The Treatment Effects of Ultrasonic Surgical Aspiration for Axillary Osmidrosis / 대한피부과학회지

BACKGROUND: Axillary osmidrosis is a distressing and uncomfortable condition that can be a serious handicap in a person's personal and social life. There are many different surgical methods to treat axillary osmidrosis. However, they have caused frequently marked complications. OBJECTIVE: The purpose of this study was to evaluate the effect of ultrasonic surgical aspiration for the treatment of axillary osmidrosis. METHODS: From January 2007 to September 2008, a total of 62 patients was treated for axillary osmidrosis using ultrasonic surgical aspiration. RESULTS: Fifty-three (85.4%) patients had excellent to good results. Postoperative complications were seen in 5 (4.1%) patients out of 124 axillae. All of them were hematoma. The axillary scars are small and nearly negligible. The average recovery period was 5 days. CONCLUSION: Ultrasonic surgical aspiration displayed satisfactory therapeutic efficacy. This operation has many advantages with a high success rate, small and short scars, a low complication rate and a rapid recovery period.

Central hepatectomy using hepatic blood flow exclusion and CUSA / 中华普通外科杂志

Objective To improve the resection rate of central type hepatoma. Method Under selective exclusion of hepatic blood flow and the use of caritational ultrasonic surgical aspiration (CUSA), hepatectomy of central hepatic segments was performed for liver tumors. Result There were 46 cases in this group. Preoperative hepatic function was Child A in 43 cases and Child B in 3 cases. Regional entire bloodstream was excluded ranging from 8 to 33 minutes in 39 cases, Intraoperative blood loss was 100 to 2400 ml,the average was 490 ml. Postoperative hepatic function recovery to Child A grade in 43 cases within one week, postoperative aacites developed in 3 cases, jaundice in 1 case, biliary fistula in 1 case, gastroplegia in 1 case. One patient died of myocardial infarction 3 days postoperatively. Thirty-five malignant cases were followed-up with a mean period of 9 months, one died of intraabdominal metastasis 10 months postoperatively, the other 34 cases was alive without recurrence. Conclusion Hepatic regional entire bloodstream exclusion is effective in the control of intraoperative blood loss ; Hypersound-emulsifying- attractor separates blood vessels and bile ducts in hepatic hilar region. The combination of these two techniques helps in the resection of central hepatic tumors.

Treatment of the Scalp Avulsion by Ultrasonic Surgical Aspiration

A large scalp avulsion injury may lead to severe bleeding and may cause trauma to the forehead, eyebrows and periauricular tissue. This may bring fatal results aesthetically and functionally. Severe deformity may result after treatment and may also lead to psychological trauma disabling the patient to lead a normal social life. The scalp is made up of 5 layers histologically. They are the skin, subcutaneous fat, galea aponeurotica, subepicranial space and the periosteum. The external 3 layers of the scalp exist fairly independent of the cranial bone and function as one structure in the movement of the frontalis muscle and the occipitalis muscle. Therefore, scalp avulsion injuries usually involves the 3 outer layers along with the subepicranial space but may sometimes include the periosteum as well. Treatment methods are split thickness skin graft, replantation after defatting of the avulsed flap, composite graft and microsurgical procedures. Only methods that can preserve the hair are composite graft and microsurgery. However, limitations of composite graft and the environment of the donor and degree of vessel injury of the donor may limit microsurgical procedures. The authors report 1 case of scalp avulsion injury involving the parietal area where ultrasonic surgical aspiration was used to defat the avulsed flap and grafted onto the donor site. At the time of injury, the size and degree of vessel injury of the donor site was not suitable for a composite graft or microsurgery. Therefore, an ultrasound liposuction machine(for ultrasound assisted lipoplasty) was first used on the avulsed flap before replantation after defatting to minimize hair loss. This procedure has almost no traumatic effect on hair loss and distribution and although it may decrease the density of hair follicles, it does not lead to irregular patterns of hair loss. The avulsed flap was transplanted after minimizing hair follicle injury while removing the subcutaneous fat layer of the avulsed flap. On 1 year follow-up postoperatively, although thinning of the hair and decreased density was noticed, but regrowth of the hair was confirmed.

Surgical Aspiration of Orbital Abscess in a 4-month-old Neonate: 1 Case Report

Orbital abscess is an inflammatory disease of the orbit which usually aries in children or adults. However, it also arises in infants and an appropriate treatment is needed because it often accompanies more severe symptoms, complications, and permanent sequales. Systemic administration of antibiotics and surgical therapy can be enployed as means of treatment. When one uses surgical therapy in addition to using systemic antibiotics, one can obtain good results with rapid improvement of symptoms and prevention of complications. Surgical aspiration and antibiotic treatment showed good results in an infant who was admitted due to proptosis, chemosis, eyelid edema, and drythema.

Surgical Aspiration of Orbital Abscess in a 4-month-old Neonate: 1 Case Report

Orbital abscess is an inflammatory disease of the orbit which usually aries in children or adults. However, it also arises in infants and an appropriate treatment is needed because it often accompanies more severe symptoms, complications, and permanent sequales. Systemic administration of antibiotics and surgical therapy can be enployed as means of treatment. When one uses surgical therapy in addition to using systemic antibiotics, one can obtain good results with rapid improvement of symptoms and prevention of complications. Surgical aspiration and antibiotic treatment showed good results in an infant who was admitted due to proptosis, chemosis, eyelid edema, and drythema.