• Title/Summary/Keyword: repair technique

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Open Heart Surgery in Infancy (1세이하 영아에서의 개심술)

  • 권영무
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.960-966
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    • 1991
  • From February 1984 through July 1991, 104 infants less than 1 year of age with congenital heart defects underwent open heart repair with conventional cardiopulmonary bypass which occupied 10.7% of all patients with congenital heart defects operated on during same period. There were 66 boys and 38 girls 7 days to 12 months [mean age, 8.2 months]. Four patients were neonates, 8 were 1 to 3 months, 23 were 4 to 6 months, and 69 were 7 to 12 months of age. Mean body weight at repair was 6.9kg and mean BSA, 0.36m2 Indications for operation were intractable congestive heart failure and severe pulmonary hypertension in patients with VSD and severe cyanosis and anoxic spells in patients with TOF. Conditions corrected were VSD[79], TOF[8], AVSD[4], PS[2], PA+IVS[2], TAPVC [2], MR[2], DOLV[l], Truncus arteriosus[1], D-TGA[1], and PA-VSD[1]. Twenty-three of 79 patients with VSD had associated cardiovascular anomalies which included PDA in 16 patients, PS in 9 patients, ASD in 5 patients, LSVC in 2 patients, MR in 1 patient, dextrocardia in 1 patient, and single coronary artery in 1 patient. The hospital mortality rate was 24.0% which was much higher than that of 6% in patients over 1 year of age. The greatest mortality occurred in babies of low weight under 6 months of age, There was no late death. Surviving infants showed marked symptomatic improvement and change in growth patterns. These surgical results were to be overcome with proper pre- and post-operative management and improvement of surgical technique

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Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture

  • Lee, Weon-Yong;Kim, Sung-Jun;Kim, Kun-Il;Lee, Jae-Woong;Kim, Hyoung-Soo;Lee, Hee-Sung;Cho, Sung-Woo
    • Journal of Chest Surgery
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    • v.44 no.2
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    • pp.186-188
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    • 2011
  • Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality rate is high. We have experienced a case of a 75-year-old female patient who suffered posterior VSD due to acute myocardial infarction, and attained good result by approaching the lesion through right atrial incision and repaired the defect by using patch closure technique.

Calcaneal Tuberosity Avulsion Fracture after Repair of Achilles Tendon Rupture: A Case Report (아킬레스건 파열 이후에 발생한 종골 결절의 견열골절: 증례 보고)

  • Lee, Sung Hyun;Yi, Young;Kim, Saintpee;Kang, Hong Je
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.216-219
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    • 2019
  • In clinical practice, recurrent Achilles ruptures have been noted to occurr at the original ruptured site. However, reports of new developed fresh rupture of the Achilles tendon in other sites are is extremely rare. Our report is about one uncommon case of a traumatic calcaneal tuberosity avulsion fracture following augmented repair, which was performed using the Krackow locking loop technique. We performed open reduction and intra-osseous fixation using a suture anchor. This procedure was done through the primary longitudinal incision for the calcaneal avulsion fracture fragment. After 6 months of follow-up, our patient has achieved a complete functional recovery and he can normally perform daily and work-related tasks without pain.

USAGE OF NASOLABIAL SKIN FLAPS FOR THE RECONSTRUCTION OF VARIOUS INTRAORAL DEFECTS (다양한 구강내 결손부 재건을 위한 비순피판의 활용)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.1
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    • pp.71-78
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    • 2007
  • The nasolabial flap has been used for reconstruction of moderate size intraoral defects. The nasolabial fold area provides an ample supply of tissue with a good color and texture match. The nasolabial flap classified advancement flap, inferiorly-based flap, superiorly-based flap. The flap is based inferiorly, so that it can easily be rotated to the intraoral defects. The nasolabial flap is chosen for the repair of various intraoral defects because of its simple elevation, proximity to the defect and its rich subcutaneous blood supply of a island flap. The subjects were 6 patients with nasolabial flap, who had reconstruction of moderate size intraoral defects. We have found the inferiorly-based nasolabial flap with a subcutaneous pedicle useful in the primary repair of surgical defects of the buccal mucosa, edentulous mandibular ridge, maxillary alveolus area and soft palate in these patients. There was no complication except one case. Intraoral hair growth was a minor problem of this patient. We thought that the inferiorly-based nasolabial flap is a useful technique for reconstruction of various intraoral defects.

Bilateral cleft lip (양측성 구순열)

  • Kim, Jong-Ryoul
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.1
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    • pp.39-56
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    • 2007
  • The bilateral cleft lip, a more severe form of clefting than unilateral cleft lip, involves separation of the lip along philtral lines, isolating the central segment (prolabium). Bilateral cleft lip may be either symmetrical or asymmetrical, in which case the cleft lip is split more on one side than on the other. The cleft affects the obvious facial form as an anatomic deformity and has functional consequences, affecting the child's ability to eat, speak, hear, and breathe. Although there would seem to be quite a variance in reported figures, ratios of cleft lip with or without cleft palate have gone as high as 1:500 and as low as 1:1000. It is known that less than 10% of cleft lips are bilateral. Although bilateral cleft lip is less common than unilateral cleft lip, the deformity is more severe, and the reconstructive technique is more complex. Surgery is the only treatment necessary for patients with bilateral cleft lip. Accompanying the evolution of surgical repair is the increasingly important role of orthodontic support with early presurgical alveolar and nasal molding. Repositioning the maxillary and alveolar segments into a more anatomic position allows the surgeon to repair the lip and associated nasal deformity under more optimal conditions. The purpose of this article is to review the related anatomy, presurgical management, and surgical management of bilateral cleft lip.

