No abstract available.
Colon* ; Therapeutic Irrigation*

Electrolytes ; Therapeutic Irrigation ; methods

No abstract available.
Diverticulitis ; Endoscopy ; Therapeutic Irrigation

In order to obtain a complete and lees contaminated lung washings from the rabbits, the left lung of rabbit was subjected to lavage with saline by altering the number of washing, i.e.: once, twice and thrice, and surface tension, protein content and phospholipid content of the lung washings were measured. Surface tension was measured by the modified Langmuir-Wilhelmy balance, Phospholipid content was determined by the modified method of Baginski, and protein content by the method of Lowry et al. The results obtained are summerized as follows: 1. The maximal surface tension, minimal surface tension, stability index, protein content and phospholiped content of left lung washings (once) were 53.9+/-2.7 dyne/cm, 11.4+/-8.4 dyne/cm, 1.4+/-0.4, 127.2+/-6.0 ug/ml, and 306.8+/-65.4 ug/ml, respectively. 2. The maximal surface tension, stability index, protein content and phospholipid content of left lung washings (twice) were 55.5+/-2.4 dyne/cm, 5.0+/-2.2 dyne/cm, 1.7+/-0.2, 166.6+/-11.0 ug/ml and 283.5+/-40.1 ug/ml, respectively. 3. The maximal surface tension, minimal surface tension, stability index, protein content, and phospholipid content of left lung washings (thrice) were 53.6+/-2.6 dyne/cm, 6.2+/-2.2 dyne/cm, 1.6+/-0.1, 184.3+/-15.4 ug/ml and 368.3+/-68.2 ug/ml, respectively. 4. The above results indicate that the most optimal number of rabbit left lung washing is twice.
Lung* ; Rabbits ; Surface Tension ; Therapeutic Irrigation

PURPOSE: Obstructive and inflammatory disease often occurs in the major salivary glands, and no predictive treatment has yet been developed for this condition. The aim of this report was to introduce an intraductal irrigation procedure and to illustrate its application to practical patient cases. MATERIALS AND METHODS: Two patients complaining of pain and swelling in the parotid gland during meals who underwent sialography were diagnosed as having sialodochitis with sialadenitis. Intraductal irrigation was then performed on the parotid gland on the side of the complaint. The irrigation procedure was conducted in the same manner as the sialography procedure, except that saline was used as the filling solution. Symptom severity was evaluated with a numerical rating scale (NRS) at the initial visit and a month after the irrigation. RESULTS: The initial NRS value of patient 1 was 10. The value decreased to 6 and then to 0 after 2 irrigation procedures. The NRS value of patient 2 regarding the symptoms involving the left parotid gland decreased from 4-5 to 1 after 4 irrigation procedures performed at 1-month intervals. CONCLUSION: Intraductal irrigation of the salivary gland may be a simple, safe, and effective treatment option for patients with obstructive and inflammatory disease of the salivary gland that is capable of resolving their symptoms.
Humans ; Meals ; Parotid Gland ; Salivary Glands* ; Sialadenitis ; Sialography ; Therapeutic Irrigation

To determine the most effective and tolerable method of preparation with Golytely for colonoscopy, 141 consecutive cases were randomly allocated to drink either 2,000cc(74 cases, Group I) or 4,000cc(67 cases, Group 2), with infusion rate of 1,000cc/h. The reaults were as follows. 1) The rates of effective colonic clearance in group 1 and group 2 was 94.6% and 94.0%, respectively. There is no significance difference between two groups. 2) There was no significant difference in the ingested volume until the first bowel movement and the time required for rectal efflunt to be clear between two groups. 3) Patient acceptance was higher in group 1 than in group 2. 4) Side effects were less noticed in group 1 than group 2, and incraased in body weight (average 0.8 kg) after ingestion of Golytely was observed only in group 2.
Body Weight ; Colon ; Colonoscopy* ; Eating ; Humans ; Therapeutic Irrigation*

Pulmonary alveolar proteinosis is characterized by the remittent or progressive accumulation of lipid-rich proteinaceous material within the alveolar sacs in the absence of inflammatory response. Whole-lung lavage is the only consistent treatment for pulmonary alveolar proteinosis. We have utilized whole-lung lavage for the successful treatment of a 62 year-old female patient with pulmonary alveolar proteinosis. There was no persistent complication during the procedure and the postanesthetic recovery except temporary fever and hypoxic event. The patient was symptomatically, physiologically, and radiologically improved within days after the procedures.
Female ; Fever ; Humans ; Middle Aged ; Pulmonary Alveolar Proteinosis* ; Therapeutic Irrigation*

