• 제목/요약/키워드: Surgical Wound

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Stress Response and Wound Healing of Surgical Incisions in Far Eastern Catfish, Silurus asotus (메기, Silurus asotus의 외과적 시술시 회복 및 생리학적 반응)

  • Gi, Hyun Woo;Lee, Tae Ho;Park, In-Seok
    • Korean Journal of Ichthyology
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    • v.29 no.1
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    • pp.22-31
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    • 2017
  • To find out the stress response and wound healing of surgical incisions, we analyzed the change of stress hormone and the healing process in far eastern catfish, Silurus asotus. The survival rate of the clove oil (1,000 ppm) anesthesia group after surgery was about 90% in 3~42 days, while no anesthesia group showed about 74%. Thus, the survival rate after anesthesia group was higher than that of the no anesthesia group. The plasma cortisol concentration of the clove oil anesthesia group was higher than that of the no anesthesia group (P<0.05). In addition, the plasma glucose concentration of clove oil anesthesia group was higher than that of the no anesthesia group (P<0.05). The plasma lactic acid concentration of clove oil anesthetized group was higher than that of the not anesthetized group (P<0.05). On the 14 days and 28 days after surgery, there were still stitching fiber of suture and swimming behavior was not active. On the 35 days after surgery, trace of the suture has almost disappeared on the outside of the fish. Finally, 42 days after surgery, stitching fiber was not visible, and the sutured wounds were distinctly recovered. The results of this study showed that the anesthesia group showed higher survival rate and received less postoperative stress than that of the no anesthesia group. Surgical wound healing in the catfish of this study was shown to be successful when using anesthetics.

Evaluation of Topical Drug Containing Solcoseryl and Micronomicin on Surgical Wound in Mice

  • Chung, Kae-Jong;Chang, Man-Sik;Chun, Jong-Ok;Chun, Jae-Kwang;Kim, Sung-Chul;Park, Wahn-Soo;Lee, Hyang-Woo
    • Biomolecules & Therapeutics
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    • v.2 no.1
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    • pp.23-27
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    • 1994
  • Wound healing and antibacterial effects of solcoseryl-micronomicin combination gel on an open wound were studied in mice. A simple model was designed for assessing the effects. Using the model, we compared the efficacy of a combined topical gel of solcoseryl and micronomicin with those gels of solcoseryl or micronomicin alone. From the results of our experiment, the wound healing effect of open wounds by treatment with the combination gel was significantly enhanced when compared with those by treatment with solcoseryl gel or micronomicin gel alone. And the antibacterial effect of the combination gel was higher than those of solcoseryl gel or micronomicin gel alone.

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Use of post-operative negative-pressure wound therapy for gouty ulcer (통풍성 궤양의 수술적 절제 후 음압배액법을 통한 치료)

  • Oh, Chang Yul;Choi, Jung Ran;Son, Min Su;Jo, Sun Young;Hur, Jun Ho;Park, Jung Gyu;Oh, Dong Ho;Yi, Young Hyun
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.42-46
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    • 2015
  • Gouty ulcer can be caused by the accumulation of clumps of uric acid in body tissues that lead to acute or chronic inflammation at sites of accumulation. Furthermore, tophi-inhibiting granulation tissue may form a canal that channels microbial infection from the underlying involved joint space, and thus, presents the risk of osteomyelitis development. Accordingly, gouty ulcer must be treated appropriately. In this case, refractory wounds on gouty ulcers at the left shin and left radial ankle were treated by surgical debridement. Negative-pressure wound therapy was used successfully to prevent post-operative delayed wound healing.

Transpedal lymphatic embolization for lymphorrhea at the graft harvest site after coronary artery bypass grafting

  • Cha, Jung Guen;Lee, Sang Yub;Hong, Jihoon;Ryeom, Hun Kyu;Kim, Gab Chul;Do, Young Woo
    • Journal of Yeungnam Medical Science
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    • v.38 no.1
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    • pp.74-77
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    • 2021
  • Lymphorrhea is a rare but potentially severe complication that occurs after various surgical procedures. Untreated lymphorrhea may lead to wound dehiscence, infection, and prolonged hospital stay. Currently, there is no standard effective treatment. Early management usually includes leg elevation, drainage, and pressure dressing. However, these methods are associated with prolonged recovery and high recurrence rates. We report a case of lymphorrhea from a calf wound after endoscopic great saphenous vein (GSV) harvesting for coronary artery bypass grafting (CABG). The patient presented with intractable oozing from the postoperative wound on the right calf. Lymphorrhea persisted for 6 weeks despite negative-pressure wound therapy with a long-acting somatostatin. We performed unilateral pedal lymphangiography that confirmed wound lymphorrhea, followed by glue embolization. No recurrence was observed after 8 months of follow-up. This case report demonstrates the successful use of lymphangiography with glue embolization in the control of lymphorrhea after GSV harvesting for CABG.

