1.Treatment of Axillary Hyperhidrosis; Manual Subdermal Excision Combined with the Tumescent Liposuction and Subcutaneous Tissue Shaver.
Annals of Dermatology 2003;15(4):139-143
BACKGROUND: Axillary osmidrosis is a distressing problem characterized by unpleasant odor, profuse sweating, and occasional wetting of clothes that may handicap those affected both socially and psychologically. A variety of surgical methods have been developed for the treatment of axillary osmidrosis. OBJECTIVE: To introduce the manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver for axillary osmidrosis. METHODS: Twenty-five patients with axillary osmidrosis were treated by the manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver. RESULTS: Twenty-one(84%) patients had good results, four(16%) fair, and none had a poor result or recurrence. Complications included one case of hematoma, two cases of partial skin necrosis. The wound complication rate was 6.0%(3/50) for the axilla and 12%(3/25) for patients. CONCLUSION: The manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver is effective surgical procedure for the treatment of axillary osmidrosis with a low complication rate and recurrence.
Axilla
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Hematoma
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Humans
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Hyperhidrosis*
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Lipectomy*
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Necrosis
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Odors
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Recurrence
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Skin
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Subcutaneous Tissue*
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Sweat
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Sweating
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Wounds and Injuries
2.Effects of Awake Bispectral Index on Postoperative Cognitive Function in the Elderly
Yu ZHEN ; Bin ZHANG ; Min WANG ; Peng DONG ; Ming TIAN
Chinese Journal of Rehabilitation Theory and Practice 2013;19(7):671-673
Objective To observe the relationship of awake bispectral index (BISawake) and the postoperative cognitive dysfunction (POCD). Methods 100 patients aged 60~75 years with ASA status Ⅰ~Ⅱ, underwent elective lower abdominal surgery with intravenous anesthesia (propofol, remifentanyl and rocuronium). The BIS was adjusted in 40~60 during the surgery. Their cognitive function was assessed with the neuropsychological test battery commended by International study of postoperative cognitive dysfunction (ISPOCD). Results 8 patients withdrew for unwilling or serious complications. The BISawake was more than 65 in 68 patients (group A), and less than 65 in 24 patients (group B). The difference of the verbal learning immediate and delayed of Hopkins Verbal Learning Test-Revised was more in the group B than in the group A. Conclusion Lower BISawake may be associated with the decline of postoperative cognitive function.
3.Infrequent penetrating metallic foreign body in paranasal sinus and encephalic: report of one case.
Yu CHENG ; Dong WANG ; Hui-Min ZHANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(2):123-123
Adult
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Brain Injuries
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Foreign Bodies
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Humans
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Male
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Paranasal Sinuses
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injuries
4.Comparison of dexmedetomidine versus sevoflurane to reduce perioperative myocardial ischemia in coronary heart disease patients undergoing noncardiac surgery
Jiru ZHANG ; Min CHEN ; Zhiqiang WANG ; Nan DONG ; Weifeng YU
The Journal of Clinical Anesthesiology 2017;33(3):273-276
Objective To investigate the effect of dexmedetomidine versus sevoflurane to perioperative myocardial ischemia in coronary heart disease patients undergoing noncardiac surgery.Methods A total of 135 patients (90 males,45 females,aged 45-82 years,ASA grade Ⅱ or Ⅲ) with coronary heart disease,undergoing endoscopic thoracic and abdominal surgery,were divided into control group (group C),dexmedetomidine group (group D) and sevoflurane group (group S) by random number table.Anesthesia induction and maintenance were adopted by etomidate 0.2 mg/kg,propofol 0.5 mg/kg,atracuronium sulfonate 0.2-0.3 mg/kg and fentanyl 5.0-6.0 μg/kg.Dexmedetomidine was given the continuous injection from 10 min before the start of the operation to the end in group D.Equal volume of saline was given in group C.Sevoflurane was inhaled from the induction of anesthesia 30 min before the end of surgery.ST segment changes of electrocardiogram were recorded for diagnosis of myocardial ischemia during the operation and postoperative 72 hours.Results The incidence of myocardial ischemia in group C,group D and group S were 26.7% (12 cases),6.7% (3 cases),8.9% (4 cases) during the operation and 13.3% (6 cases),8.9% (4 cases) and 8.9% (4 cases) postoperative 72 hours.Conclusion Dexmedetomidine and sevoflurane can improve the balance of blood oxygen supply and demand to reduce cardiovascular complications of non-cardiac surgery in patients with coronary heart disease.
5.High-intensity focused ultrasound with submicrobubbies to damage rabbit breast VX2 tumors
Dong WANG ; Ke YANG ; Yu GUO ; Jiayan MIN ; Jianzhong ZOU
Chinese Journal of Ultrasonography 2012;21(3):257-260
Objective To observed the effect of high-intensity focused ultrasound (HIFU) in combination of submicrobubble on ablation of breast tumor VX2 in rabbits.Methods Submicrobubble was prepared,and the appearance,distribution,diameter,and zeta potential were measured.The rabbits were injected with the tumor tissue suspension in bilateral breast tissues.HIFU(150 W,120 W,5 s,3 s) combined with submicrobubble to damage rabbit breast VX2 tumors.The coagulation necrosis was assessed by HE staining.The grayscale changes of the target area before and after HIFU irradiation were recorded automatically by computer.Results The diameter of the submicrobubble was 498.9 nm on average.HE staining showed the area of coagulation necrosis was significantly larger in the HIFU + submicrobubble group than the HIFU + PBS group.The injury range of 150 W irradiation was larger than that of 120 W irradiation,given the same irradiation time.The injury range of 5 s irradiation was larger than that of 3 s irradiation,given the same irradiation strength.The gray scale change in the target area was significantly higher in the HIFU + submicrobubble group than the HIFU + PBS group.Conclusions The submicrobubble exhibited sound imaging performance,and it can be use in the ultrasound therapeutics in the future.
