• 제목/요약/키워드: abdominal

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Management of the Sequelae of Severe Congenital Abdominal Wall Defects

  • Fuentes, Sara;Marti, Eunate;Delgado, Maria-Dolores;Gomez, Andres
    • Archives of Plastic Surgery
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    • 제43권3호
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    • pp.258-264
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    • 2016
  • Background The survival rate of newborns with severe congenital abdominal wall defects has increased. After successfully addressing life-threatening complications, it is necessary to focus on the cosmetic and functional outcomes of the abdominal wall. Methods We performed a chart review of five cases treated in our institution. Results Five patients, ranging from seven to 18 years of age, underwent the following surgical approaches: simple approximation of the rectus abdominis fascia, the rectus abdominis sheath turnover flap, the placement of submuscular tissue expanders, mesh repair, or a combination of these techniques depending on the characteristics of each individual case. Conclusions Patients with severe congenital abdominal wall defects require individualized surgical treatment to address both the aesthetic and functional issues related to the sequelae of their defects.

중년여성의 복부비만감소에 영향을 주는 향기요법마사지 효과 (Effectiveness of Aromatherapy Massage on Abdominal Obesity among Middle Aged Women)

  • 한선희;양복순;김희자
    • 대한간호학회지
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    • 제33권6호
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    • pp.839-846
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    • 2003
  • Purpose: Objectives of the study is to examine the effectiveness of aromatherapy massage among middle aged women with abdominal obesity. Method: AB/BA crossover design of random blind assignment was applied. Aromatherapy and placebo massage were given to Group(A), Group(B), each groups applied each massages for 2weeks alternatively. Weight, abdominal circumference and appetite were compared for results check among the subjects. Result: The apparent effectiveness of Aromatherapy Massage in reducing weight, abdominal circumference and appetite was noted. Conclusion: On the basis of results, they strongly support the facts of reduction of abdominal obesity by applying aromatherapy massage for middle aged women.

계지이마황일탕(桂枝二麻黃一湯) 투여 후 호전된 기능성 복통 1례 (A case of functional abdominal pain with Gyejiyimahwangyil-tang)

  • 김슬기
    • 대한상한금궤의학회지
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    • 제11권1호
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    • pp.27-34
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    • 2019
  • Objective : The purpose of the present study was to report the improvement of functional abdominal pain in a patient treated with a herb medication based on a disease pattern identification diagnostic system under the provision of Shanghanlun (DPIDS). Methods : According to DPIDS, the patient was diagnosed with Taeyang-byung, no. 25 provision, and was administered with Gyejiyimahwangyil-tang herb medication for 60 days. The severity of the abdominal pain was assessed with the five-point Likert scale. Results : The abdominal pain in the patient disappeared following treatment with Gyejiyimahwangyil-tang, which is described in the 25th provision of Shanghanlun. Conclusions : The present case report suggests that '瘧', a word in the 25th provision of Shanghanlun may indicate severe abdominal pain at nighttime and not just malaria.

복부마사지가 혈액투석환자의 변비완화에 미치는 효과 (The Effects of Abdominal Massage on Relieving Constipation of the Patients with Hemodialysis)

  • 성미혜;박수정;엄옥봉
    • 임상간호연구
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    • 제14권3호
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    • pp.37-46
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    • 2008
  • Purpose: This study was aimed to identify the effect of abdominal massage on relieving constipation of the patients receiving hemodialysis Method: This study used non-equivalent control group pretest-posttest design. The data were collected from June 30 through July 18, 2008. The subjects of the study were 30 patients; 15 in the experimental group (with abdominal massage) and 15 in the control group(without abdominal massage). The data were analyzed with t-test, $x^2$-test, paired t-test, and repeated measures ANOVA using SPSS 12.0 program. Results: There was a significant difference in frequency of defecation in the experimental group compared to that of the control group. Conclusion: Abdominal massage could be an effective nursing intervention for the management of constipation among patients with hemodialysis. Abdominal massage also can be considered in palliative management for hemodialysis patients with constipation.

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소화기 암에서 PET의 임상적 의의 (Clinical Application of PET in Abdominal Cancers)

  • 최창운
    • 대한핵의학회지
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    • 제36권1호
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    • pp.39-45
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    • 2002
  • Clinical application of positron emission tomography (PET) is rapidly increasing for the defection and staging of cancer at whole-body studios performed with the glucose analogue tracer 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FDG). Although FDG PET cannot match the anatomic resolution of conventional imaging techniques in the liver and the other abdominal organs, it is particularly useful for identification and characterization of the entire body simultaneously. FDG PET can show foci of metastatic disease that may not be apparent at conventional anatomic imaging and can aid in the characterizing of indeterminate soft-tissue masses. Most abdominal cancer requires surgical management. FDG PET can improve the selection of patients for surgical treatment and thereby reduce the morbidity and mortality associated with inappropriate surgery. FDG PET is also useful for the early detection of recurrence and the monitoring of therapeutic effect. The abdominal cancers, such as gastroesophageal cancer, colorectal cancer, liver cancer and pancreatic cancer, are common malignancies in Korea, and PET is one of the most promising and useful methodologies for the management of abdominal cancers.

