• Title/Summary/Keyword: surgeon

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Preoperative CT Navigation of Perigastric Vessel Anatomy for Gastrectomy

  • Baek, Song-Ee;Hyung, Woo Jin;Lim, Joon Seok
    • Journal of International Society for Simulation Surgery
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    • v.1 no.1
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    • pp.41-44
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    • 2014
  • The aim of this report is showing the case that we could give exact navigation of perigastric vessels for gastrectomy with 3D CTA. A 74-year-old male patient visited hospital with gastric cancer. Early gastric cancer, type IIb was found at stomach antrum great curvature side. Before surgery, he underwent 3D CT angiography. 3D volume rendering images and MIP images were made by post processing. He had replaced Lt. hepatic artery arising from Lt. gastric artery. Surgeon could get patient's specific vascular anatomy before surgery including surgically relevant anatomical distance and direction and could finish gastrectomy within 4 hours and just 53ml blood loss.

Lesser Metatarsal Osteotomies for Metatarsalgia (중족골통에서의 소족지 중족 절골술)

  • Lee, Seung-Yeol;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.3
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    • pp.83-87
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    • 2017
  • Metatarsalgia means the pain under the lesser metatarsal heads. The many causes of metatarsalgia can be categorized into three groups: local disease in the region, altered forefoot biomechanics, and systemic disease affecting the region. Surgical options need to be considered if nonsurgical treatment fails. The metatarsal osteotomies are designed primarily to reduce the weightbearing forces on the metatarsal head by elevating or shortening the metatarsal. Many lesser metatarsal osteotomies have been described, and their success depends on many factors. Regardless of the method employed, it is important to maintain or restore the metatarsal cascade to maintain an even pressure under the lesser metatarsal heads and prevent transfer lesions. The surgeon must understand the effects of the metatarsal osteotomy on the forefoot patho-biomechanics and decide, using a combination of clinical examinations and imaging, whether the desired effect of the osteotomy is to shorten or elevate the metatarsal head or both.

Fertility preservation for patients with gynecologic malignancies: The Korean Society for Fertility Preservation clinical guidelines

  • Lee, Sanghoon;Kim, Seul Ki;Hwang, Kyung Joo;Kim, Tak;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.4
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    • pp.175-180
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    • 2017
  • Fertility preservation plays a central role in cancer care since an increasingly large number of cancer patients are surviving as a result of improvements in diagnostic and therapeutic strategies. Physicians who take part in the initial diagnosis and management of gynecologic cancer should understand the importance of fertility preservation. Since indications for fertility preservation are limited to early-stage gynecologic cancer, a surgeon must carefully consider each indication. Before performing fertility-sparing surgery, health professionals should compare its oncologic and pregnancy outcomes with those of other standard treatments. Individualized treatment strategies should be delivered depending on the patient's situation, and physicians should provide timely information and appropriate counseling.

Development of Stereoscopic Display System for Stereo Microscope

  • Kwon, Ki-Chul;Kim, Jung-Hoi;Kim, Nam;Choi, Jae-Kwang
    • 한국정보디스플레이학회:학술대회논문집
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    • 2004.08a
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    • pp.425-427
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    • 2004
  • Many of the problems by using the microscope are related to the fact that the eyes of the surgeon must be continually fixed to the microscope eyepieces. In this paper, we describe a development of the stereoscopic monitoring system of the stereo microscope for reduced eyestrain or operator fatigue about the long time observations of the microscope. The system consists of the stereoscopic camera part, the stereoscopic image processor device and the polarized light stereoscopic monitor. The left and right images obtained form the two CCD cameras are the same as the eyepiece images. By use of the image processor, the polarized light stereoscopic monitor displayed a real-time stereo microscope images.

