• 제목/요약/키워드: minimally

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MA포장 기술을 이용한 신선한 과실 및 채소류의 품질보존에 대한 연구 (Studies on Quality Maintenance of Fresh Fruit and Vegetables Using Modified Atmosphere Packaging)

  • 김건희
    • 한국식품저장유통학회지
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    • 제5권1호
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    • pp.23-28
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    • 1998
  • The objective of this study was to investigate the methods of quality maintenance using modified atmosphere packaging with various quality preservatives at ambient and low temperatures. Ethylene(<1.0ppm) accumulated during modified atmosphere storage of Chinese cabbage using polyethylene film(60$\mu\textrm{m}$) caused quality deterioration such as yellowing and abscission. The addition of potassium permanganate reduced ethylene level and thus extended storage life of l00% at 20$^{\circ}C$ and 140% at 0$^{\circ}C$. To establish the storage conditions of minimally processed sit and vegetables, the experiment was conducted with various quality preservatives and packaging materials. Ceramic film(Zeolite 7%, 60$\mu\textrm{m}$) showed increasing storage life of 50%, reducing total microbial counts of 50% and keeping high appearance quality of minimally processed pears stored at 20$^{\circ}C$ and 0$^{\circ}C$. Minimally processed Chinese cabbage treated with l% CaCl2 at 20$^{\circ}C$, and 1% CaCl2 and 1% NaCl at 0$^{\circ}C$ has a longer storage life of 90% with good maketable quality. Treatment of 1% NaCl for cut Asian penis appeared increased storage life of 100%, decreased cut surface browning and the best overall acceptability by a sensory panel.

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소형 금속판의 골수강 내 고정을 통한 최소 침습적 무지 외반증 교정 수술: 증례 보고 (Minimally Invasive Surgery for Hallux Valgus Deformity Using Intramedullary Low Profile Plate Fixation: A Case Report)

  • 조성탄;서진수;최준영
    • 대한족부족관절학회지
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    • 제23권3호
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    • pp.135-138
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    • 2019
  • According to a recent systemic review, hallux valgus deformity has a prevalence rate of about 23% among adults aged 18 to 65 years. To date, more than 100 operative methods have been reported for the correction of hallux valgus deformity. For young female with mild to moderate hallux valgus deformity, minimally invasive surgery can be considered for aesthetic demands. Here, we report a case of a young female patient with mild hallux valgus deformity treated by minimally invasive surgery using intramedullary low profile plate fixation. This can be the favorable method for secure fixation of the osteotomy site and prevention of medial skin irritation symptoms derived from a sharp osteotomy margin.

Multi-modal treatment strategy for achieving an aesthetic lower face

  • Jeong, Tae Kwang;Chung, Chang Ho;Min, Kyung Hee
    • Archives of Plastic Surgery
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    • 제47권3호
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    • pp.256-262
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    • 2020
  • Background Most women consider an oval-shaped face to be youthful and beautiful. In recent years, demand has grown for surgical procedures with a shorter downtime and fewer complications. These minimally invasive procedures include botulinum toxin type A (BoNTA) injection, filler injection, suction-assisted liposuction (SAL), laser-assisted lipolysis (LAL), thread lifting, and fat grafting. This study aims to introduce an effective method for creating an aesthetically pleasing lower face using a combination of minimally invasive procedures. Methods From March 2017 to March 2019, 94 patients simultaneously underwent LAL, SAL, and thread lifting. Ancillary procedures such as BoNTA injections, hyaluronic acid filler injections, and removal of the buccal fat pad (BFP) were selectively performed according to the patient's condition. Results Patients rated their postoperative satisfaction as very satisfied, satisfied, dissatisfied, or very dissatisfied. Approximately 83% of all respondents were satisfied with the results, whereas the remaining respondents had complaints regarding the outcomes. The most common reasons for dissatisfaction were a longer-than-expected recovery time and undercorrection, and the most severe complaint was skin depression as a result of overcorrection. Conclusions Our method of simultaneously performing LAL, SAL, and thread lifting, while adding BoNTA, filler injections, and BFP removal as needed, was capable of producing consistent and reliable aesthetic outcomes for the lower face.

