• Title/Summary/Keyword: primary wall

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Two Cases of Embryonal Rhabdomyosarcoma Originating from Chest Wall (흉벽에 발생한 배아성 횡문근육종 2례 보고)

  • 장병철
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.451-455
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    • 1978
  • Rhabdomyosarcoma is relatively rare in general pediatric population. Furthermore, the primary site in the thorax is one of the least sites. Because most patient, when first seen, are extensively advanced and bad in prognosis, an adequate work-up prior to any definitive therapy must be undertaken. Author experienced 2 cases of embryonal rhabdomyosarcoma originating from chest wall. Both 2 cases are included in Group III [Rhabdomyosarcoma-Intergroup Protocol Grouping], one case is treated with radical surgery and radiation therapy, and the other case is treated with radiation therapy and chemotherapy. So author present 2 cases of embryonal rhabdomyosarcoma with reference.

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A CASE PEPORT OF A DERMOID CYST IN THE FLOOR OF THE MOUTH (설하부에 발생한 류피양종의 치험보고)

  • Pyun, Yong-Sung
    • The Journal of the Korean dental association
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    • v.9 no.10
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    • pp.607-609
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    • 1971
  • The author has diagnosed and treated the dermold cyst patient in the 41 years old korean man. The dermold cyst in the floor of the mouth had various sign and symptom such as elevated tongue, disturbance of speech and swallowing, and etc. The cyst wall of dermoid cyst was enucleated by using of direct enucleation of cyst wall and primary suture technique. The mass of the enucleated dermoid cyst was 5×5.5×6 Cm.in size.

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Clinical Outcomes of Surgical Treatment for Primary Chest Wall Soft Tissue Sarcoma

  • Yoon, Seung Hwan;Jung, Joon Chul;Park, In Kyu;Park, Samina;Kang, Chang Hyun;Kim, Young Tae
    • Journal of Chest Surgery
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    • v.52 no.3
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    • pp.148-154
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    • 2019
  • Background: This study investigated the clinical outcomes of surgical treatment of primary chest wall soft tissue sarcoma (CW-STS). Methods: Thirty-one patients who underwent surgery for CW-STS between 2000 and 2015 were retrospectively reviewed. The disease-free and overall survival rates were estimated using the Kaplan-Meier method, and prognostic factors were analyzed using a Cox proportional hazards model. Results: The median follow-up duration was 65.6 months. The most common histologic type of tumor was malignant fibrous histiocytoma (29%). The resection extended to the soft tissue in 14 patients, while it reached full thickness in 17 patients. Complete resection was achieved in 27 patients (87.1%). There were 5 cases of local recurrence, 3 cases of distant metastasis, and 5 cases of combined recurrence. The 5-year disease-free rate was 49%. Univariate analysis indicated that incomplete resection (p<0.001) and stage (p=0.062) were possible risk factors for recurrence. Multivariate analysis determined that incomplete resection (p=0.013) and stage (p=0.05) were significantly associated with recurrence. The overall 5- and 10-year survival rates were 86.8% and 64.3%, respectively. No prognostic factor for survival was identified. Conclusion: Long-term primary CW-STS surgery outcomes were found to be favorable. Incomplete microscopic resection and stage were risk factors for recurrence.

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

  • Gang Yeon Jo;Sae Hwi Ki
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.10-16
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    • 2023
  • Background The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.

Experimental study on component performance in steel plate shear wall with self-centering braces

  • Liu, Jia-Lin;Xu, Long-He;Li, Zhong-Xian
    • Steel and Composite Structures
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    • v.37 no.3
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    • pp.341-351
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    • 2020
  • Steel plate shear wall with self-centering energy dissipation braces (SPSW-SCEDB) is a lateral force-resisting system that exhibits flag-shaped hysteretic responses, which consists of two pre-pressed spring self-centering energy dissipation (PS-SCED) braces and a wall plate connected to horizontal boundary elements only. The present study conducted a series of cyclic tests to study the hysteretic performances of braces in SPSW-SCEDB and the effects of braces on the overall hysteretic characteristics of this system. The SPSW-SCEDB with PS-SCED braces only exhibits excellent self-centering capability and the energy loss caused by the large inclination angle of PS-SCED braces can be compensated by appropriately increasing the friction force. Under the combined effect of the two components, the SPSW-SCEDB exhibits a flag-shaped hysteretic response with large lateral resistance, good energy dissipation and self-centering capabilities. In addition, the wall plate is the primary energy dissipation component and the PS-SCED braces provide supplementary energy dissipation for system. The PS-SCED braces can provide up to 90% self-centering capability for the SPSW-SCEDB system. The compressive bearing capacity of the wall plate should be smaller than the horizontal remaining restoring force of the braces to achieve better self-centering effect of the system.

Programming of Beam/Column Analytical Process for Composite Wall Panels (냉간성형강 스터드 합성벽 패널의 보/기둥 해석기법의 전산화)

  • Lee, Young Ki
    • Journal of Korean Society of Steel Construction
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    • v.17 no.1 s.74
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    • pp.45-52
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    • 2005
  • The object of this study was a cold-formed steel wall stud panel sheathed by gypsum boards. In the beam-analysis, the panel was treated as a simple beam with a uniform lateral loading. The deflections were calculated by considering the primary factors that reduced the stiffness of the panel. In the column-analysis, the panel was treated as a bearing wall with an axial load. By using an energy method, nominal axial strength could be evaluated by considering both flexural buckling and torsional-flexural buckling. All calculations were programmed and compared with the results of the experiment. In the beam-analysis, experimental deflections were close to theoretical deflections. In the column-analysis, the experimental values were also close to theoretical values in axial strength.