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Spontaneous Rupture of Proximal Rectus Femoris: A case report (근위부 대퇴직근의 자연 파열 - 증례보고 -)

  • Jeon, In-Ho;Kyung, Hee-Soo;Lee, Sang-Won;Kim, Poong-Taek
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.81-84
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    • 2006
  • Rupture of the rectus femoris at the musculotendinous junction is very rarely reported in the literature, especially which is caused by chronic repetitive stimulation. A 21 year old soldier complained of progressing right thigh pain and mass for 8 weeks after military training. MRI of the right thigh showed inhomogenous mass lesion suspecting soft tissue tumor. However ultrasonographic examination showed torn retracted rectus femoris tendon at musculotendinous junction. One year after primary repair of ruptured tendon, the patient is free from symptoms and returned to full previous activities. Knowledge of this sonographic and MRI finding will help the surgeon to diagnose and treat this rare injury.

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THE EFFECTS OF CRYOSURGERY TO THE HEMANGIOMA ON THE LOWER LIP & BUCCAL MUCOSA (하순 및 협점막에 발생한 혈관종에 대한 냉동외과술의 효과)

  • Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Han, Hoon;Lee, Yong-Jae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.237-241
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    • 1989
  • Hemangioma can present difficult management problems to the oral & maxillofacial surgeon when their removal is indicated. Cryosurgery has also been employed for the treatment of hemangiomas and offers several advantages over the other treatment methods. This is a case report of hemangioma which was treated by cryosurgery. The cryosurgery technique has proved to be painless, bloodless and safe. The healing process was completed at 4 weeks postoperatively with minimal invisible scar.

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Bilateral congenital alveolar synechiae-a rare cause of trismus

  • Panda, Smriti;Sikka, Kapil;Punj, Jyotsna;Sharma, Suresh C.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.8.1-8.4
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    • 2016
  • Congenital alveolar synechiae is a rare anomaly mostly presenting in association with cleft palate. Owing to reduced mouth opening, feeding difficulties, and compromised airway in extreme cases along with presentation in early neonatal period, these patients present unique challenges to the surgeon as well as the anesthetist. Here, we discuss the surgical and anesthetic management of this entity in a 12-month-old female child.

Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery (임상가를 위한 특집 3 - 악교정 수술과 함께하는 mandibular angle management)

  • Han, Se-Jin
    • The Journal of the Korean dental association
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    • v.50 no.11
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    • pp.677-681
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    • 2012
  • Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.

Acute Compartment Syndrome of the Lower Leg and Foot (하지와 족부의 급성 구획 증후군)

  • Chae, Soo Uk
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.165-173
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    • 2013
  • Acute compartment syndrome of the lower leg and foot is a surgical emergency. The clinical symptoms is an important clue to diagnose compartment syndrome. In cases of ambiguous diagnosis, unconscious patients and children additionally need a intracompartmental pressure measuring. Immediate fasciotomy should be performed when clinical signs are obvious or when delta pressure is less than 30 mmHg or intracompartmental pressure is greater than 30 mmHg. Fasciotomy of the lower leg can be performed either by one lateral single incision or double incision, which of the foot mainly has a dorsal or medial incision. A delayed in diagnosis that leads to a delay in treatment can result in devastating disability. Acute compartment syndrome of the lower leg and foot is a relative rare but serious complication of which a surgeon should be aware.

A CASE REPORT OF ORTHODONTIC TREATMENT OF CLEFT PALATE ACCOMPANY TEETH CONGENITAL MISSING (치아 선천결손을 수반한 구개파열의 교정치험예)

  • Rhee, Byung Tae;Lee, Hee Ju;Yang, Won Sik
    • The korean journal of orthodontics
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    • v.6 no.1
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    • pp.71-77
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    • 1976
  • 19 years old female had untreated Veau classification class II cleft palate with ectopic eruption of upper right lateral incisor and congenital missing of lower lateral incisors. Upper left lateral incisor, left first molar aid lower left first molar were root restswithperiapicalpathologiclesions. So all root rests were extracted and prosthodontic rehabilitation after orthodontic treatment was planned. She was treated by means of multibanded system with face bow. After 23 months all orthodontic correction were achieved and, as soos as debanding procedure was done she was referred to oral surgeon and prosthodontist for surgical operation and bridge construction.

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