2.Axillary Contracture Due to Seroma with Fibrous Capsule Formation after mastectomy: A case report.
Sung No JUNG ; Kyung Dong SON ; Yun Seok CHOI
Journal of the Korean Society of Aesthetic Plastic Surgery 2001;7(2):125-127
No abstract available.
Contracture*
;
Mastectomy*
;
Seroma*
3.Seroma Reduction: Using Barbed Sutures (V-Loc) to Close Latissimus Dorsi Donor Sites.
Patrick GOON ; Chang Bon MAN ; Miles DICKSON
Archives of Plastic Surgery 2013;40(6):787-788
No abstract available.
Humans
;
Seroma*
;
Sutures*
;
Tissue Donors*
4.Steroid Treatment of Otohematoma.
Jae Yul PARK ; Seung Heon SHIN ; Kwung Hun KIM ; Woong Yeol LEE ; Ill Dong PARK ; Kwang Hun PARK ; Do Hoon MA ; Il Hoon JEON
Korean Journal of Otolaryngology - Head and Neck Surgery 2000;43(2):155-158
BACKGROUND AND OBJECTIVES: Otohematoma is a fairly common disease in otolaryngologic clinics. The principle treatment is composed of removal of the hematoma and compression. But this method is inconvenient both to the patient and doctor. To find another alternative that is simple and easy, we tried steroid injection in otohematoma. Steroid is used in various kinds of hemangioma, and if it is effective in hemangioma it also can be speculated that same phenomenon can be happened to otohematoma. MATERIALS AND METHODS: One hundred otohematoma patients were treated with triamcinolone injection on the lesion sites after aspiration of hematoma or seroma. The injection was repeated as necessary. RESULT: Among the 100 otohematoma patients 96 patients(96%) were healed without any complications. The numbers of injection needed were usually within 3 times(81%) : 1 time(42%), 2 times (20%), 3 times(19%). CONCLUSION: Steroid injection is a very good alternative in the treatment of otohematoma. It is easy to perform, convenient to the patients and usually results in complete resolution. The proposed mechanisms are vasoconstricting and anti-inflammatory action of steroid.
Hemangioma
;
Hematoma
;
Humans
;
Seroma
;
Triamcinolone
5.Buttock Augmentation with Elastomer Implants.
Bong Kwon PARK ; Youn Hwan KIM ; Hee Chang AHN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(2):182-188
PURPOSE: The buttocks region has been associated with allure and sex appeal for centuries. Gluteal implants enable buttocks remodeling in a way that is not possible in other methods. One of the reasons that render gluteal implant surgeries unpopular is the fear of complications, the main problems being seroma, wound dehiscence, extrusion, and a visible or palpable implant. The authors present the XYZ technique, which provides anatomical reference points to guide the intramuscular dissection procedure in a feasible and safe way, resulting in a lower complication rate. METHODS: The XYZ procedure was done for buttock augmentation on 8 patients from December 2009 to June 2010. Patient's ages ranged from 27 to 44 with a mean age of 36. Seven patients were applied the 250cc sized Elastomer implants with one patient 290cc sized implant. Preoperative marking was done with the patients in the standing position. Bisection of the gluteus maximus muscle was done at the midpoint thickness to create a plane for implant insertion, which is called the sandwich plane. RESULTS: The 8 cases were performed safely without major complications. However one patient had minor wound dehiscence, and was managed with conservative treatment. Another patient had a discomfort on the buttocks for a long time. The patients were followed up for average 6 months. All patients were satisfied with the aesthetic results. CONCLUSION: In performing the XYZ technique for gluteal augmentation, the surgeon must split the muscle into two equal halves with anatomical reference points to guide the muscle detachment in a symmetrical way at an adequate depth. This method provides a guideline for the surgeon in determining the ideal plane during intramuscular dissection and gives predictable results with low complication rates. Intramuscular gluteoplasty with gluteal implants offers predictable, aesthetically pleasing results without contour irregularities and only a low incidence of major complications.
Buttocks
;
Elastomers
;
Humans
;
Incidence
;
Muscles
;
Seroma
6.Comparative Observation of Barrier Sheet and Nonbarrier Sheet Medpor(R) Inserted on Orbital Floor in Rabbits.
Hyung Soo KIM ; Yong Ah RYU ; Jong Seol WOO ; Ki Ho LEE ; Nak Heon KANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(5):682-686
The purpose of this study was to determine the histopathologic change of Medpor(R) implant for the case of orbital floor reconstruction in the rabbit model. Two types of Medpor(R)(barrier sheet and nonbarrier sheet) were used for the reconstruction of orbital floor in 30 rabbits. In 1 month and 6 months postoperatively, the histopathologic changes were observed with light microscope and forced duction test was performed. None of the implants were lost or extruded and there was no evidence of wound infection, hematoma, or seroma formation. None of cases showed positive in force duction test. Orbital tissue ingrowth was not observed in the barrier sheet Medpor(R) implant group, however, it was observed in the nonbarrier sheet Medpor(R) implant group. This study supports that the barrier sheet Medpor(R) may more suitable than nonbarrier sheet Medpor(R) for reconstruction of the fractured orbital wall.
Hematoma
;
Orbit*
;
Rabbits*
;
Seroma
;
Wound Infection
7.Usefulness of an Additional Mattress Suture for the Extracranial Drainage Catheter.
