• Advances in pediatric surgery
• /
• v.9 no.1
• /
• pp.52-56
• /
• 2003

A 10 year old boy was admitted with blunt abdominal trauma by bike handle injury. The patient was operated upon for a generalized peritonitis due to pancreaticoduodenal injury. On opening the peritoneal cavity. complete transection of distal end of common bile duct and. partial separation between pancreas head and second portion of duodenum were found. Ligation of the transected end of the common bile duct. T-tube choledochostomy, and external drainage were performed. A pseudocyst was found around the head portion of the pancreas on the 7th postoperative day with CT. An internal fistula had developed between the pseudocyst and ligated common bile duct. The pseudocyst was subsided after percutaneous drainage. In the case of the undetermined pancreatic injury, percutaneous external drainage can be effective in treating the traumatic pancreatic pseudocyst in a pediatric patient.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.17 no.2
• /
• pp.135-138
• /
• 2017

Intraoperative airway obstruction is perplexing to anesthesiologists because the patient may fall into danger rapidly. A 74-year-old woman underwent an emergency incision and drainage for a deep neck infection of dental origin. She was orally intubated with a 6. 0 mm internal diameter reinforced endotracheal tube by video laryngoscope using volatile induction and maintenance anesthesia (VIMA) with sevoflurane, fentanyl ($100{\mu}g$), and succinylcholine (75 mg). During surgery, peak inspiratory pressure increased from 22 to $38cmH_2O$ and plateau pressure increased from 20 to $28cmH_2O$. We maintained anesthesia because we were unable to access the airway, which was covered with surgical drapes, and tidal volume was delivered. At the end of surgery, we found a longitudinal fold inside the tube with a fiberoptic bronchoscope. The patient was reintubated with another tube and ventilation immediately improved. We recognized that the tube was obstructed due to dissection of the inner layer.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
• /
• v.14 no.7
• /
• pp.575-583
• /
• 2002

In this study, condensation heat transfer tests were conducted in flat aluminum multi-channel tubes using R-410A, and the results are compared with those of R-22. Two internal geometries were tested; one with a smooth inner surface and the other with micro-fins. Data are presented for the following range of variables; vapor quality (0.1~0.9), mass flux (200~600 kg/$m^2$s) and heat flux (5~15 ㎾/$m^2$). Results show that the effect of surface tension drainage on the fin surface is more pronounced for R-22 than R-410A. The smaller Weber number for R-22 may be responsible. For the smooth tube, the heat transfer coefficient of R-410A is slightly larger than that of R-22. For the micro-fin tube, however, the reverse is true. Possible reasoning is provided considering the physical properties of the refrigerants. For the smooth tube, a correlation of Akers et at. type predicts the data reasonably well. For the micro-fin tube, the Yang and Webb model was modified to correlate the present data.

• Journal of Chest Surgery
• /
• v.25 no.6
• /
• pp.581-587
• /
• 1992

Tracheoesophageal fistula[TEF] is a rare but life-threatening lesion that may occur from ventilation with a cuffed tube. It occurs most frequently when an inlying esophageal tube is also being used-usually for feeding purposes. The mechanism of injury appears to be pressure experted on the tracheal wall by the cuff, which then compresses the "party wall" of the trachea and esophagus against the foreign body that lies in the esophagus. The patient was 32 years old female who had been receiving a treatment of respiratory failure induced by postoperative sepsis with assist ventilator and nasogastric tubal feeding. Sudden attack of abdominal gas distention and massive drainage of gas through N-G tube were developed during assist ventilation in that patient, so we diagnosed as tracheal stenosis with a tracheoesophageal fistula induced by prolonged endotracheal intubation We performed tracheal reconstruction and primary closure of perforated esophagus after weaning ventilator. The postoperative course was uneventiful.eventiful.

