• Archives of Plastic Surgery
• /
• 제40권5호
• /
• pp.505-509
• /
• 2013

Background The aim of this study was to collect important data on the time of oxygen saturation change in relation to skin flap color alteration using non-invasive pulse oximetry to evaluate its ability to provide continuous monitoring of skin flap perfusion. Methods An experimental study on the monitoring of blood perfusion of 20 tube-island groin flaps of 10 male New Zealand rabbits was performed using pulse oximetry. The animals were randomly assigned to one of two groups representing a blockage of either arterial or venous blood flow. The oxygen saturation change and clinical color alteration were monitored from the beginning of vessel clamping until the saturation became undetectable. The result was analyzed by the t-test using SSPS ver. 10.0. Results The mean times from the vessel clamping until the saturation became undetectable were $20.19{\pm}2.13$ seconds and $74.91{\pm}10.57$ seconds for the artery and vein clamping groups, respectively. The mean time of the clinical alteration from the beginning of vein clamping was $34.5{\pm}11.72$ minutes, while the alteration in flaps with artery clamping could not be detected until 2.5 hours after clamping. Conclusions The use of neonate-type reusable flex sensor-pulse oximetry is objective and effective in early detection of arterial and vein blockage. It provides real-time data on vessel occlusion, which in turn will allow for early salvaging. The detection periods of both arterial occlusion and venous congestion are much earlier than the color alteration one may encounter clinically.

• Journal of Acupuncture Research
• /
• 제17권3호
• /
• pp.45-56
• /
• 2000

Objectives : Meridian Scraping Therapy(MST: Kwal-Sa: 刮痧) has not well known in Korea. But it's a kind of Traditional Physical Therapy wide spreaded in China and Taiwan. So I want to introduce this new Therapy by summarizing the basic theories and practical manipulations. Conclusions : To analyse the meaning of the character Kwal-Sa, Kwal(刮) means scraping the skin by some tools and Sa(痧) means originally the red spots on skin of measles but in this therapy it's the red spot on skin after the treatment. Meridian Scraping Therapy is based on the meridiology and holism which are the basic theory of Oriental Medicine. The main effects of Meridian Scraping Therapy are draining of pathogenic factors, promoring the flow of ki and blood, tonify yang, balancing the harmony of intemal organs and enhancing the immuno-ability in body. Rhinoceros corpus is common matrial of MST-plate which is the tool of manipulation. And by this plate several manipulation is performed according to the symptom and the locations of pain. The merits of MST are that easily learned by practician, the effects of the treatment are very quickly manifest and no significant side-effects. And additionally this therapy performed not only for treat diseases but prevent it and preserve health.

• Archives of Reconstructive Microsurgery
• /
• 제10권2호
• /
• pp.163-168
• /
• 2001

The defects of the abdominal wall could be brought about either congenitally, for instances in such cases as omphalocele or gastroschisis, or by various acquired causes-trauma, excision of tumors, excision of burn scar, tissue necrosis caused by infection, hematoma after abdominal surgery, tissue necrosis after radiation therapy and so on. As for the techniques of the reconstruction of the abdominal wall defects, many authors have developed and reported diverse methods. To summarize, primary closure, skin graft, local skin flaps, various myocutaneous flaps, free flap, fascia graft, artificial mesh, tissue expansion, etc could be used in the reconstruction of the abdominal wall defects. The periumbilical perforator-based island skin flap has a many advantages such as no significant sacrifice of the rectus abdominis muscle, wide rotation arc, reliable blood flow of the perforator, short elevation time for flap, and for middle-aged, obese patients, the donor site may be the best from the cosmetic point of view. We used perforator-based island skin flap in 5 cases with reasonable result from March 1999 to May 2001. There were no significant complications and donor sites could be repaired primarily.

