• Title/Summary/Keyword: repair procedure

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Surgical Repair of Interruption of the Aortic Arch[Type A] -A Report of 5 Cases- (대동맥 결손증 (Type A) 의 외과적 치험)

  • 조범구
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.665-671
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    • 1988
  • Between 1981 and 1987, five patients with an interruption of the aortic arch were operated upon. All had a ventricular septal defect and a patent ductus arteriosus as associated anomalies. A two-stage procedure was employed in these cases, the initial procedure being repair of the interrupted arch, ligation of the patent ductus arteriosus, banding of the main pulmonary artery and a lung biopsy which was followed, 5 to 49 months later, by the repair of the ventricular septal defect. Four patients completed the two-stage procedure with one postoperative mortality. The remaining patient is yet to complete the second stage procedure.

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Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review

  • Hyoung Ook Kim;Nam Yeol Yim;Jae Kyu Kim;Yang Jun Kang;Byung Chan Lee
    • Korean Journal of Radiology
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    • v.20 no.8
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    • pp.1247-1265
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    • 2019
  • Abdominal aortic aneurysm (AAA) can be defined as an abnormal, progressive dilatation of the abdominal aorta, carrying a substantial risk for fatal aneurysmal rupture. Endovascular aneurysmal repair (EVAR) for AAA is a minimally invasive endovascular procedure that involves the placement of a bifurcated or tubular stent-graft over the AAA to exclude the aneurysm from arterial circulation. In contrast to open surgical repair, EVAR only requires a stab incision, shorter procedure time, and early recovery. Although EVAR seems to be an attractive solution with many advantages for AAA repair, there are detailed requirements and many important aspects should be understood before the procedure. In this comprehensive review, fundamental information regarding AAA and EVAR is presented.

Simulation Procedure for Estimating the Reliability of a System with Repairable Units+

  • S. Y. Baek;T.J. Lim;J. S. Hong;C. H. Lie;Park, Chang K.
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05b
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    • pp.691-698
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    • 1996
  • This paper propose a procedure to estimate the system lifetime distribution using simulation method in a parametric framework and also develop the criterion for terminating the simulation. We assume that a system is composed of many components whose lifetime and repair time distributions are general, and repair of each component is imperfect or not. General simulation algorithms can not be adopted for this case, due to the dependency of successive operating times and the discontinuity in base line intensity function of failure process. Then we propose algorithms for generating failure times subject to imperfect repair. We develop the event time tracking logic for identifying the system failure time, and also develop the criterion for terminating the simulation. Our procedure is composed of two phases. The first phase of the procedure is to generate the system failure times from the inputs. The second phase is to estimate the lifetime distribution of the system. The best model is selected by a fully automated procedure among well-known parametric families, and the required parameters are estimated. We give examples to show the accuracy of our procedure and the effect of repair effect of components to system MTTF(Mean Time To Failure).

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The Surgical Treatment of Acute Rupture of the Lateral Ligaments of the Ankle (급성 족관절 외측 인대 파열의 수술적 치료)

  • Lee, Keun-Il;Roh, Su-In;Choi, Ik-Su
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.1
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    • pp.5-12
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    • 2001
  • Purpose: To find out the priority of which procedure has had a better outcome both clinically and radiographically between the two groups, one is treated by primary repair and the other by modified Brostr$\ddot{o}$m's procedure, by comparing the postoperative ankle joint stability and the patient's degree of satisfaction. Material and methods: 16 cases were taken into consideration whose number of severed ligaments were at least two or more of the lateral collateral ligaments of the ankle, and also were confirmed intraoperatively. Among them, 8 cases were treated with primary repair and the other 8 cases were treated with primary repair and the other 8 cases by modified Brostr$\ddot{o}$m's procedure. Results: There was no distinguishable difference for the patient's degree of satisfaction between the two procedures above mentioned. In 3 cases treated with primary repair, functional instability was observed. In case of postoperative ankle joint stability, 7 of 8 cases treated by modified Brostr$\ddot{o}$m's procedure has revealed increased joint stability. And 3 of 8 cases which were treated by primary repair have showed postoperative residual instability. Conclusion: Actually, the severed ligament can not maintain its normal strength though several months has elapsed, and possible residual instability could be remained. Therefore, it can be expected that modified Brostr$\ddot{o}$m's procedure also would be a .good method in obtaining suitable ankle joint stability as well as subtalar joint stability because of its reinforcement using extensor retinaculum.

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Case Study of F-15 Airframe Battle Damage Repair Design and Assessment Procedure (F-15 기체 전투손상 수리설계 및 평가기법 사례연구)

  • Kim, Jong-Heon;Joo, Young-Sik
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.37 no.1
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    • pp.105-112
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    • 2009
  • For the purpose of facing battle damage that a fighter is subject to in combat, following recovery procedures such as damage assessment, repair design and structural integrity evaluation are investigated. A sample study is presented on the battle damage of F-15 ECS bay, which is comprised of damage assessment and repair design based on ABDR(Aircraft Battle Damage Repair) skills and work procedure complying with AFTO(Air Force Technical Order) forms. Further, the flight safety of repaired structure is validated and the time the permanent repair should be done is estimated through the evaluation of structural integrity such as the calculation of static strength and fatigue life.