• Journal of the Korean GEO-environmental Society
• /
• v.7 no.6
• /
• pp.13-22
• /
• 2006

The geotextile have been used in filtration and drainage for over 30 years in many applications of civil and environmental projects. Geotextile tube is compound technology of filtration and drainage property of geotextile. Geotextile have been used for various types of containers, such as small hand-filled sandbags, 3-dimensional fabric forms for concrete paste, large soil and aggregate filled geotextile gabion, prefabricated hydraulically filled containers, and other innovative systems involving containment of soils using geotextile. They are hydraulically filled with dredged materials. It have been applied in coastal protection and scour protection, dewatering method of slurry, and isolation of contaminated material. Recently, geotextile tube technology is no longer alternative construction technique but suitable desired solution. This paper presents the behavior of geotextile tube composite structure by 2-D limit equilibrium and plane strain analysis. 2-D limit equilibrium analysis was performed to evaluate the stability of geotextile tube composite structure for the lateral load and also the plane strain analysis was conducted to determine the design and construction factors. Based on the results of this paper, the three types of geotextile tube composite structure is stable. And the optimum tensile strength of geotextile is 151kN/m and maximum pumping pressure is 22.7kN/m.

• Journal of the Korean Geosynthetics Society
• /
• v.1 no.1
• /
• pp.13-21
• /
• 2002

Geotextile tubes hydraulically or mechanically filled with dredged materials have been applied in hydraulic and coastal engineering in recent years(detached breakwater, groins and jetty). The geotextile tubes are made of sewn geosynthetics sheets. If the sandy soil is use to fill material, these inlets should be spaced closely to assure uniform filling of the tubes because sandy soil and geosynthetic is very pervious. However, the clayey soil or contaminated slurry is used, the inlets can be located relatively long distance. The fine clayey particles tend to rapidly blind the fabric slowing down water escape through the geotextile. This paper presents a field test result of a geotextile tube in the land reclamation project for the Songdo New City construction site. The dredged silty clay was dredged by the dredging ship and hydraulically pumped into the geotextile tube. The height of geotextile tube was measured at every filling stage and also measured width and diameter of geotextile tube with the elapsed time. Based on the test results, if the clayey filling material is used, the pumping step must be divided 3~4 stages for drainage and sediment. After complete drainage, the height of the geotextile tube reduces by approximately 50%.

• International Journal of Air-Conditioning and Refrigeration
• /
• v.11 no.3
• /
• pp.114-124
• /
• 2003

In this study, condensation heat transfer tests were conducted in flat aluminum multi-channel tubes using R-410A, and the results are compared with those of R-22. The flat tubes have two internal geometries; one with smooth inner surface and the other with micro-fins. Data are presented for the following range of variables; vapor Quality (0.1∼0.9), mass flux (200∼600 kg/$m^2$s) and heat flux (5∼15 kW/$m^2$). Results show that the effect of surface tension drainage on the fin surface is more pronounced for R-22 than R-410A. The smaller Weber number of R-22 may be responsible. For the smooth tube, the heat transfer coefficient of R-410A is slightly larger than that of R-22. For the micro-fin tube, however, the trend is reversed. Possible reason is provided considering physical properties of the refrigerants. For the smooth tube, Webb's correlation predicts the data reasonably well. For the micro-fin tube, the Yang and Webb model was modified to correlate the present data. The modified model adequately predicts the data.

• Archives of Plastic Surgery
• /
• v.39 no.5
• /
• pp.509-513
• /
• 2012

Background The extended latissimus dorsi flap is important for breast reconstruction. Unfortunately, donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. Although using fibrin sealant in the donor site reduces the rate of seroma formation, donor site seroma remains a troublesome complication. The purpose of this study was to analyze the effectiveness of the combination of quilting sutures and fibrin sealant in the latissimus dorsi donor site for the prevention of seroma. Methods Forty-six patients who underwent breast reconstruction with extended latissimus flap were enrolled in the study. The patients received either fibrin sealant (group 1, n=25) or a combination of fibrin sealant and quilting sutures (group 2, n=21) in the extended latissimus dorsi donor site. Outcome measures were obtained from the incidence, volume of postoperative seroma, total drainage amount, indwelling period of drainage, and duration of hospital stay. Results The incidence of seroma was 76% in group 1 and 42.9% in group 2 (P=0.022). We also found significant reductions in seroma volume (P=0.043), total drainage amount (P=0.002), indwelling period of drainage (P=0.01), and frequency of aspiration (P=0.043). The quilting sutures did not affect the rate of drainage, tube reinsertion, or hospital stay. Conclusions The use of quilting sutures combined with fibrin sealant on the latissimus dorsi flap donor site is helpful for reducing the overall seroma volume, frequency of aspiration, and total drainage amount.