Dong Woong EOM ; Jung Soo KIM ; Kyoung Dong JEON ; Hoon KIM ; Byeong Sam CHOI
Journal of Korean Neurosurgical Society 2013;54(5):444-447
In most intracranial surgery cases, a drain catheter is inserted to prevent the collection of the wound hematoma or seroma. A drain catheter is also inserted to drain the hematoma or the cerebrospinal fluid. The drain catheter itself does not cause complications; but many complications occur during its removal, such as hematoma, seroma, air collection and pseudomeningocele formation. To prevent these complications, neurosurgeons perform a suture on the catheter to remove the site. In this study, an additional horizontal mattress suture and an anchoring suture to the drainage catheter are proposed. This method maintains negative pressure in the catheter insertion site during the catheter removal, compresses the catheter tunnel site and attaches the external wounds strongly. The technique is easy and safe to perform, and does not require an additional suture to remove the catheter.
Catheters*
;
Cerebrospinal Fluid
;
Drainage*
;
Hematoma
;
Seroma
;
Sutures*
;
Wounds and Injuries
8.Seroma of the Auricle.
Kyung Jin KIM ; In Ae CHUNG ; Byoung Soo CHUNG ; Kyu Cherl CHOI
Korean Journal of Dermatology 1987;25(1):135-137
A 35-year-old female patient had a cyst-Jike swelling for one month on the right scaphoid fossa and antihelix of the auricle. Histopathologically, cystic cavity was located in lower dermis and cavity roof was composed of fibrous material without cartilagenous structure. Treatrment consisted of incision and drainage and subsequently rnastoidectomy dressing for one week. One month after treatment, recurrence of lesion was not found.
Adult
;
Bandages
;
Dermis
;
Drainage
;
Female
;
Humans
;
Recurrence
;
Seroma*
9.Effect of Modified Rhomboid Excision and Limberg Flap for the Treatment of Recurrent Pilonodal Sinus.
Journal of the Korean Surgical Society 2008;74(2):140-142
PURPOSE: Recurrence of a pilonidal sinus after surgery is well known. Many surgical techniques have been developed but there is no efficient method available. This study evaluated the results of a Modified Rhomboid excision and Limberg flap of a pilonidal sinus, and examined the value of this method. METHODS: Five patients, who had been treated with a modified rhomboid excision and Limberg flap procedure for recurrent pilonidal sinus, were evaluated. The patient's age, gender, duration of symptoms, length of hospital stay, complications, time required for the return to normal activity, and prior history of surgery were evaluated. RESULTS: The mean age of the 5 patients (4 males and 1 female) was 22.7 years, and all had a history of previous surgery. The mean duration of symptoms was 4.2 years. Only one patient developed seroma. The mean hospital stay was 7.2 days, and the mean time to normal activity was 14.4 days. There was no recurrence. CONCLUSION: Modified Rhomboid excision and Limberg flap procedure is the optimal method for treating recurrent pilonidal sinus with low complication and recurrence rates.
Humans
;
Length of Stay
;
Male
;
Pilonidal Sinus
;
Recurrence
;
Seroma
10.In vivo dosimetry and acute toxicity in breast cancer patients undergoing intraoperative radiotherapy as boost.
Jason Joon Bock LEE ; Jinhyun CHOI ; Sung Gwe AHN ; Joon JEONG ; Ik Jae LEE ; Kwangwoo PARK ; Kangpyo KIM ; Jun Won KIM
Radiation Oncology Journal 2017;35(2):121-128
PURPOSE: To report the results of a correlation analysis of skin dose assessed by in vivo dosimetry and the incidence of acute toxicity. This is a phase 2 trial evaluating the feasibility of intraoperative radiotherapy (IORT) as a boost for breast cancer patients. MATERIALS AND METHODS: Eligible patients were treated with IORT of 20 Gy followed by whole breast irradiation (WBI) of 46 Gy. A total of 55 patients with a minimum follow-up of 1 month after WBI were evaluated. Optically stimulated luminescence dosimeter (OSLD) detected radiation dose delivered to the skin during IORT. Acute toxicity was recorded according to the Common Terminology Criteria for Adverse Events v4.0. Clinical parameters were correlated with seroma formation and maximum skin dose. RESULTS: Median follow-up after IORT was 25.9 weeks (range, 12.7 to 50.3 weeks). Prior to WBI, only one patient developed acute toxicity. Following WBI, 30 patients experienced grade 1 skin toxicity and three patients had grade 2 skin toxicity. Skin dose during IORT exceeded 5 Gy in two patients: with grade 2 complications around the surgical scar in one patient who received 8.42 Gy. Breast volume on preoperative images (p = 0.001), ratio of applicator diameter and breast volume (p = 0.002), and distance between skin and tumor (p = 0.003) showed significant correlations with maximum skin dose. CONCLUSIONS: IORT as a boost was well-tolerated among Korean women without severe acute complication. In vivo dosimetry with OSLD can help ensure safe delivery of IORT as a boost.
Breast Neoplasms*
;
Breast*
;
Cicatrix
;
Female
;
Follow-Up Studies
;
Humans
;
Incidence
;
Luminescence
;
Mastectomy, Segmental
;
Radiotherapy*
;
Seroma
;
Skin