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Role of Endoscopy in the Management of Boerhaave Syndrome
Juan Ignacio Tellechea,Jean-Michel Gonzalez,Pablo Miranda-García,Adrian Culetto,Xavier Benoit D’Journo,Pascal Alexandre Thomas,Marc Barthet 대한소화기내시경학회 2018 Clinical Endoscopy Vol.51 No.2
Boerhaave syndrome (BS) is a spontaneous esophageal perforation which carries high mortality. Surgical treatment is well established,but the development of interventional endoscopy has proposed new therapies. We expose our experience in a Gastrointestinal andEndoscopy Unit. With a retrospective, observational, open-label, single center, consecutive case series. All patients diagnosed withBS who were managed in our center were included. Treated conservatively, endoscopically or surgically, according to their clinicalcondition and lesion presentation. Fourteen patients were included. Ten were treated with primary surgery. One conservatively. In total,7/14 patients required an endoscopic treatment. All required metallic stents deployment, 3 cases over-the-scope-clips concomitantlyand one case a novel technique an internal drain. 6/7 cases endoscopically treated achieved complete esophageal healing. In conclusion,endoscopy is an useful tool at all stages BS management: difficult diagnosis, primary treatment in selected patients and as salvage whensurgery fails. With mortality rates and outcomes comparables to surgery.
차세대 위성항법체계 갈릴레오 센서스테이션 유치 후보지 전파 수신환경 조사 II: 실제 예정 부지에 대한 2007년 한국천문연구원과 ESA 공동조사 결과
조중현,이창훈,박종욱,박필호,Michel Comte,Moises Gonzalez,황정욱,최남미 한국우주과학회 2008 Journal of Astronomy and Space Sciences Vol.25 No.1
A RF environmental field test for the proposed Galileo Sensor Station site was done by Alcatel Alenia technical team contracted by European Space Agency (ESA) and the Space Geodesy division of Korea Astronomy and Space Science Institute at the Korean VLBI Network (KVN) site in Tamla University Campus, Jeju from June 21, 2007 to June 24, 2007. Full band and in-band 24 hour observation for radio frequency interference, precise positioning, and multipath on three proposed antenna locations for Galileo signal were executed. The main purpose of this survey is to verify the results of previous test on 2006 by KASI. The preliminary analysis of the results and a full investigation also had been done by ESA under the permission of KASI until the end of July, 2007.
Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery
Luigi Schiraldi,Gaby Jabbou,Paolo Centofanti,Salvatore Giordano,Etienne Abdelnour,Michel Gonzalez,Wassim Raffoul,Pietro Giovanni di Summa 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.4
Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated with higher morbidity and mortality, longer hospital stays, and increased costs. A literature review was performed by searching PubMed from January 1996 to August 2017 according to the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The following keywords were used in various combinations: DSWI, post-sternotomy complication, and sternal reconstruction. Thirty-nine papers were included in our qualitative analysis, in which each aspect of the DSWI-related care process was analyzed and compared to the actual standard of care. Plastic surgeons are often involved too late in such clinical scenarios, when previous empirical treatments have failed and a definitive reconstruction is needed. The aim of this comprehensive review was to create an up-to-date operative flowchart to prevent and properly treat sternal wound infection complications after median sternotomy.
Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery
Schiraldi, Luigi,Jabbour, Gaby,Centofanti, Paolo,Giordano, Salvatore,Abdelnour, Etienne,Gonzalez, Michel,Raffoul, Wassim,di Summa, Pietro Giovanni Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.4
Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated with higher morbidity and mortality, longer hospital stays, and increased costs. A literature review was performed by searching PubMed from January 1996 to August 2017 according to the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The following keywords were used in various combinations: DSWI, post-sternotomy complication, and sternal reconstruction. Thirty-nine papers were included in our qualitative analysis, in which each aspect of the DSWI-related care process was analyzed and compared to the actual standard of care. Plastic surgeons are often involved too late in such clinical scenarios, when previous empirical treatments have failed and a definitive reconstruction is needed. The aim of this comprehensive review was to create an up-to-date operative flowchart to prevent and properly treat sternal wound infection complications after median sternotomy.