하복부 조직 유리피판에 의한 유방재건술 (Breast Reconstruction with Lower Abdominal Tissue Free Transfer)

  • 안희창
    • Archives of Reconstructive Microsurgery
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    • 제19권1호
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    • pp.68-79
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    • 2010
  • Lower abdominal tissue is regarded as an ideal donor site for the breast reconstruction because it provides large skin territory and huge amount of soft tissues enough to the breast size. However it is not easy for the surgeon to reconstruct the really natural breast, and needs the learning curve with long time experience. Author represent the various reconstruction procedures for the breast using lower abdominal tissue such as muscle sparing free TRAM, DIEP, and SIEA free flaps to reinsure like breast. Indications, and selection of reconstructive methods, surgical timing, selection of donor sites and recipient vessel of these flaps were reviewed. In addition, detailed procedures, surgical tips and secondary adjuvant procedures are described for more symmetry of reconstructed breast. The muscle sparing free TRAM, DIEP, and SIEA free flaps would be enough to provide supple, huge amount of well vascularized tissue for the breast, if these flaps were selected for the appropriate indication according to patient's general condition, obesity, the opposite breast and abdominal tissue condition. Lower abdominal tissue was able to provide versatile designs with sufficient adipose tissue without compromising the integrity of abdominal wall.

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만성 복통을 보이는 환자 어떤 순서로 접근을 해야 하나요? (Diagnostic Approaches to Chronic Abdominal Pain in Children)

  • 박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제14권1호
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    • pp.26-32
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    • 2011
  • Chronic abdominal pain (CAP) is a common complaint encountered in pediatric clinics and a great concern for patients and their caretakers as well as health care professionals. A constant challenge is detecting individuals with organic diseases or psychosomatic disorders from the majority of patients who have a functional disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical examination, physicians must determine a differential diagnosis of CAP by applying the symptom-based Rome III criteria to positively identify a functional disorder. These findings should then be further analyzed based on diagnostic clues and red flags that indicate the presence of specific organic diseases and/or the need for further testing. Once a functional diagnosis has been made or an organic disease is suspected, physicians can initiate an empiric therapeutic trial. Since psychological distress accompanies both organic and non-organic abdominal pain in children, a cooperative diagnostic approach involving pediatricians and psychiatrists is recommended.

비침습적 복압 측정을 위한 생체 임피던스 전극의 최적 위치 선정 (Optimum electrode selection for measuring the abdominal pressure using bio-impedance method)

  • 안양수;김거식;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.46-48
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    • 2007
  • In this study, we determined the optimum electrode pair for measuring the abdominal pressure using bio-impedance method. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified using values of impedance change, correlation coefficient and SNR. Our results showed the optimum electrode pair (1, 9) which could detect impedance changes due to an increase of the intensity of the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2$+0.0620x+0.6958, respectively. It demonstrated that the abdominal pressure could be measured non-invasively and simply using bio-impedance method. We propose that this optimum electrode configuration would be useful for future studies involving the convenient measurement of abdominal pressure by ambulatory urodynamics monitoring study.

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The Effect of Real-time Ultrasound Imaging Feedback during Abdominal Hollowing in Four Point Kneeling to Healthy Men

  • Park, Du-Jin
    • The Journal of Korean Physical Therapy
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    • 제22권6호
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    • pp.1-6
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    • 2010
  • Purpose: This study investigated the effects of visual feedback during abdominal hollowing (AH) in four point kneeling position, using real-time ultrasound imaging through measurement of the changes in the thickness of transversus abdominis (TrA), internal abdominal oblique (IO), and external abdominal oblique (EO). Methods: The subjects of this study were 32 healthy males who were divided intothe experimental group of 16 subjects and the control group of 16 subjects. The real-time ultrasound feedback was applied to the experimental group while they were educated on the AH exercise in four point kneeling whereas only general education and training were given to the control group. After the training, the changes in the thickness of abdominal muscles during AH in four point kneeling were compared between the experimental group and the control group. Results: The differences of the changes in the thickness of TrA and EO between the two groups were statistically significant. Conclusion: The experimental group experienced a higher increase in the thickness of TrA than the control group while the thickness of IO and EO of the experimental.

복막후방접근방법을 이용한 상복부 대동맥류의 외과적 치료;1례 보고 (Retroperitoneal Approach for the Surgical Treatment of Abdominal Aortic Aneurysm; One Case Report)

  • 홍순필
    • Journal of Chest Surgery
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    • 제26권6호
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    • pp.492-495
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    • 1993
  • We experienced one case of surgical treatment of abdominal aortic aneurysm using retroperitoneal approach. The transperitoneal route has been the standard surgical approach for elective and emergency treatment of aneurysmal or occlusive disease. Among its cited advantages for aortic reconstruction are familarity with the exposure, easy access to the infrarenal aorta and iliac vessels, possibility of simultaneous inspection of the intra-abdominal viscera, and speed of opening and closure.Despite the proved versatility of the transperitoneal approach, it is commonly associated with prolonged ileus, increased third space fluid loss, and significant pulmonary complications. The retroperitoneal approach, on the other hand, has many advantages; excellent exposure for the repair of juxtarenal or suprarenal abdominal aortic aneurysms and visceral vessel occlusive disease, fewer postoperative complications, decreased postoperative third-space fluid losses from intraoperative evaporation and ileus, and improved postoperative pulmonary function. Atherosclerosis was most common cause of abdominal aortic aneurysm. Dacron graft[18mm] was replaced successfully.Postoperative course was uneventful and he was discharged in good condition.

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