• 대한화장품학회지
• /
• 제38권1호
• /
• pp.43-50
• /
• 2012

인체피부에서 화장품이나 화장품 원료의 안전성시험은 대체로 육안평가로 이루어져왔다. 하지만, 피부반응 초기의 미세한 변화에 대해서 육안으로는 감지하지 못하는 경우가 많다. 따라서, 본 연구에서는 수종의 화장품 원료에 의해 유발되는 홍반반응에 대해 육안평가뿐 아니라, 레이저도플러혈류이미지(LDPI) 측정장비를 이용한 혈류변화 측정, $Vapometer^{(R)}$를 이용한 경피수분손실량(TEWL) 측정, 분광광도계를 이용한 피부색 측정과 같은 기기평가를 병행하여 비교하였다. 30명의 건강한 여성 피험자를 대상으로 오일류 7종, 계면활성제류 6종, 보습제류 5종을 피험자의 등 부위에24 h 폐쇄첩포(D0)하여 피부반응을 유도하였고 첩포 제거 후 30 min (D1), 24 h (D2)에 육안평가와 기기평가를 각각 실시하였다. 육안평가 결과, 프로필렌글라이콜을 제외한 모든 오일류와 보습제류는 저자극 수준의 피부반응(반응도 0+ - 2.9+)을 보인 반면, 프로필렌글라이콜과 모든 계면활성제류는 중자극에서 강자극 수준의 피부반응(반응도 3+ - 5+)을 보였다. 기기측정 결과, 육안평가에서 저자극 범주의 피부반응에 대해서 혈류량이나 피부색보다 경피수분손실량이 가장 민감하게 피부변화를 감지하였다.

• Archives of Plastic Surgery
• /
• 제37권6호
• /
• pp.769-774
• /
• 2010

Purpose: As the soft tissue defect around the knee is difficult to reconstruct, local flap or free flap is used. Distally based anterolateral thigh pedicled flap introduced by Zhang uses sufficient reverse flow supplied from the vascular network around the knee. We report successful reconstruction of defect around knee by this method. Methods: Four patients with skin & soft tissue defect around knee have been treated for reconstruction using the distally based anterolateral thigh pedicled flap. First, the doppler was used to check the perforator flap of the descending branch of the lateral circumflex femoral artery and to draw and dissect the perforator flap as much as needed. After the dissection, the proximal of the descending branch was clamped and checked for sufficient supply of blood flow from the reverse flow and then ligated. It was dissected along the descending branch and in order to prevent damage to the joined parts of the descending branch and the lateral superior geniculate artery, a more careful ligation was done starting from 10 cm superior to the knee. The defect was reconstructed after securing enough vascular pedicle to cover all the damaged parts. Results: Not all patients suffered from flap necrosis. In case of the patient with chronic osteomyelitis, slight venous congestion was observed right after the surgery but it disappeared the following day. All three patients had no occurences of additional complications. Conclusion: Distally based anterolateral thigh pedicled flap was enough to provide large flap for knee reconstruction. It had sufficient blood flow and vascular pedicle. It also had taken short operation time compared to the free flap operation. The distally based anterolateral thigh pedicled flap used by the authors is a very useful way of reconstructing the area around knee.

• Journal of Korean Neurosurgical Society
• /
• 제48권2호
• /
• pp.105-108
• /
• 2010

Objective : Some neurosurgeons intentionally ligate the branches of the superficial temporal artery (STA) that are not used in standard STA-to-middle cerebral artery (MCA) anastomosis for the purpose of improving the flow rate in the bypass graft. We investigated changes in bypass flow during temporary occlusion of such unused branches of the STA. Methods : Bypass blood flow was measured by a quantitative microvascular ultrasonic flow probe before and after temporary occlusion of branches of the STA that were not used for anastomosis. We performed measurements on twelve subjects and statistically assessed changes in flow. We also examined all the patients with digital subtraction angiography in order to observe any post-operative changes in STA diameter. Results : Initial STA flow ranged from 15 mL/min to 85 mL/min, and the flow did not change significantly during occlusion as compared with preocclusion flow. The occlusion time was extended by 30 minutes in all cases, but this did not contribute to any significant flow change. Conclusion : The amount of bypass flow in the STA seems to be influenced not by donor vessel status but by recipient vessel demand. Ligation of the unused STA branch after completion of anastomosis does not contribute to improvement in bypass flow immediately after surgery, and furthermore, carries some risk of skin necrosis. It is better to leave the unused branch of the STA intact for use in secondary operation and to prevent donor vessel occlusion.

