• 제목/요약/키워드: salvage technique

검색결과 42건 처리시간 0.029초

구난방제부문의 해양사고 분석과 운영체제 개선에 관한 연구 (A Study on the Marine Accidents of the Salvage & Oil Spills Response and Its Improvements on the Operation System)

  • 노창균
    • 한국항해항만학회:학술대회논문집
    • /
    • 한국항해항만학회 2002년도 추계공동학술대회논문집
    • /
    • pp.33-38
    • /
    • 2002
  • 국가는 대형사고에 대비한 범국가적 해양 구난방제체제 수립이 절실히 요구되고 있다. 그러나 우리나라는 구난방제 시절과 기술이 부족한 관계로 대형 해양사고 발생시 그 처리를 외국기술에 의존하는 형편이다. 이로 인해 가장 중요한 사고초기에 적절한 대처를 못하여 사고의 피해를 크게 확산시킬 우려가 상존하고 있다. 이에 이 논문에서는 해양사고가 발생할 경우 신속하고 효과적인 구난방제작업을 할 수 있도록 구난방제체제의 기반조성과 시설투자, 구난방제 기술개발 및 능력 배양 등 다각적인 방안을 제시하였다.

  • PDF

구난방제업무의 발전방향에 관한 연구 (A Study on the Developments of the Salvage & Oil Spills Response)

  • 노창균
    • 한국항해항만학회지
    • /
    • 제26권5호
    • /
    • pp.549-554
    • /
    • 2002
  • 국가는 재난에 대비한 범국가적 해양 구난방제체제 수림이 절실히 요구되고 있다. 그러나 우리나라는 구난방제 시설과 기술이 부족한 관계로 대형 해양사고 발생시 그 처리를 외국기술에 의존하는 형편이다. 이로 인해 가장 중요한 사고초기에 적절한 대처를 못하여 사고의 피해를 크게 확산시킬 우려가 상존하고 있다. 이에 이 논문에서는 해양사고가 발생할 경우 신속하고 효과적인 구난방제작업을 할 수 있도록 구난방제체제의 기반조성과 시설투자, 기술개발 및 능력 배양 등 다각적인 방안을 제시하였다.

Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate

  • Koh, Kyoung Hwan;Shin, Dong Ju;Hwang, Seong Mun
    • Clinics in Shoulder and Elbow
    • /
    • 제22권3호
    • /
    • pp.149-153
    • /
    • 2019
  • We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.

Salvage Approaches for Maintaining the Eye Globe in a Glaucomatous Patient with Severe Unilateral Exophthalmos

  • Kim, Eunjik;Yun, Sungho;Kwon, Young-Sam
    • 한국임상수의학회지
    • /
    • 제34권2호
    • /
    • pp.123-125
    • /
    • 2017
  • An eight-year-old Shih-Tzu dog was referred to Kyungpook National University Veterinary Medical Teaching Hospital because of severe glaucoma and exophthalmos. The symptoms included severe buphthalmos, conjunctival hyperemia, focal dried cornea and discomfort in the affected eye. Although enucleation was considered as a potential intervention measure in light of the severity of symptoms, it was possible to save the globe and relieve symptoms through evisceration, intraocular prosthesis implantation, and lateral canthoplasty. Our experience with this case suggests that symptomatic salvage therapy, rather than enucleation, is an appropriate approach for resolution of exopthalmos and other complications associated with glaucoma surgery.

Ilizarov술식을 이용한 사지 구제술 - 2례 보고 - (Limb-Salvage Surgery using Ilizarov Technique - Report of 2 cases -)

  • 조덕연;고은성;이지섭
    • 대한골관절종양학회지
    • /
    • 제1권2호
    • /
    • pp.226-232
    • /
    • 1995
  • Survival rate of osteosarcoma has been improved recently due to the neoadjuvant and adjuvant chemotherapy. Limb-salvaging operation(LSO) has replaced the amputation technique without' lowering the survival rate. And there occurred a lot of patients who are suffering from the high cost of artificial implants and forced to choose amputation due to economic problem. In LSO, usually relatively high cost artifical implant is needed. When a patient and not afford such an expensive implant he had to choose an inexpensive way, amputation. Authors tried bone lengthening by adopting Ilizarov technique after wide resection of tumor in two patients. Bone transportation was successful in one patient and less successful in the other. One case in CDF(continuosly disease free since the surgical procedure) state at follow-up 3 year 4 months after knee joint fusion. And the other was given lobectomy for lung metastasis at postop. 1 year and 9 months, and given osteosynthesis for infected nonunion at the docking site. Bone transportation was thought to be a good method for the bony coverage of dead space caused by wide resection. Bone transportation technique was economical as well as biological We present two osteosarcoma patient who treated with Ilizarov bone transportation.

