1.Application of Lateral Approach for the Removal of Migrated Interbody Cage: Taphole and Fixing Technique.
Jae Sung EOM ; Ikchan JEON ; Sang Woo KIM
Korean Journal of Spine 2017;14(1):23-26
When a revision surgery related with removal of failed interbody cage is required, going through the previous passage can lead to a higher risk of neurological deficits or incidental dural injuries. Recently, the lateral approach has become a popular method instead of the conventional anterior or posterior approaches. The lateral approach is also useful method to remove failed interbody cage previously placed and re-do interbody fusion with lower risks compared to revision surgery via previous passage. However, there is still some difficulty in retrieving the interbody cage from the intervertebral space because of no spacious passage, subsidence, and uncontrolled movable cage. In this study, we introduce our experience that we removed failed interbody cage more easily with only the simple additional steps of making a taphole and fixing the cage using a thread-tipped stick.
Device Removal
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Methods
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Reoperation
2.Monitoring and caring Hickman' catheter
Journal of Vietnamese Medicine 2004;299(6):30-35
From Jul.1995 to Oct.2003, at HCM City Blood Transfusion and Hematology Hospital, Hickman catheter was inserted on 41 patients with AML,ALL,BMT,Thalassemia. Main complications were bacterial infections, which accounted for 14,9%. In addition, some events occured accidentally such as chocking up (7,3%), breaking (4,8)% of the cuff in removal of catheter
Catheterization
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Bacterial Infections
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Device Removal
3.New Technique for Removal of the Ulnar Intramedullary Nail Failed to Remove: Broken Assembly Piece in the Nail.
Jin Woong YI ; Byung Hak OH ; Sang Bum KIM ; Youn Moo HEO ; Tae Gyun KIM ; Doo Hyun KIM ; You Sun JUNG
Clinics in Orthopedic Surgery 2016;8(2):210-213
Methods about removal of intramedullary nail in complicated cases were reported in some literatures but there are no reports about nail removal in the ulna. The authors would like to report such a case and the technique. We removed bone of the inlet site and created another bony window using an osteotome to expose the interlocking screw holes. Only a bony window the size of 2 inter-interlocking holes at the most proximal part of the nail can be used to remove the nail with minimal damage of the triceps brachii tendon and soft tissue.
Bays
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Device Removal
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Fracture Fixation, Intramedullary
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Tendons
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Ulna
4.New Technique for Removal of the Ulnar Intramedullary Nail Failed to Remove: Broken Assembly Piece in the Nail.
Jin Woong YI ; Byung Hak OH ; Sang Bum KIM ; Youn Moo HEO ; Tae Gyun KIM ; Doo Hyun KIM ; You Sun JUNG
Clinics in Orthopedic Surgery 2016;8(2):210-213
Methods about removal of intramedullary nail in complicated cases were reported in some literatures but there are no reports about nail removal in the ulna. The authors would like to report such a case and the technique. We removed bone of the inlet site and created another bony window using an osteotome to expose the interlocking screw holes. Only a bony window the size of 2 inter-interlocking holes at the most proximal part of the nail can be used to remove the nail with minimal damage of the triceps brachii tendon and soft tissue.
Bays
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Device Removal
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Fracture Fixation, Intramedullary
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Tendons
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Ulna
5.Pay attention to physical test and drafting product standards of the centrifuge apparatus.
Hui XU ; Yufei JIA ; Haixin LI ; Jinzi SONG
Chinese Journal of Medical Instrumentation 2010;34(2):126-128
Compare and analyze the standards related to centrifuge apparatus and make corresponding suggestions in allusion to the problems existed in the test method and physical performance during product standard drafting process.
Blood Component Removal
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instrumentation
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Centrifugation
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instrumentation
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standards
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Device Approval
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standards
7.A Case of Percutaneous Removal of Cutted Left Atrial Pressure Catheter after Mitral Valve Replacement.