Application of Minimally Invasive Plate Osteosynthesis to Tibial Shaft Fractures in Dogs

  • Rahman, Md. Mahbubur;Jeong, In-Seong;Kim, Nam Soo
    • 한국임상수의학회지
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    • 제34권3호
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    • pp.200-203
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    • 2017
  • The objective of this study was to evaluate the effectiveness of the minimally invasive plate osteosynthesis (MIPO) method for treatment of tibial shaft fractures in dogs by comparing MIPO radiographic and fracture healing time results with those from the popular open reduction and internal fixation (ORIF) technique. In this clinical study at the Royal Animal Medical Center, five consecutive dogs with diagnoses of comminuted tibial shaft fractures were treated with the MIPO surgical approach. For comparison, an additional five breed-, age-, and weight-matched dogs with comminuted tibial shaft fractures were treated with the ORIF technique. Mean healing time was $75.6{\pm}12.5$ days in the MIPO group and $131.8{\pm}18.6$ days in the ORIF group (p < 0.01). The mean surgery time in the MIPO group ($36.4{\pm}3.5$ minutes) was significantly shorter (p < 0.01) than that for the ORIF group ($47.0{\pm}2.2$ minutes). Based on the short surgical and healing times, the MIPO approach is clinically superior to the ORIF approach and should be the preferred approach in tibial fracture cases.

소흉골절개술을 통한 이중판막치환술 -1례 보고- (Double Valve Replacement via Ministernotomy -A Case Report-)

  • 백완기;김현태;심상석;조상록;박현희
    • Journal of Chest Surgery
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    • 제31권1호
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    • pp.52-54
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    • 1998
  • 근래 들어 최소 침습적 심장수술을 위한 여러 가지 다양한 소절개법이 개발되고 있다. 소절개를 통한 심장판막수술이 기존의 정중 흉골절개술에 비해 단일판막수술의 경우, 수술시야의 확보에 있어 그다지 뒤떨어지지 않으나, 다중판막수술과 같이 서로 떨어져 있는 두 병소를 동시에 수술해야 할 경우 단일 소절개로 양쪽 병소를 다 잘 볼 수 있는 만족스러운 수술시야를 얻기란 용이하지 않다. 본 인하병원 흉부외과에서는 최근 횡흉골절개를 통한 최소 침습적 방법으로 대동맥판막치환술을 2례 시행한데 이어, 금번 소흉골절개를 통한 이중판막치환술을 시행한 바, 수술시야는 비교적 만족스러웠으며 수술 후 환자의 호응도도 높았기에 수술방법을 중심으로 문헌고찰과 함께 보고하고자 한다.

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접촉 압력 분포를 이용한 최소 침습 수술을 위한 의료 촉진 가이던스 시스템 (A Medical Palpation Guidance System for Minimally Invasive Surgery using Contact Pressure Distribution)

  • 김형균;정완균
    • 센서학회지
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    • 제26권4호
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    • pp.266-273
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    • 2017
  • In this research a medical palpation guidance system for minimally invasive surgery (MIS) is proposed. Palpation is a useful tool for identifying a size and location of a lump during a surgery. However, conventional manual palpation is only available in open surgery, so there has been several researches about palpation assistant or guidance system for MIS. The previously developed systems are based on a pressure based or stiffness based approach. These previous approaches have some limitations in increasing complexity of the systems and lack of geometric information about the lump which is more important information for the lump removal than the stiffness information. We propose a palpation guidance system using a novel approach using contact pressure distribution. Since our approach gives the geometry information of the lump as well as the existence information, the operator can easily notice the currently identified lump region and the optimal position for the next palpation. The experiment results show that our approach can offer the geometry information of the lump correctly.

