 호흡곤란이 악화되어 다수의 16 gauge 정맥용 도관 을 빗장중간선에 삽입하고 배출을 시도하였다. 그러나 피하공기증이 더욱 악화되어 wall suction으로 지속적인 흡인을 하였고 이후 피하공기증의 관해를 확인 할 수 있었다. 저자들은 16 gauge 정맥용 도관을 이용한 지속흡인으로 비침습 적이고 간편하게 피하공기증을 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.33.1-33.8
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• 2020

Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm³) than the maxillary-insertion group (7250 mm³; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제40권4호
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• pp.169-172
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• 2014

Objectives: The purpose of this retrospective study was to compare the amount of postoperative drainage via closed suction drainage system after intraoral vertical ramus osteotomy (IVRO) and sagittal split ramus osteotomy (SSRO). Materials and Methods: We planned a retrospective cohort study of 40 patients selected from a larger group who underwent orthognathic surgery from 2007 to 2013. Mean age (range) was 23.95 (16 to 35) years. Patients who underwent bilateral IVRO or SSRO were categorized into group I or group II, respectively, and each group consisted of 20 patients. Closed suction drainage system was inserted in mandibular osteotomy sites to decrease swelling and dead space, and records of drainage amount were collected. The data were compared and analyzed with independent t-test. Results: The closed suction drainage system was removed at 32 hours postoperatively, and the amount of drainage was recorded every 8 hours. In group I, the mean amount of drainage was 79.42 mL in total, with 31.20 mL, 19.90 mL, 13.90 mL, 9.47 mL, and 4.95 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. In group II, the mean total amount of drainage was 90.11 mL, with 30.25 mL, 25.75 mL, 19.70 mL, 8.50 mL, and 5.91 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. Total amount of drainage from group I was less than group II, but there was no statistically significant difference between the two groups (P=0.338). There was a significant difference in drainage between group I and group II only at 16 hours postoperatively (P=0.029). Conclusion: IVRO and SSRO have different osteotomy design and different extent of medullary exposure; however, our results reveal that there is no remarkable difference in postoperative drainage of blood and exudate.

• Journal of Chest Surgery
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• 제24권9호
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• pp.890-894
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• 1991

We have performed a prospective study to assess the efficacy of suction drainage in 45 patients with primary spontaneous pneumothorax and 15 patients with secondary spontaneous pneumothorax, treated by closed chest tube drainage with underwater seal during the period Jan. 1990 to Dec. 1990 at the Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital. The patients were divided randomly into two groups, 28 cases receiving suction and the other 32 cases no suction. The success rate was 82.1% for the former and 87.5% for the latter with the overall success rate of 85.0% and there was no significant difference in success rate between the two groups According to the causes and the extent of pneumothorax, the difference between the success rates of the two groups was also not significant statistically. But according to the duration of air leakage, suction group under 2 days showed a high success rate[46.4%] and the same group with 3-4 days, a relatively low success rate[21.4%] compared with that of the former. We conclude that the suction treatment is somewhat valuable in shortening the tubing time in patients with small amounts of air leakage, but it doesn`t seem to increase the success rate in all patients.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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• pp.998-1003
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• 2008

It has been recognized unsaturated soil behaviour playing an important role in geomechanics. Up to now, only a few experimental data are available for the technical difficulties related to both volume changes and suction measurements. In this study, the volume changes of unsaturated compacted silty soil were monitored with proximeter (i.e. non-contactable transducer) during various triaxial compression tests, which gave a realistic estimation in the volume changes of unsaturated soil sample. Various triaxial compression tests for unsaturated soil under different drainage conditions are carried out. The behaviour of the pore pressure, namely, the pore-air pressure and the pore-water pressure, and matric suction during the shearing tests are investigated. The experimental results have revealed that the mechanical behaviour of unsaturated soil can be significantly affected by the matric suction.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 춘계 학술발표회
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• pp.966-972
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• 2009

Soil-aggregate system in pavement foundations exist in unsaturated conditions. However, change in water content on foundation layers due to joint and structural cracks during rainfall may cause problems like layer deformations or partial settlements. Therefore, a need exist to evaluate the infiltration and drainage capacity of soil-aggregate foundation system under both saturated and unsaturated conditions. To do that, a laboratory soil-water characteristic curve and permeability under unsaturated conditions are assessed to establish hydraulic properties of geomaterials and limited numerical analysis are performed respectively. As a result, it was found that suction profiles and drainage process was greatly influenced by the initial suction of soil-aggregate system at the time of infiltration, soil water characteristics curves, and hysteresis effects.

• 한국농공학회지
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• 제15권2호
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• pp.3002-3006
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• 1973

암거배수 연구는 오래전부터 해왔다. 우리나라에서는 PVC흡수관으로 제4차 시험을 했다. 제일 먼저 3배수구와 3무배수구를 설정하고 배수 방법, 토양온도, 작물의 생육, 수량등을 비교 시험하였다. 시험 방법과 결과는 다음과 같다. 1. 방법 (1) 관 길이=1m (2) 거리 = 6.5m (3) 경사 = 1/200 (4) 지수벽 깊이 : 2.5m (5) 공시품종 : 밀성 (6) PVC흡수관리 filter는 Glass nylon으로 감는다. 2. 결과 (1)지온: 전관개 기간을 통하여 배수구에서는 평균 $1.5^{\circ}C$상승하고 10일간에 최고 $2.6^{\circ}C$ 상승할 때도 있었다. (2) 수량에서는 3개 시험구를 평균한즉 20%의 증수를 얻었다. (3) 경제적 면으로 볼 때 1ha당 증수액(95,622원) 시공비(13,005원)=82,900원의 증수익이 있었다. (4) 우리나라에서 암거배수를 필요로 하는 습담의 면적은 약 20만ha이다.

• Geomechanics and Engineering
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• 제19권5호
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• pp.435-445
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• 2019

A series of element tests with different drainage conditions and strain rates were performed on compacted unsaturated non-plastic silt in unconfined conditions. Soil samples were compacted at water contents from dry to wet of optimum with the degree of saturation varying from 24 to 59.5% while maintaining the degree of compaction at 80%. The tests performed were shear infiltration tests in which specimens had constant net confining pressure, pore air pressure was kept drained and constant, just before the shear process pore water pressure was increased (and kept constant afterwards) to decrease matric suction and to start water infiltration. In constant water content tests, specimens had constant net confining pressure, pore air pressure was kept drained and constant whereas pore water pressure was kept undrained. As a result, the matric suction varied with increase in axial strain throughout the shearing process. In both cases, maximum shear strength was obtained for specimens prepared on dry side of optimum moisture content. Moreover, the gradient of stress path was not affected under different strain rates whereas the intercept of failure was changed due to the drainage conditions implied in this study.