Hyun Sook JUNG ; Jang Young KIM ; Min Soo AHN ; Kyung Hoon LEE ; Woo Jae KIM ; Byung Su YOO ; Seung Hwan LEE ; Jung Han YOON ; Kyung Hoon CHOE
Korean Circulation Journal 2003;33(1):72-74
We experienced a case of the successful retlement of a remnant cutted left atrial pressure catheter found in the left ventricle and ascending aorta on the 67 th day after a mitral valve replacement, using a PTCA guiding catheter and a guide wire.
Aorta
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Atrial Pressure*
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Catheters*
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Device Removal
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Foreign Bodies
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Heart Ventricles
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Mitral Valve*
8.Percutaneous Retrieval of an Embolized Central Venous Chemoport in a Patient With Colon Cancer.
Jeong Eun KIM ; Mi Kyoung KIM ; Young Kwang SHIM ; Jeong Tae KIM ; Sang Min KIM ; Sang Yeub LEE ; Jang Whan BAE ; Kyung Kuk HWANG ; Dong Woon KIM ; Myeong Chan CHO
Korean Circulation Journal 2012;42(2):122-124
The central access device is commonly used as a route of chemotherapuetic agents in patients with malignant diseases for its convenient and safety for insertion. This report describes a case of 66-year-old man with colon cancer who suffered a rare complication in which a chemoport embolized into the inferior vena cava and it was successfully retrieved by a percutaneous approach using a goose neck snare.
Aged
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Catheters
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Colon
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Colonic Neoplasms
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Device Removal
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Humans
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Neck
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SNARE Proteins
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Vena Cava, Inferior
9.Comparison of the Diameter-Dependent Lubricant Effects on Stylet Removal from an Endotracheal Tube.
Seok Jin HEO ; Hyun Jin KIM ; Youn Suk CHAI ; Seong Soo PARK ; In Gu KANG ; Jae Kwang LEE ; Mi Jin LEE ; Sung Phil CHUNG ; Beong Young LEE
Journal of the Korean Society of Emergency Medicine 2015;26(1):62-67
PURPOSE: A stylet aids intubation as a glottis by changing and maintaining the bending inside the endotracheal tube and is used as an auxiliary device in intubation. The aim of this experimental study is to evaluate resistance differences among endotracheal tube sizes and the usefulness of lubricant for stylet removal. METHODS: Depending on endotracheal tube size and lubricant use status, the subjects were divided into the control (n=10, each 7 tube sizes), lidocaine gel (n=70), and saline groups (n=70). Using a tensile strength meter, the work and the peak withdrawal force consumed for retracting a stylet were measured. RESULTS: When the work dependent on the endotracheal tube size and stylet coating was compared, significantly less work was consumed for 6.0-, 6.5-, 7.0-, 8.0-, 8.5 mm stylet group coated with lidocaine gel (p=0.029, p=0.002, p=0.001, p=0.001, p<0.001, p<0.001) or 6.0-, 6.5-, 8.0-, 8.5 mm stylets coated with saline compared to the control group (p=0.002, p<0.001, p<0.001, and p<0.001). In comparison of the peak withdrawal force dependent on the endotracheal tube size and stylet coating, significantly less peak withdrawal force was consumed for the 6.0- or 8.0- mm stylet group coated with lidocaine gel (p=0.004, p<0.001) or 6.0-, 6.5-, 7.5-, or 8.0 mm stylets coated with saline compared to the control group (p=0.025, p=0.001, p=0.008, and p=0.001). CONCLUSION: We found that the effectiveness of lubricant resulted in various sized tubes. Less work was consumed for five tube sizes (6.0-, 6.5-, 7.0-, 8.0-, 8.5 mm) in lidocaine gel groups and four tube sizes (6.0-, 6.5-, 8.0-, 8.5 mm) in saline groups. Less peak withdrawal force was consumed for two tube sizes (6.0-, 8.0 mm) in lidocaine gel groups and four tube sizes (6.0-, 6.5-, 7.5-, 8.0 mm) in saline groups.
Device Removal
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Friction
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Glottis
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Intubation
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Intubation, Intratracheal
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Lidocaine
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Lubricants
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Tensile Strength