Anchor Design to Prevent Debonding of Repair Mortar in Repaired Concrete Members

  • Choi Dong-Uk;Lee Chin-Yong
    • Journal of the Korea Concrete Institute
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    • v.17 no.4 s.88
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    • pp.637-643
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    • 2005
  • Reinforced concrete beams or slabs are often strengthened or repaired using polymer modified cement concrete Stresses can develop in the structure by ambient temperature changes because thermal coefficients of the repair material and the existing concrete are typically different. Especially, shear stress often causes debonding of the interface. In this study, a rational procedure was developed where anchors can be designed in strengthened or repaired concrete members to prevent debonding at the interface. The current design procedure considers thicknesses and elastic moduli of the repair material and existing concrete, ambient temperature change, length, and beam-vs.-slab action. The procedure is also applicable to stresses developed by differential drying shrinkage.

Massive Rotator Cuff Tear

  • Lee Yong Geol
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 1999.03a
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    • pp.104-107
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    • 1999
  • $\cdot$ Although the surgical repair of massive tears of the rotator cuff is demanding procedure, the results are rewarding if technical principles are strictly followed $\cdot$ But structual healing does not parallel to technically successful repair of tears . Alternatives to direct repair might be considered for irrepairable massive tears

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Advantages of Scorpion Suture Passer and 70 Degrees Arthroscope in Arthroscopic Bankart Repair: Usefulness for Inferior Labral Repair

  • Hyun, Yoon-Suk;Shin, Woo-Jin
    • Clinics in Shoulder and Elbow
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    • v.20 no.4
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    • pp.201-207
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    • 2017
  • Background: The blunted tip of a reusable with multiple uses can cause problems with the passing procedure in arthroscopic Bankart repair. This study assessed the advantage of Scorpion with a $70^{\circ}$ arthroscope in arthroscopic Bankart repair compared to hook typed suture passer. Methods: Scorpion in 19 patients, the hook type suture passer (conventional group) in 18 patients were used. All patients underwent the same procedure except for the type of suture passer used. Another different point of the procedure were telescopes and the number of portals used; three arthroscopic portals (posterior, anterorsuperiorlateral, and mid-anterior) and a $30^{\circ}$ arthroscope in the conventional group, but two portals and a $70^{\circ}$ arthroscope as well as the $30^{\circ}$ one in the Scorpion group. The surgery time and the surgical complications including an iatrogenic axillary nerve injury were recorded. Results: The Scorpion group showed a significant decrease in surgery time compared to the conventional group. In contrast to the conventional group, Scorpion provided an easy estimation of the exit of suture passing, no iatrogenic labral injury during the passing procedure with straight movement and the sharp tip of the knife installed. Iatrogenic supraspinatus injuries could be avoided when making an accessory anteosuperiorlateral portal due to the $70^{\circ}$ arthroscope. Conclusions: In arthroscopic Bankart repair, the use of the Scorpion suture passer and a $70^{\circ}$ arthroscope can reduce the surgery time, avoid unnecessary supraspinatus injury, and avoid iatrogenic axillary nerve damage through the relatively easy and precise suture passing and saving of the anterosuperior portal.

Treatment of the Septic Shoulder after Arthroscopic Rotator Cuff Repair in Diabetes Mellitus - A Case Report - (당뇨병 환자에서 관절경적 회전근 개 봉합술 후 발생한 화농성 견관절염의 치료 - 증례 보고 -)

  • Park, Jae-Hyun;Choi, Won-Ki;Kim, Se-Sik;Choi, Chang-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.72-76
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    • 2009
  • Two diabetes mellitus patients treated by arthroscopy and associated procedure for an infection after arthroscopic rotator cuff repair were involved. The time interval from rotator cuff repair to symptom development was 18 days in average and arthroscopic debridement and associated procedure for infection applied in average 65 days after symptom development. Patient evaluation was done according to the KSS, ASES, UCLA and Constant Score. We used antibiotics for average 22.5 days after arthroscopic debridement and associated procedure, the infection was treated in average 4 months. At final follow-up, the mean KSS score was 82 points, the mean UCLA score was 33 points, the mean ASES score was 91 points, the mean Constant score was 71 points. All infections following arthroscopic rotator cuff repair were cured by arthroscopy and associated procedure. ROM and functional results were much improved, the pain and satisfaction were also much improved.

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PREDICTION OF MICROSTRUCTURE EVOLUTION AND HARDNESS DISTRIBUTION IN THE WELD REPAIR OF CARBON STEEL PIPELINE

  • Li, Victor;Kim, Dong
    • Proceedings of the KWS Conference
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    • 2002.10a
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    • pp.205-210
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    • 2002
  • This article presents an integrated modeling approach for coupled analysis of heat transfer and microstructure evolution in welding carbon steel. The modeling procedure utilizes commercial [mite element code ABAQUS/Standard as the platform for solving the equation of heat conduction. User subroutines that implement computational thermodynamics and kinetics models are integrated with the FEA code to compute the transient microstructure evolution. In this study, the integrated models are applied to simulate the hot-tap repair welding of carbon steel pipeline. Microstructural components are treated as user output variables. Based on the predicted microstructure and cooling rates, hardness distributions in the welds were also predicted. The predicted microstructure and hardness distribution were found in good agreement with metallographic examinations and hardness measurements. This study demonstrates the applicability of computational models for the development of welding procedure for in-service pipeline repair.

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