1.PREFABRICATION OF VASCULARIZED NERVE GRAFT BY CREATION OF MYONEURAL FLAP.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):901-907
No abstract available.
Transplants*
2.Replantation of amputated digits distal to the dip joint.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):189-195
No abstract available.
Joints*
;
Replantation*
3.Innervated reserve vascular island flap of digit.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(2):363-374
No abstract available.
4.Reconstruction of the soft tissue defects in the lower extremities.
Eun Jung CHOI ; Jin Han CHA ; Myong Chul PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):1080-1089
No abstract available.
Lower Extremity*
5.A follow-up syudy of 123 peripheral nerve injuries in the upper extremity.
Du Young RHEE ; Jin Han CHA ; Myong Chul PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(4):676-684
No abstract available.
Follow-Up Studies*
;
Peripheral Nerve Injuries*
;
Peripheral Nerves*
;
Upper Extremity*
6.A case report of tuberculous tenosynovitis.
Eun Jung CHOI ; Jin Han CHA ; Myong Chul PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(1):143-148
No abstract available.
Tenosynovitis*
7.A clinical analysis on hand injuries.
Eun Jung CHOI ; Jin Han CHA ; Myong Chul PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):172-182
No abstract available.
Hand Injuries*
;
Hand*
8.Necessity of Banked Autogenous Transfusion on the Total Knee Arthroplasty Using Autogenous Shed Blood Transfusion.
Jin Hyung SUNG ; Weon Yoo KIM ; Chang Whan HAN ; Weon Jin CHA ; Jin Young KIM
The Journal of the Korean Orthopaedic Association 1998;33(3):702-706
In the orthopaedic field, some elective surgeries such as joint replacement, spinal surgery and limb salvage procedures for musculoskeletal tumors frequently need various amounts of blood transfusions. However, homologous transfusion occasionally results in various side effects, such as allergic reaction, febrile reaction, and the transmission of infectious diseases such as syphilis, hepatitis and AIDS, ctc. Recently, these complications especially in elective surgery might result in medicolegal or social problems. Risks from transfusions in elective surgery can be minimized with prebanked autologous transfusion. To evaluate the necessity of prehanked autogenous transfusion, fifty five patients who had unilateral hybrid total knee arthroplasty (noncemented at the femoral side and cemented at the tibial and patellar sides) were operated on by the same surgeon from April 199S to July 1997 and had autogenous shed blood transfusion were evaluated for postoperative blood loss, amount of autogenous shed blood, amount of transfusion, hemoglobin and hematocrit. The results were as follows: 1. The distribution of preoperative hemoglobin was from 9.6g/dL to 16.5g/dL (average: 1.8g/dL). 2. The distribution of the amount of blood loss for three days postoperatively was from 156ml to 2001 ml (average: 798ml). 3. The distrihution of the amount of transfusion of autogenous shed blood was from 30ml to 600ml (average: 448ml). 4. There were two patients who had febrile reactions above 38 after transfusion of autogenous shed blood. 5. Forty-six patient(84%) had a homologous transfusion and the average amount of transfusion was 1.9 pint. 6. Total amount of homologous transfusion was decreased according to the increased amount of hemoglobin and the amount of transfusion was statistically decreased above the level of I 3g/dL(Students t-test, P=0.0005). 7. There were no significant differences in the amount of homologous transfusion between age, sex, type of disease, type of implants. In conclusion, most of our patients(84%) needed homologous blood transfusion in unilateral hyhrid total knee arthroplasty and the amount of transfusion decreased in patients who had hemoglobin above 13.0g/dL. So we recommend preparing banked autogenous hlood preoperatively in patients who have a lower hemoglobin level in unilateral hyhrid total knee arthroplasty.
Arthroplasty*
;
Blood Transfusion*
;
Communicable Diseases
;
Hematocrit
;
Hepatitis
;
Humans
;
Hypersensitivity
;
Joints
;
Knee*
;
Limb Salvage
;
Postoperative Hemorrhage
;
Social Problems
;
Syphilis
9.Postoperative Management after Microsurgery.
Journal of the Korean Microsurgical Society 2012;21(2):170-174
No abstract available.
Microsurgery
10.Management of Fournier's Gangrene with PGE1 and Bilateral Superomedial Thigh Flap.
Hye June PARK ; Dong Jin LEE ; Jin Han CHA ; Yang Woo KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):1077-1081
Fournier's gangrene is an infective necrotizing fasciitis of the perineal, genital or perianal regions. Management of this disease has involved prompt surgical debridement with initiation of broad spectrum antibiotics and intensive supportive care. Multiple debridements orchiectomy, urinary deversion, and fecal diversion should be performed as clinically indicated. Hyperbaric oxygen therapy and topical application of unprocessed honey may prove to be useful adjuncts as new therapies. After excision of all necrotic tissue, the tissue losses have been managed by primary repair. split-thickness skin grafts, rotational or free myocutaneous flaps and omental flaps. Skin graft did not take on bare testis lacking the tunica vaginalis, and gracilis myocutanous flap was too bulky to cover the scrotal area. The progress of necrosis ceased by using intravenous PGE1 injection in the aspect of characteristic obliterative endarteritis causing cutaneous and subcutaneous vascular thrombosis and necrosis of tissue in Fournier's gangrene. We have reconstructed large scrotal defects with bilateral superomedial thigh flap in three Fournier's gangrene patients after stopping tissue necrosis with PEG1 treatment and several surgical debridements of the wounds. The use of this flap ensures a virtually normal sensation, which is important for the erotic propensity of the scrotum. Easy flap design and dissection, as well as primary closure of the donor site, are another benefits of this method.
Alprostadil*
;
Anti-Bacterial Agents
;
Debridement
;
Endarteritis
;
Fasciitis, Necrotizing
;
Fournier Gangrene*
;
Honey
;
Humans
;
Hyperbaric Oxygenation
;
Myocutaneous Flap
;
Necrosis
;
Orchiectomy
;
Scrotum
;
Sensation
;
Skin
;
Testis
;
Thigh*
;
Thrombosis
;
Tissue Donors
;
Transplants
;
Wounds and Injuries