A Textiloma on the Pterion : A Rarely Occurred Craniotomy Complication

  • Kim, Ealmaan
    • Journal of Korean Neurosurgical Society
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    • v.53 no.4
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    • pp.252-254
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    • 2013
  • Textiloma is an inflammatory mass containing surgical sponges that are unintentionally left behind in a surgical wound. This complication has been most commonly described by abdominal and gynecologic surgeons. However, the occurrence of textiloma after intracranial procedures especially under the temporalis muscle has not been documented. The author reports a rare case of textiloma of the pterion in a patient who presented with a subcutaneous tumor developed eight years after frontotemporal craniotomy for aneurysm clipping.

Complications of Calcaneal Fracture (종골 골절의 합병증)

  • Bae, Su-Young
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.84-92
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    • 2013
  • Quite high prevalence of acute and chronic complications of calcaneal fractures has been reported. Acute complications include blisters, wound necrosis or infection. Late complications include subtalar arthritis, calcaneal malunion, lateral subfibular impingement, tendon problems, sural nerve complications. There are many surgical or nonsurgical treatment modalities to manage those complications. However strategic initial surgical approach with gentle soft tissue handling accompanied by comprehensive understanding about numerous complications might be the best tool to achieve pain free and functional heel after treating calcaneal fractures.

Clinical analysis of 214 cardiovascular surgeries (심혈관 질환 214예의 수술치험에 관한 임상적 고찰)

  • 이철주
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.672-677
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    • 1986
  • From April, 1984 to August, 1986, 214 cases of cardiovascular surgeries had been performed at Yeungnam University Hospital consisting 158 open heart surgeries and 56 non-open heart surgeries. The leading cardiac anomaly of open heart surgeries was ventricular septal defect which was 43% of congenital heart diseases, and most of remaining non-open heart surgeries were ligating patent ductus arteriosus. We had observed 33 postoperative complications such as wound problems, transient arrhythmia, postpericardiotomy syndrome, bleeding requiring reoperation and so on. 3 cases of surgical mortality were present [2 in congenital heart diseases and 1 in acquired heart disease], which resulting 1.9% of surgical mortality rate in the open heart surgeries.

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Endonasal Rhinoplasty (비내접근법을 이용한 비성형)

  • Park, Dong-Joon
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.55 no.9
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    • pp.546-551
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    • 2012
  • The endonasal approach for rhinoplasty is an important surgical technique to manage the majority of the nasal problem that present to the nasal plastic surgeons. Open rhinoplasty offers an excellent visualization and therefore facility of precise correction, but causes a larger area of wound and scarring. This review was designed to describe the versatility of endonasal techniques for rhinoplasty.

Clinical Evaluation of the Cardiac and Great Vessel Injury [17 cases] (심장 및 대혈관손상 17례에 대한 임상적 고찰)

  • 장동철
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.101-105
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    • 1987
  • A clinical evaluation was performed on 17 cases of the cardiac and great vessel injuries above the subclavian vessel at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital from April, 1980 to September, 1986. The results were as follows: 1. Sex distribution were 13 cases in male and 4 cases in female. In age range, second and third decades occupied in about 65% of total cases. 2. Modes of injury were penetrating wound is 14 cases and nonpenetrating wound in 3 cases. The stab wounds by knife were most frequent. 3. Time interval from injury to operation was mean 103 minutes. 4. Surgical approaches were performed with thoracotomy in 9 cases, median sternotomy in 3 cases and direct incision above the wound. 5. Sites of injury were heart in 10 cases and great vessel in 7 cases. The right ventricular injury was most common as 7 cases. 6. Operative procedures were performed with simple closure, vascular graft anastomosis and ligation. There was no postoperative death.

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Clinical Evaluation of Traumatic Diaphragmatic Injuries (외상성 횡격막 손상에 대한 임상적 고찰)

  • Seo, Seong-Gu;Gwon, O-Chun;Lee, Gil-No
    • Journal of Chest Surgery
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    • v.27 no.12
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    • pp.1023-1026
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    • 1994
  • We reviewed 10 cases of traumatic diaphragmatic injuries at Soonchunhyang University Gumi Hospital from January 1990 through April 1993. seven patients were male and three patients were female. The age distribution was ranged from 25 to 79 years, predominant 4th decades occurred in male. The traumatic diaphragmatic injuries were due to blunt trauma in 9 cases (traffic accident 7 and crash injury 2) and penetrating wound in 1 case (stab wound). The common symptom were dyspnea (60%), chest pain and abdominal pain in order frequency. In the blunt trauma and crash injury, te rupture site was all located in the left(9 cases). In the penetrating wound, the rupture site was located in the right(1 case). The surgical repair of 10 cases were performed with transthoracic approach in 9 cases and thoracoabodominal approach in 1 case. The postoperative mortality was 10% (1/10). The cause of death was multiple organ failure with pulmonary edema.

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