• Journal of Chest Surgery
• /
• v.36 no.6
• /
• pp.404-410
• /
• 2003

Different treatment options are available according to the stage and duration of the empyema. Stage I empyema (exudate stage) is treated concurrently by the administration of appropriate antibiotics and chest tube drainage. Stage III empyema (organized stage) is considered for decortication through an open thoracotomy. However, the treatment of fibrinopurulent, stage II empyema remains controversial. Recently, debridement with the use of Video-Assisted Thoracoscopic Surgery (VATS) has been proposed for the treatment of stage II empyema. We analyzed and report our initial experience of 5 cases of stage II empyema, treated with the use of VATS. Material and Method: Between June 2001 and February 2002, 5 patients with fibrinopurulent empyema that did not respond to antibiotics, chest tube drainage or Percutaneous Catheter drainage (PCD), and instillation of fibrinolytic agent were treated by debridement and irrigation with the use of VATS. A CT scan was performed in all patients before the operation to confirm the diagnosis of loculated empyema and to detect additional lung parenchymal diseases. Result: All 5 patients underwent successful debridement and irrigation with the use of VATS and the chest tube was inserted properly. And no patients needed conversion to open thoracotomy. The ratio of sex was 4 : 1 (male : female), the mean age was 53 years old (range, 26~73 years), the mean operative time was 73.4 minutes (range, 52~95 minutes), the mean duration of postoperative chest tube placement was 12.4 days (range, 6~19 days), and the mean duration of postoperative hospital stay was 20.8 days (range, 10~36 days). In all patients, clinical symptoms such as pain and fever subsided and simple chest PA view revealed satisfactory lung expansion. No major postoperative complication was observed during the hospital course and no patient suffered from the recurrence of empyema in the follow-up period. Conclusion: We think that early operation with the use of VATS is safe and efficient for stage II empyema which did not respond to medical treatment(antibiotics and chest tube drainage), therefore, it can prevent stage II empyema from advancing to stage III, organized empyema.

• Journal of Chest Surgery
• /
• v.31 no.11
• /
• pp.1063-1069
• /
• 1998

Background: Multi-loculated empyema makes treatment difficult, and more so when thoracentesis or chest tube drainage fails. Materials and methods: From December 1991 to December 1997, we performed closed rib resectional drainage for 18 cases of loculated empyema on the fibrinopurulent or early chronic phase. Results: Surgery was performed on patients with loculated empyema complaining of persistent symptoms due to failure of treatment by thoracentesis(8 cases) or chest tube drainage(10 cases). Predisposing factors of empyema were pneumonia in 13 cases, clotted hemothorax in 3 cases, cholecystectomy, and tuberculous pleurisy in 1 case. Causal organisms were cultured in 8 cases(42.1%), and methicillin-resistant staphylococcus aureus was found in 3 cases, pseudomonas aeruginosa in 2 cases, and enterococcus aerogens, α-hemolytic streptococcus, and acinetobacter baumannii were found in 1 case. Size of loculations was various, and computed chest tomogram showed multiple loculations of empyema numbering 1∼4(mean 1.78±1.00). Operating time was relatively short, about 55∼140 mins(mean 102.8±30.8). All toxic symptoms including fever disappeared postopratively and general conditions improved very quickly in all patients. Length of chest tube indwelling time and hospital stay after surgery were 3∼42 days(mean 11.4±11.5) and 6∼36 days(mean 12.9±8.1), respectively. Complications of prolonged drainage occurred in 2 cases and no death occurred. There were no recurrences and chest x-rays taken 3∼6 months after surgery showed normal findings in 14 cases and slight pleural thickening in 4 cases. Conclusions: Closed rib resectional drainage requires very simple techniques and has excellent outcomes and little complications, therefore, we think that it is the choice of operation for patients with loculated empyema on the fibrinopurulent or early chronic phase.