  • PDF

테크니컬 잠수기술을 이용한 해군 해난구조 활동 효율성 향상방안 (A study on the improvement of ROK navy salvage and rescue activity using technical diving technique)

  • 김태현;박정식;유호휘;강신영
    • Journal of Advanced Marine Engineering and Technology
    • /
    • 제37권8호
    • /
    • pp.969-976
    • /
    • 2013
  • 본 연구의 목적은 개방회로 공기스쿠버와 표면공급 잠수체계의 제한사항을 개선하기 위해 테크니컬 잠수기술을 적용하는 방안을 제시하여 한국 해군의 해난구조 활동 효율성 향상에 도움이 되는 기초자료를 제공하기 위함이다. 연구방법으로는 기존의 개방회로 공기 스쿠버의 제한사항을 개선하기 위하여 테크니컬 잠수기술을 이론적으로 고찰하고 개방회로 공기 잠수와 나이트록스(Nitrox) 잠수, 재호흡기(Rebreather) 간 가용심도, 무감압 한계시간, 수중 체류 가능시간, 감압의 효율성 등을 미 해군 등 공신력 있는 기관의 기준에 따라 비교 분석하였다. 그 결과 보다 적합한 테크니컬 잠수기술의 도입 방안이 도출되었다. 본 연구의 결과는 일련의 제한사항이 따르나 장비도입 및 교육 등 그 적용에 따라 감압절차 및 해난구조 활동의 효율성 향상에 기여할 할 수 있을 것으로 판단된다.

Safe and Simplified Salvage Technique for Exposed Implantable Cardiac Electronic Devices under Local Anesthesia

  • Jung, Chang Young;Kim, Tae Gon;Kim, Sung-Eun;Chung, Kyu-Jin;Lee, Jun Ho;Kim, Yong-Ha
    • Archives of Plastic Surgery
    • /
    • 제44권1호
    • /
    • pp.42-47
    • /
    • 2017
  • Background Skin erosion is a dire complication of implantable cardiac pacemakers and defibrillators. Classical treatments involve removal of the entire generator and lead systems, however, these may result in fatal complications. In this study, we present our experience with a simplified salvage technique for exposed implantable cardiac electronic devices (ICEDs) without removing the implanted device, in an attempt to reduce the risks and complication rates associated with this condition. Methods The records of 10 patients who experienced direct ICED exposure between January 2012 and December 2015 were retrospectively reviewed. The following surgical procedure was performed in all patients: removal of skin erosion and capsule, creation of a new pocket at least 1.0-1.5 cm inferior to its original position, migration of the ICED to the new pocket, and insertion of closed-suction drainage. Patients with gross local sepsis or septicemia were excluded from this study. Results Seven patients had cardiac pacemakers and the other 3 had implantable cardiac defibrillators. The time from primary ICED placement to exposure ranged from 0.3 to 151 months (mean, 29 months. Postoperative follow-up in this series ranged from 8 to 31 months (mean follow-up, 22 months). Among the 10 patients, none presented with any signs of overt infection or cutaneous lesions, except 1 patient with hematoma on postoperative day 5. The hematoma was successfully treated by surgical removal and repositioning of the closed-suction drainage. Conclusions Based on our experience, salvage of exposed ICEDs is possible without removing the device in selected patients.

이개 주변 악성종양의 광범위절제술 후 이개의 보존 2례 (Two Cases of Auricular Salvage after Wide Excision of Malignant Tumor at Periauricular Area)

  • 김결희;정철훈;장용준;이종욱;노영수;김창우
    • 대한두경부종양학회지
    • /
    • 제25권1호
    • /
    • pp.39-42
    • /
    • 2009
  • Wide excision for curative treatment of malignant tumor on periauricular area often leads to loss of the external ear. But the auricle has rich vascular supply, Conservation of auricular contour is possible through salvage and engineering of remained auricular tissue. We experienced two cases of auricular salvage after wide excision of malignant tumor. In the first case, we performed two-staged technique. In first step, we covered soft tissue defect on periauricualr area with the anterolateral thigh free flap and remained auricle was floating over the flap after split-thickness skin graft was applied on it's posterior raw surface because it's survival was not confirmed. Second step was reposition of remained auricule on the anterolateral thigh flap. In the second case, we packed in periauricular dead space and external auditory canal with temoporalis muscle and temporoparietal fascial flap and then covered the flap with split thickness skin graft. In these two cases, there were no recurrence of tumors and we obtained cosmetically & functionally satisfactory results.

대장유리피판(Colon Free Flap)을 이용한 식도재건의 구제술 (Salvage of Esophageal Reconstruction with Colon Free Flap)

  • 이상우;민경원
    • Archives of Plastic Surgery
    • /
    • 제33권2호
    • /
    • pp.245-248
    • /
    • 2006
  • Besides gastric pull-up or colonic interposition, microvascular technique in esophageal reconstruction has been approved reliable methods. When free intestinal transfer is considered, jejunal free flap is commonly used. We treated the patient who had undergone reconstruction with a right colon interposition and suffered from inability of swallowing because of stricture and necrosis of the interposed flap. Although we have planned jejunal free transfer, we couldn't use jejunum due to adhesion by previous gastrojejunostomy and colon interposition. Salvage procedure with microvascualr free left colon flap was executed successfully. After 9 month follow-up, the patient was able to consume a normal diet.