• 제목/요약/키워드: surgeon

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Graft selection in ACL reconstruction

  • 이동철
    • 대한정형외과스포츠의학회:학술대회논문집
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    • 대한정형외과스포츠의학회 2003년도 제14차 학술대회
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    • pp.44-57
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    • 2003
  • 1) Choice of graft selection : depends on surgeon's philosophy & experience, tissue availability(anatomical anomalies, prior surgery or injury) & patient activity level & desiers. patients - educated as to potential advantage & disadvantages of each choice available to them. No one graft has been shown to be overwhelmingly superior to another. 2) High demand individual (cutting, pivoting, jumping sports, skiing) - BPTB graft choice Lower demand or older individuals - hamstring reconstruction Allograft : older individuals(45 years old) sign of arthritis(compelling evidence of instability) individual who do not want their own tissue Prosthetic ligaments - long term results : disappointing

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액와동맥-양측대퇴동맥우회술후 발생한 인조혈관 감염의 치료 (Management of Infected Axillo-bifemoral Graft; A Case Report)

  • 정철하
    • Journal of Chest Surgery
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    • 제26권7호
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    • pp.552-556
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    • 1993
  • Infection after reconstructive surgery is one of the most catastrophic postoperative complication in vascular surgery. Mortality rates reported from a world-wide experience range between 25 and 88 percent. The surgeon faced with such a complication must choose among many diagnostic and management options to maximize limb salvage and survival based on the presentation and site of the infectiota the degree of ischemia of the lower extremities, and the overall medical condition of the patient. We successfully managed with descending thoracic aorta-to-bifemoral arteries bypass after the entire removal of the infected axillo-bifemoral graft because of bypass graft infection.

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Arthroscopic Treatment of Rotator Cuff Lesion

  • Rhee Yong Girl
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1998년도 학술대회
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    • pp.15-19
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    • 1998
  • The arthroscopic treatment may prove to be the desirable method, but this arthroscopic technique cannot be appliable to all surgeons and all patients, It should be determined on the base of type of lesion, effectiveness of arthroscopic procedure, and the surgeon's skill. The Key to an excellent result in arthroscopic treatment of rotator cuff lesion is doing a proper diagnosis, well-established arthroscopic technique and following through a well-designed rehabilitation program.

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Cervical Radiculopathy due to Cervical Degenerative Diseases : Anatomy, Diagnosis and Treatment

  • Kim, Kyoung-Tae;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.473-479
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    • 2010
  • A cervical radiculopathy is the most common symptom of cervical degenerative disease and its natural course is generally favorable. With a precise diagnosis using appropriate tools, the majority of patients will respond well to conservative treatment. Cervical radiculopathy with persistent radicular pain after conservative treatment and progressive or profound motor weakness may require surgery. Options for surgical management are extensive. Each technique has strengths and weaknesses, so the choice will depend on the patient's clinical profile and the surgeon's judgment.

Surgical anatomy for Asian rhinoplasty

  • Kim, Taek Kyun;Jeong, Jae Yong
    • 대한두개안면성형외과학회지
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    • 제20권3호
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    • pp.147-157
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    • 2019
  • Surgical anatomy is an important and fundamental aspect for all surgical procedures. Anatomy provides a surgeon with the basic and in-depth knowledge that is required and mandatory when performing an operation. Although this subject might be tedious and routine, it is compulsory and should not be overlooked or neglected to avoid any possible postoperative complications. An aggressive and hasty operation without anatomic considerations might cause adverse effects that are irreversible even though a surgical anatomy of the nose is quite simple.

Jain's hand retractor system and stand: an innovative device for hand surgery

  • Jain, Aakansh
    • Archives of Plastic Surgery
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    • 제48권4호
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    • pp.389-391
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    • 2021
  • Solo hand surgery is becoming increasingly common, mostly due to a lack of assistants and dedicated operating theatres. The solo hand surgeon faces challenges of proper hand positioning, elevation, and skin flap/tissue retraction. Most commercially available hand retractors or stands do not address all the relevant problems and are not economically feasible for trainee surgeons. The Jain's hand retractor system and stand, described herein, provides solutions to all these problems, and its simple design helps surgeons to reproduce it easily.

Video-Assisted Thoracic Surgery Intrathoracic Anastomosis Technique

  • Seong, Yong Won
    • Journal of Chest Surgery
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    • 제54권4호
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    • pp.286-293
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    • 2021
  • The extracorporeal anastomosis technique for video-assisted thoracoscopic surgery (VATS) intrathoracic esophagogastric anastomosis is a convenient, easy technique to use in VATS esophagectomy. The surgeon can assess the viability and the status of the gastric conduit, and the introduction of a circular stapler can be easily done under direct vision extracorporeally, enabling easy and simple VATS intrathoracic anastomosis between the esophagus and the gastric conduit.

Current and Future Role of the Gastroenterologist in GI Cancer Management

  • John M. Carethers
    • Journal of Digestive Cancer Research
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    • 제1권2호
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    • pp.78-81
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    • 2013
  • With advances in technology, advances in the understanding of biology of cancer, and the advent of improved and novel therapies, the role of the gastroenterologist has been modified greatly over the past 2 decades, and continues to be shaped by the knowledge, skill, and opportunity to capitalize on the unique position that gastroenterologists hold in the patient care continuum. The gastroenterologist is evolving from a "pure" diagnostician to an endoscopic surgeon, a geneticist, a nutritionist, an immunologist and chemotherapist, and palliative care physician.

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Comparison of Intracorporeal Reconstruction after Laparoscopic Distal Gastrectomy with Extracorporeal Reconstruction in the View of Learning Curve

  • Ahn, Chang Wook;Hur, Hoon;Han, Sang-Uk;Cho, Yong Kwan
    • Journal of Gastric Cancer
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    • 제13권1호
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    • pp.34-43
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    • 2013
  • Purpose: The intracorporeal reconstruction after laparoscopic gastrectomy can minimize postoperative pain, and give better cosmetic effect, while it may have technical difficulties and require the learning curve. This study aimed to analyze the surgical outcome of intracorporeal reconstruction according to the surgeon's experience comparing with extracorporeal procedure. Materials and Methods: From January 2009 to September 2011, intracorporeal reconstruction in laparoscopic surgery for gastric cancer was performed for 71 patients (Intra group). During same period, 231 patients underwent laparoscopy-assisted gastrectomy (Extra group). These patients were classified into initial (1st to 20th case of intra group), intermediate (21th to 46th case), and experienced (after 47th case) phases. Results: Intracorporeal procedures included 35 cases of Billroth-I, 30 Billroth-II and 6 Roux en Y reconstructions. In the initial phase, operation time (P=0.022) were significantly longer for the patients of intra group than them of extra group. Although the difference was not significant, the length of hospital stay was longer and complication rate was higher in the intra group. In intermediate and experienced phases, there was no difference between two groups in operation time and hospital stay. In these phases, complication rate was lower in the intra group than the extra group (3.9% versus 9.7%). The pain scale was significantly lower post operation day 5 in the intra group. Conclusions: Intracorporeal reconstruction after laparoscopic distal gastrectomy was feasible and safe, and the technique was stabilized after 20th case if the surgeon has sufficient experiences when we compared it with extracorporeal reconstruction.