비골 동맥 천공지 피판 (Peroneal Perforator Flap)

  • 정덕환;황준성
    • Archives of Reconstructive Microsurgery
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    • 제13권1호
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    • pp.29-35
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    • 2004
  • Materials and Methods: Total number of peroneal perforator flap is 14 cases, which 10 cases were man, 4 cases were woman. The range of age was 12 years old minimally and until 63 years old. The trauma was most common etiology, which was like traffic accidents, 9 cases. We confirmed tibialis anterior artery patency by doppler flow meter, angiography as preoperative evaluation. Results: 1. The success rate was 91%, that in 14 cases, 13 cases were succeded. 2. To obtain successful result of peroneal flap, one must have the anatomic concept for vascular pattern, 8 cases were between peroneus muscle and soleus muscle branch type but, 3 cases were through soleus muscle branch type, so we treated these cases by using soleus muscle including peroneal perforating branch not to injury perforating artery directly. 3. The pedicle size was between minimally $2{\times}2.5cm$ and maximally $6.5{\times}8.5cm$ so we could treat large recipient site. 4. The pedicle length was between minimally 3.2 cm and maximally 11.5cm, average 7.5 cm. 5. The diameter of perforating artery was estimated by inspection, that was about 0.2-0.5 cm Conclusion: The peroneal perforating artery flap has merits that we can approach in avascular zone and has wide movable range from foot to distal femur and little donor site mobidity and can harvest osteocutaneous flap. The weak point was the irregular anatomy of nutrient artery and not to contain sensory nerve.

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최소침습술을 위한 의료용 인스트루먼트의 동작 성능 향상 (Improvement in the Control Performance of Instruments used for Minimally Invasive Surgery)

  • 박현준;원종석;박재흥
    • 제어로봇시스템학회논문지
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    • 제19권12호
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    • pp.1160-1166
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    • 2013
  • This paper presents feedforward controllers to improve the control performance of the motion and grasping force of a surgical instrument used in an MIS (Minimally Invasive Surgery) robot. The surgical instrument has a long distance between the drive motors and its active joints. Therefore, the gripper on the instrument is controlled by a cable drive mechanism, which generates a coupled motion between the wrist joint and the grip direction. In order to solve the problem, this paper analyzes the pulley composition of the surgical instrument and proposes feedforward controllers to eliminate the coupled motion. Furthermore, feedforward controllers to regulate the grasping force are proposed to deal with another coupling problem between the grasping force of the instrument and the motion of the instrument joints. The experimental results demonstrate the improved control performance of the motion and grasping force of the instrument.

Minimally Invasive Plate Osteosynthesis of Radius-Ulna Fracture using Circular External Fixator in a Dog

  • Kwon, Yong-hwan;Kang, Jin-su;Kim, Young-ung;Cho, Hyoung-sun;Lee, Ki-chang;Kim, Nam-soo;Kim, Min-su
    • 한국임상수의학회지
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    • 제34권1호
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    • pp.47-49
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    • 2017
  • Fracture stabilization techniques continue to evolve and provide approaches that minimize the iatrogenic trauma associated with surgical procedures. Minimally invasive plate osteosynthesis (MIPO) is a recently described method of biological internal fixation performed by introducing a bone plate via small insertional incisions that are remote to the fracture site. Indirect reduction techniques can generally be utilized when performing MIPO. In this case report, we describe MIPO of a radius-ulna fracture by indirect reduction using circular external fixation for alignment and distraction in a dog.

Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction

  • Joo, Oh Young;Song, Seung Yong;Lew, Dae Hyun;Park, Hyung Seok;Lee, Dong Won
    • Archives of Plastic Surgery
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    • 제48권6호
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    • pp.577-582
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    • 2021
  • Robot-assisted surgery is evolving to incorporate a higher number of minimally invasive techniques. There is a growing interest in robotic breast reconstruction that uses autologous tissue. Since a traditional latissimus dorsi (LD) flap leads to a long donor scar, which can be an unpleasant burden to patients, there have been many attempts to decrease the scar length using minimally invasive approaches. This study presents the case of a patient who underwent a robot-assisted nipple-sparing mastectomy followed by immediate breast reconstruction with an LD flap using a single-port robotic surgery system. With the assistance of a single-port robot, a simple docking process using a short and less visible incision is possible. Compared to multiport surgery systems, single-port robots can reduce the possibility of collision between robotic arms and provide a clear view of the medial border of the LD where the curvature of the back restricts the visual field. We recommend the use of single-port robots as a minimally invasive approach for harvesting LD flaps.