The Pumping technique generally has been known as a diagnostic method that predicts intracapsular status and selects required evaluation and treatment. But, in addition to this indication, when it is followed by Lavage and Manipulation technique, this may be used as therapeutic method that is effective on Closed Lock with limited mouth opening and pain. Therefore, we examined results of this technique abut Closed Lock and would like to report therapeutic effects of Lavage and Manipulation technique. We selected 40 patients of 200 patients diagnosed as Closed Lock over 53 months from SEP. 1991 to PEB. 1996, who were possible follow-up and performed by Lavage and Manipulation technique. Appraisal between pre-procedure and post-procedure was performed just after procedure, in 1 month and in 3 months, and therapeutic effects were divided by marked, useful, a little useful and ineffective. As a result, Lavage and Manipulation technique had remarkable increase of maximum mouth opening(>5mm) in 39 persons(98%) just after proceure, 36 persons(90%) in 1 month, and 39 persons(98%) in 3 months, and subsided pain completely just after procedure and had remarkable decrease of pain in 30 persons(75%) in 1 month, 32 persons(80%) in 3 months. So we concluded that the Lavage and Manipulation technique is effective therapy of Closed Lock which can be used with ease.
Follow-Up Studies ; Humans ; Mouth ; Temporomandibular Joint* ; Therapeutic Irrigation*

PURPOSE: The purpose of this study is to compare postoperative complications for single-stage surgery after mechanical bowel preparation in patients who experienced obstruction and those who did not. METHODS: From 2000 to 2011, 1,224 patients underwent a single-stage operation for left colorectal cancer after bowel preparation. Nonobstruction (NOB) and obstruction (OB) colorectal cancer patients were 1,053 (86.0%) and 171 (14.0%), respectively. Postoperative morbidity and mortality were compared between groups. RESULTS: The OB group had poor preoperative conditions (age, white blood cell, hemoglobin, albumin level, and advanced tumor stage) compared with the NOB group (P < 0.05). Mean on-table lavage time for the OB group was 17.5 minutes (range, 14-60 minutes). Mean operation time for the OB group was statistically longer than that of the NOB group (OB: 210 minutes; range, 120-480 minutes vs. NOB: 180 minutes; range, 60-420 minutes; P < 0.001). Overall morbidity was similar between groups (NOB: 19.7% vs. OB: 23.4%, P = 0.259). Major morbidity was more common in the OB group than in the NOB group, but the difference was without significance (OB: 11.7% vs. NOB: 7.6%, P = 0.070). Postoperative death occurred in 16 patients (1.3%), and death in the OB group (n = 7) was significantly higher than it was in the NOB group (n = 9) (4.1% vs. 0.9%, P = 0.001). Twelve patients had surgical complications, which were the leading cause of postoperative death: postoperative bleeding in five patients and leakage in seven patients. CONCLUSION: Postoperative morbidity for a single-stage operation for obstructive left colorectal cancer is comparable to that for NOB, regardless of poor conditions of the patient.
Colorectal Neoplasms* ; Hemorrhage ; Humans ; Leukocytes ; Mortality ; Postoperative Complications* ; Therapeutic Irrigation

PURPOSE: We studied the adequate amount of pulse lavage irrigation for removal of polymethyl methacrylate (PMMA) and bone particles after cemented total knee arthroplasty. MATERIALS AND METHODS: A prospective study of 8 patients who received cemented total knee arthroplasty between March 2011 and November 2011, was done. The mean age of patients was 74.0 (range 65~84). After component implantation, the knees were lavaged with 10L of normal saline using pulsatile lavage; all fluid was collected in 1 liter using standard wall suction canisters. PMMA and bone particles within the irrigation fluids were quantitated by weight. RESULTS: The average of 413 mg/L (range, 71~999 mg/L) of particle debris was removed after cemented total knee arthroplasty with 1L of irrigation. Average of 230 mg/L (range, 51~432 mg/L), 112 mg/L (range, 32~185 mg/L), 48 mg/L (range, 21~125 mg/L), 47 mg/L (range, 10~120 mg/L), 45 mg/L (range, 5~140 mg/L), 49 mg/L (range, 0~110 mg/L), 46 mg/L (range, 0~107 mg/L), 50 mg/L (range, 5~85 mg/L), 41 mg/L (range, 3~68 mg/L) of debris was removed after the second, third ,fourth, fifth, sixth, seventh, eighth, ninth and tenth liter of pulse lavage irrigation respectively. Using analysis of variance testing, there was a statistically significant difference between the debris removed with 1L and until 4L irrigation (p=0.03). CONCLUSION: The bone debris and PMMA decreased as the amount of irrigation increased, especially most of remnants within more than 5L solution for irrigation were bone particles. 4L of irrigation through pulse lavage is appropriate for removing PMMA and bone particles after cemented total knee arthroplasty because a supplementary irrigation can cause a secondary bone loss.
Arthroplasty ; Humans ; Knee ; Polymethyl Methacrylate ; Prospective Studies ; Suction ; Therapeutic Irrigation