• Archives of Reconstructive Microsurgery
• /
• 제9권1호
• /
• pp.62-67
• /
• 2000

저자들은 1998년 1월부터 2000년 2월까지 1 5례의 천골부 욕창 환자를 대상으로 천공분지에 기저를 둔 도서형 피부피판을 욕창 재건에 적용하였다. 피판의 공여부의 기능적 소실을 최소화하며 특별한 합병증 없이 좋은 결과를 얻었으며 현재까지 추적조사한 결과 재발은 관찰되지 않았다. 천공분지에 기저를 둔 도서형 피판은 신체 여러부위의 재건에 고려될 수 있을 것으로 사료되며 다양한 모양과 깊이의 창상재건에 유용한 방법이라고 사료된다.

• 복식
• /
• 제63권4호
• /
• pp.132-142
• /
• 2013

This study has evaluated the physiological reaction to wearing brassiere as well as the sensations that the wearer feels in order to understand the effect of brassiere use on the human body. Six healthy women in their twenties were used as subjects and the experiment measured the difference in their S.C.L, Skin Temperature, B.V.P and Pulse. The measurements were made in the following conditions: Women not wearing any brassiere, women wearing sports brassiere, and the women wearing wire brassiere. The results showed significant differences in the following areas. 1. S.C.L was found to be the highest when they didn't wear any brassiere, followed by when they wore wire-brassiere and then sports brassiere. 2. The Skin Temperature was found to be the highest when they wore wire-brassiere, followed by when they wore sports brassiere and when they didn't wear any of them. In particular, when they wore sports brassiere, the B.V.P was found to be the highest when they wore none of them, fir skin temperature dropped as time passed. 3.ollowed by when they wore sports brassiere and then wire brassiere. When they wore sports brassiere, they had irregular blood-flow. 4. Pulse was found to be the highest when they didn't wear any of them, followed by when they wore sports brassiere and then wire brassiere. 5. Those who didn't wear any brassiere felt the most chill, followed by those wearing wire brassiere and then sports brassiere. The moisture level was found to be the highest when they wore sports brassiere, followed by when they wore wire brassiere and then when they wore none of them. Comfort level was found to be the best with no brassiere, followed by wire brassiere and then sports brassiere.

• Archives of Reconstructive Microsurgery
• /
• 제7권1호
• /
• pp.15-19
• /
• 1998

Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to estabilish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats; weighing 250 to 300 gm, were used. The femoral artery and common carotid artery were exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a parallel tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65mmHg, with a mean arterial pressure of 106-109mmHg. An epigastiic skin flap, measuring $3{\times}3cm$, was raised with its vascular pedicle. The epigastric free flap was transfered in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor arteries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastpmosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

• 감성과학
• /
• 제4권2호
• /
• pp.39-45
• /
• 2001

본 연구는 향에 대한 연령별 감성구조를 밝히고, 향 감성에 따른 자율신경계 반응을 규명하기 위해 수행되었다. 실험 참여자는 연령별(10대, 20대, 40대)로 24명씩 총 72명이고, 자극향은 cederwood, grapefruit, teebaum, peppermint, rose향을 사용하였다. 향이 제시되는 동안 혈류량, 피부온도, 피부전기 반응, 심전도 반응을 측정하였고, 향에 대한 주관적 감성을 측정하였다. 향에 의한 심리적 감성구조는 심미성, 강도, 자연성, 개성성, 낭만성의 다섯 요인이 확인되었고, 연령별로 차이가 나타나지 않았다. 향 선호도를 예측하는 감성요인은 연령별에 따라 부분적으로 차이가 있었다. 감성적으로 “나쁜” 향은 “좋은” 향보다 교감신경계 활동에 의한 자율신경계 반응이 더 크게 일어났다.