6.Influence of lamotrigine on multidrug resistance gene expression in the hippocampus of epileptic immature rats.
Bao-min LI ; Dong-qing ZHANG ; Zhen YU
Chinese Journal of Pediatrics 2009;47(5):382-383
Animals
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Epilepsy
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genetics
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metabolism
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Genes, MDR
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Hippocampus
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drug effects
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metabolism
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Male
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Rats
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Rats, Wistar
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Triazines
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pharmacology
7.Helical CT Virtual Cystoscopy:the Clinical Applications and Limitations
Dong WANG ; Wanshi ZHANG ; Minghui XIONG ; Min YU ; Jiaxing XU
Journal of Practical Radiology 2001;0(06):-
Objective To evaluate the clinical applications and limitations of helical CT virtual cystoscopy (CTVC).Methods CTVC was performed in 36 patients suspected bladder diseases, all cases were confirmed by conventional cystoscopy and pathology. CTVC images were generated from the volumetric data of the excretory phase using helical CT. The results were then compared with the findings of axial images and conventional cystoscopy in a double-blinded manner. Results CTVC could clearly display the normal anatomic structures of bladder, 11 ureteric orifices were visualized at CTVC in 7 of 8 normal bladders. The location, size, numbers, configuration and extension of lesions showed on CTVC were corresponded well with that of conventional cystoscopy. The sensitivity to vesical carcinoma was 94.7%,2 tumors smaller than 5 mm depicted on CTVC images were not seen on the axial images, whereas areas of wall thickening and extravesical invasions were more readily appreciated on axial and MPR images. There was 1 false lesions detected on CTVC images. Conclusion CTVC has proved to be a noninvasive and reliable technique in the detection and diagnosis of bladder lesions, but the optimal evaluation requires adequate bladder filling with contrast medium, and should combine with the interpretation of axial and MPR images.
8.Satoyoshi's syndrome in a case.
Mei DONG ; Min WEI ; Shi-min ZHAO ; Hui-ping SHI ; Ding-jun NU ; Wei YU
Chinese Journal of Pediatrics 2004;42(3):224-224
9.Paradoxical devation of senna adiponectin and its relationship with the level of serum leptin in preeclampsia
Yong-Miao PAN ; Han-Zhi WANG ; Dong-Hong LU ; Min-Yue DONG ; Yu-Zhong WU ;
Chinese Journal of Emergency Medicine 2006;0(11):-
Objective To investiagte the serum adiponectin concentration in preeclampsia and its relationship with serum leptin and soluble leptin receptor levels.Method The level of adiponectin,leptin and soluble leptin receptor in serum were measured by enzyme-linked immunosorbent assay(ELISA)in 38 patients with preeclampsia and 42 patients as control.The relationship of free leptin index(leptin/soluble leptin receptor) to preeclampsia was analyzed.Results There were no significant differences in maternal age,gestational age and body mass index(BMI)between two groups.But the gestational age and birth weight were significantly lower in preeclampsia than in control.The patients with preeclampsia had significantly higher levels of serum adiponectin, leptin and free leptin index(1691.7?g/ml,37.5 ng/ml and 0.95 respectively)than the control(689.4?g/ml, 19.3 ag/ml and 0.49,respectively).But there was no significant difference in serum level of soluble leptin receptor between the groups(35.0 ng/ml vs 42.2 ng/ml).Serum adiponectin was not significantly correlated with the level of leptin,soluble leptin receptor and free leptin index.Area of serum adiponectin,leptin and free leptin index in preeclampsia under the ROC curve were less than 0.5.Conclusions The patients with preeclampsia have paradoxical higher serum levels of adiponecfin and more bioavailability of leptin,suggesting these may be important factom of this complication.
10.Acidic Electrolyzed Oxidizing Water Disinfection for Endoscope in Children's Hospital
Lijuan DONG ; Xiaomei LI ; Chunfeng LI ; Jin WANG ; Min LI ; Dong YU
Chinese Journal of Nosocomiology 1994;0(04):-
OBJECTIVE To determine the value of acidic electrolyzed oxidizing water (EOW) for disinfecting endoscopes in the children's hospitals. METHODS The detection methods of field sampling were used for monitoring the effect of EOW disinfection. Washed after-use endoscopes were disinfected by EOW for 3-5min. Bacteriological tests on samples of pre-and post-disinfection made for 30 samples of laryngoscopes,30 examples of gastroscopes and 16 samples of enteroscopes,which were selected randomly. RESULTS Through EOW disinfection,the bacteria were not found on the laryngoscopes. The total number of bacteria on digestive endoscopes was conformed to the Standards of Disinfection Techniques and no pathogenic bacteria were detected. CONCLUSIONS Applying EOW to disinfection of endoscopes for clinical purpose can fulfill the State Standards completely. EOW has strongly germicidal activity,also with characteristic aslo act rapidly,securely and environment friendly,and without any irritant odor. These rusults indicate a widely potential use of EOW as in children's hospitals,especially,with a positive significance in health care of pediatric patients.