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A Study on the Investigation Technique for Deterioration State of Window·Door and Tile of Apartment Houses (공동주택 창호 및 타일의 열화상태 조사기법에 관한 연구)

  • Lee, Jung-Hun;Bae, Kee-Sun;Lee, Seong-Bok;Oh, Sang-Keun;Choi, Soo-Kyung;Seo, Chi-Ho
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2011.05a
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    • pp.27-30
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    • 2011
  • Analysis data of basics which are used for LCC(Life Cycle Cost) analysis of buildings and maintenance plan, are demanded to secure according as replacement cycle of repairs of apartment houses has come. However, investigation techniques and systems for investigating condition of deterioration of apartment houses, have not been made yet in Korea. For this reason, this study was wanted to make investigation techniques and systems, so the process for maintenance of apartment houses was researched and the required quality and deterioration factors of interior/exterior materials were investigated. As a result Check-List for investigating condition of deterioration, was made. if this is used during a nonscheduled, a routine, a regular and a urgency check, the methodical investigation will be achieved. Furthermore, if this is used for maintenance of apartment houses, it will be helped to select the repair cycle and the long-term repair plan.

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Simplified Approach to Repair of Complete Atrioventricular Septal Defect (완전방실중격결손수술의 단순화)

  • 김웅한;김수철;오삼세;정도현;정홍주;김욱성;이창하;정철현;나찬영
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.899-902
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    • 1998
  • Recent advances in understanding the anatomy of complete atrioventricular septal defect have led to alternative methods of repairing these defects. Here we report two cases of complete atrioventricular septal defect repair by direct closure of the ventricular element of the defect. Follow-up for average of 3 months suggests that, when direct closure can be performed, the results can be comparable with those of the standard technique. Our initial success with this approach is encouraging; however, longer follow-up and more experiences are required to establish whether it will be broadly applicable.

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Radiation Effect on Mouse Jejunal Crypt Cells by Single and Split Irradiation (단일조사와 분할조사시 마우스 공장 소낭선세포의 방사선효과에 관한 실험적 연구)

  • Koh Byung Hee;Hahm Chang Kok;Kim Jung Jin;Park Chan Il
    • Radiation Oncology Journal
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    • v.3 no.1
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    • pp.1-8
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    • 1985
  • To determine the dose·survival and repair characteristics of the jejunal crypt cells, experimental study was carried out using total 70 mice. Single or split irradiations of 1,100 to 2,200 rad were delivered to whole bodies of $C_{57}$ BL mice, using a cesium 137 animal irradiator and those mice were sacrificed after 90 hours. The number of regenerating crypts per jejunal circumference was counted by a jejunal crypt cell assay technique and dose·response curve was measured. The results were as follows : 1. The average number of jejunal crypts per circumference in control group was 140. In a single irradiation group, the number of regenerated jejunal crypts was, 125, 56, 2 in each subgroup of 1,100 rad, 1,400 rad and 1,800 rad respectively. In split irraiation group, it was 105,44,2 in each subgroup of 1,400rad 1,800rad and 2,200rad respectively. 2. Mean lethal dose of mouse jejunal crypt cell was 167 and 169 rad respectively in a single and split irradiation. 3. Repair dose of sublethal damage was 280 rad. 4. Sublethal damage was completely repaired within 4 hours between the split dose of irradiation.

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Repair and Construction Methods of Hanyangdoseong in 18th Century (18세기 한양도성의 개축과 축성기법)

  • Song, In Ho;Kim, Young Soo;Moon, In Sik
    • Journal of architectural history
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    • v.30 no.4
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    • pp.79-90
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    • 2021
  • Since its construction in the late 14th century, Hanyangdoseong had been carried out three major repairs and reconstructions during the 500 years of the Joseon Dynasty. In addition to the large-scale construction, small-scale construction continued until King Gojong era. In particular, in the 18th century, systematic construction management was implemented by the craftsmen and the military participated in the renovation of Hanyangdoseong in earnest, and the construction methods also developed rapidly. In the early 18th century, new construction techniques were attempted in various sections of the reconstruction work, and gradually became a common technology for repairing Hanyangdoseong in the late 18th century. The purpose of this study is to examine the characteristics and period of changes in the 18th century's construction technique, when the rapid development of Hanyangdoseong took place. To this end, the excavation results related to Hanyangdoseong, the remaining city wall, and the inscribed stones were used to identify and demonstrate the characteristics and change of the construction method.

Intra-sinus rigid fixation of a resorbable barrier membrane to repair a large perforation of the sinus membrane: a technical note

  • Won-Jun Joung;Seo-Hyoung Yun;Yongjin Kim;Yong-Seok Cho;Won-Woo Lee;Jin-Won Seo;Marco Tallarico;Kyung-Gyun Hwang;Chang-Joo Park
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.5
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    • pp.297-303
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    • 2023
  • A resorbable barrier membrane is commonly used for the repair of perforated sinus membranes during sinus lifting surgeries. However, repairing largescale perforations poses challenges for clinicians as the protection and isolation of graft material remain uncertain. With this technique, we aimed to prevent graft material loss and subsequent sinus-related complications using intra-sinus rigid fixation of the resorbable barrier membrane in cases with a large perforation of the sinus membrane.