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RISS 인기검색어
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- 저자 : 남상학 ( Sang Hak Nam ) (검색결과 4 건)
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급성췌장염의 (急性膵臟炎) 초음파상에 (超音波像) 관한 연구
이동후(Dong Hoo Lee),박경남(Kyung Nam Park),기춘석(Choon Suk Kee),남상학(Sang Hak Nahm),김성윤(Sung Yoon Kim),강종명(Chong Myung kang) 대한소화기학회 1982 대한소화기학회지 Vol.14 No.1
N/A with a special regard of a rapid noninvasive diagnostic modality, the role of ultrasonography in the investigation of pancreatic disorders has become an important primary screening test. Recently available gray-scale ultrasonic technology has greatly improved imaging. We are intended to look for the specific appearance of ultrasonography in 31 patients with acute pancreatitis. All of the patients revealed pancreatic enlargement. Diffusely sonolucent pancreas with more homogeneous texture than hepatic parenchyme, with dilatated pancreatic duct was demonstrable in the most of patients. Three of 31 patients with acute pancreatitis showed gall bladder stones coincidentally. In 3 patients extrahepatic biliary tree was dilated conceivably due to compression of common bile duct by edematous pancreas. Fluid-filled intestines can be occasionally seen as a finding of adynamic ileus associated with acute pancreatitis. In acute pancreatitis subsequent sequencial ultrasonographic examination proved useful in following the progression of the disease to final resolution, or to development of complicating abscess or pseudocyst.
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한승규,임재호,이근직,김우경,남상학 大韓成形外科學會 1994 Archives of Plastic Surgery Vol.21 No.3
Soft tissue reconstruction of the hand remains a challenge for the plastic and reconstructive surgeon, who must choose whether to use a local flap, a island flap, a distant flap or a free flap. The reverse dorsal metacarpal flap is particularly useful in resurfacing web spaces as well as dorsal metacarpal and phalangeal skin defects. This new flap is based on a direct cutaneous branch of the dorsal metacarpal artery. The dorsal metacarpal vessels contribute to the fascial plexus which supplies the skin of the dorsum of the hand. We had successfully used reverse dorsal metacarpal flaps based on the dorsal metacarpal arteries. The design and use of the reverse dorsal metacarpalflap was described ; it appears to have a reliable vascular basis and its usefulness in covering small soft tissue defects in the hand is described. From July 1993 to November 1993, we have performed 7 cases of reverse dorsal metacarpal flaps in 6 patients in Guro hospital, Korea University. All the flaps were survived completely. The resultant secondary defect was repaired directly in 4 cases, and grafted in 3 cases.
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남상학,임재호,이종문,박승하,김우경 大韓成形外科學會 1994 Archives of Plastic Surgery Vol.21 No.4
In using the foot as a flap donor site or when microsurgically transfering the first or second toe it is imperative to know preoperatively the exact anatomy of the first dorsal metatarsal artery (F.D.M.A.) because of the frequent anatomic variation of the F.D.M.A.. The materials were 35 cases of free flap procedures from foot as donor site and 1 case of the angiographic study from September 1983 to December 1992 in Guro hospital, Korea University. The opeative cases were 15 cases of toe to thumb transfer, 4 cases of toe to finger transfer, 1 cases of wrap around operation, 8 cases of dorsalis pedis free flap, 2 cases of tendocutaneous free flap, 2 cases of pulp transfer, 2 cases of web space free flap, 1 cases of exploration. The anatomy of the F.D.M.A. was assessed during dissection of the surgical procedures and classified according to Gilbert classification. The results were that 20 cases were type I (57%), 12 cases were type II (34.3%) and 3 cases were type III (8.6%). The second toes were used as donor sites in 7 cases and in 4 cases of the 7 cases, F.D.M.A. proved to be a thread-like branch with very small vessel csliber which were inadequeate to sustain the second toe alone, therefore the planter metatarsal arteries had to be used as the main vascular pedicle. In summary, because of the frequent anatomic variation of the F.D.M.A. it is essential that the type and exact anatomic relation of the F.D.M.A. should be known preopratively to achieve high success rates when using this artery as a main vasular pedicle.
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