COHERENT STRUCTURES IN DEVELOPING FLOW OVER A WAVY WALL (파형벽면이 있는 채널 유동의 응집 구조 연구)

  • Chang, Kyoung-Sik
    • Journal of computational fluids engineering
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    • v.17 no.2
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    • pp.93-99
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    • 2012
  • The present study focuses on the case of developing flow with in a channel containing a long array of sinusoidal waves (2a/${\lambda}$=0.1, ${\lambda}$=h, ${\lambda}$ is the wavelength, 2a is the wave height, h is the mean channel depth) at the bottom wall. The Reynolds number defined with channel height, h and the mean velocity, U, is Re=6,700. The channel is sufficiently long such that transition is completed and the flow is fully developed over the downstream half of the channel. For the case of an incoming steady flow with no resolved turbulence, the instantaneous flow fields in the transition region are characterized by the formation of arrays of highly-organized large-scale hairpin vortices whose dimensions scale with that of the roughness elements. The paper explains the mechanism for the formation of these arrays of hairpin vortices and shows these eddies play the primary role in the formation of the large-scale streaks of high and low velocity over the wavy wall region. The presence of resolved turbulence in the incoming flow, reduces the streamwise distance needed for the streaks to develop over the wavy region, but does not affect qualitatively the transition process. In the fully-developed region, isolated and trains of large-scale hairpins play an important role in the dynamics of the streaks over the wavy wall.

A Case Report of Primary Cardiac Fibroma (원발성 심섬유종 -수술체험 1례 보고-)

  • Lee, Hyeon-U;Lee, Jae-Won;Song, Myeong-Geun
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.95-98
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    • 1996
  • We report a case of primary cardiac fibroma which is a rare cardiac neoplasm and arising most frequently from right ventricular free wall and interventricular septum. A 2-month-old male infant with cyanosis was admitted for evaluation and treatment. Echocar-diographic lEnding was a cardiac mass. Successful nearly total removal of the tumor was performed. The pathologic result was compatible with fibroma. The postoperative course was not eventful, and have been in good condition upto now.

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Comparative Study for Compatibility of Acellular Dermis ($SureDerm^{TM}$) and Synthetic Material (PROCEED$^{(R)}$) on Abdominal Wall Defect in Rabbit Models (토끼의 전층 복벽 결손 재건에서 무세포진피 ($SureDerm^{TM}$)와 합성물질(PROCEED$^{(R)}$)에 대한 생체적합성 비교 연구)

  • Kang, Nak-Heon;Song, Seung-Han;Kang, Dae-Young;Ahn, Jae-Hyoung;Choi, Da-Mi;Kim, Jin-Young
    • Archives of Plastic Surgery
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    • v.38 no.2
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    • pp.135-142
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    • 2011
  • Purpose: Deficiencies of the abdominal wall can be the a result of infection, surgery, trauma, or primary herniation. For abdominal wall reconstruction, synthetic materials have been shown to provide a better long-term success rate than primary fascial repair. But, synthetic materials cannot elicit angiogenesis or produce growth factor and are therefore plagued by an inability to clear infection. As a result of the inherent drawbacks of synthetic, significant effort has been spent on the identification of new bioprosthetic materials. The aim of our study is to evaluate the effectiveness of a synthetic material (PROCEED$^{(R)}$) and an ADM ($SureDerm^{TM}$) to repair abdominal wall defects in a rabbit models. Methods: We measured the tensile strength of the $SureDerm^{TM}$ and PROCEED$^{(R)}$ by a Tension meter (Instron 4482). 16 Rabbit models were assigned to this study for abdominal wall reconstruction. Abdominal defect of 8 rabbits were reconstructed by PROCEED$^{(R)}$ and the rest were reconstructed by $SureDerm^{TM}$. We assessed gross and histologic examinations for the reconstructed abdominal wall. Results: The tensile strength of $SureDerm^{TM}$ and Gore Tex$^{(R)}$ is $14.64{\pm}0.51Mpa$, $8.54{\pm}0.45Mpa$. PROCEED$^{(R)}$ was estimated above the limits of measurement. Inflammatory reaction of PROCEED$^{(R)}$ persisted for 32weeks, but $SureDerm^{TM}$ decreased after 16weeks. Vascular ingrowth into the $SureDerm^{TM}$ was seen after 32 weeks. The basement membrane of $SureDerm^{TM}$ changed into a form of pseudoperitoneum. In PROCEED$^{(R)}$, it seemed like pseudoepithelial lining was made from the fibrosis around the mesh. Conclusion: In our study, the $SureDerm^{TM}$ not only have less inflammatory reaction and presented more angiogenesis than the PROCEED$^{(R)}$, but also have pseudoperitoneum formation. It is expected that $SureDerm^{TM}$ is useful for abdominal wall reconstruction. However, a long-term study of its usage consequences are thought to be needed.

Finite Element Analysis of Primary Cup-Seal in a Clutch Master Cylinder (클러치 마스터실린더 주 컵-시일의 유한요소해석)

  • 임문혁;이재천;구본은
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.3
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    • pp.143-150
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    • 2002
  • The characteristics of rubber cup seal is highly nonlinear due to the nature of the material's non-linearity and large deformation with frictional contact. And the performance of sealing in master cylinders of automobile is one of the most important factors which affects the safety of drivers. The effects of various shape of the primary cup seal in clutch master cylinder was investigated to reduce oil leakage and to obtain a long reliable life. Deformation and distribution of stresses on the primary cup seal against hydraulic oil pressure were analyzed with changing design parameters such as depth and radius in cup-seal. The obtained results indicate that the depth of cup seal plays a major role on deformation resulting in the sealing force to the wall of clutch master cylinder.