A clinical observation was done on 58 nephrectomized patients in the Department of Urology, Capital Armed Forces General Hospital, during the period from January 1977 to December 1979, The results were as follow: 1. The total number of in-patients during above mentioned period was 779 and of which nephrectomies were performed in 58 of the 469 total urologic operations (12. 4%). 2. The most favorable age was in 20 to 29 in 28 cases (60.4%) and the youngest was 10 months and the oldest 68 years. 3. The causative diseases of the operated kidneys were renal tuberculosis in 34 cases (58. 6%). hydronephrosis in 7 cases (12. 0%), renal injury it 6 cases (10.4%) and calculous disease in 3 cases (5.2%) in order. 4. Flank approach was most frequently used (82. 8%). 5. The left kidney was nephrectomized 1.4 times more than right kidney. 6. Postoperative complications were seen in 8 cases (13. 8%), which included 3 cases of wound infection, 3 paralytic and 2 pneumothorax.
Arm ; Hospitals, General ; Humans ; Hydronephrosis ; Kidney ; Nephrectomy ; Pneumothorax ; Postoperative Complications ; Tuberculosis, Renal ; Urology ; Wound Infection

A clinical observation was made on 199 cases of gross hematuria who were admitted to the Department of Urology. Capital Armed Forces General Hospital during the period from January, 1978 to December, 1980. The following results were obtained; 1. The incidence of gross hematuria was 27.5% of all urological in-patients and male to female ratio was 4.5:1. 2. The most frequent incidence of gross hematuria on male were trauma and calculus and infection on female. 3. The commonest disease of gross hematuria were ureteral stone, renal injury, renal stone and renal tuberculosis. 4. The most frequent incidence of gross hematurias were calculus and trauma under the age of 40 and tumor over the age of 40. 5. Etiology of gross hematuria were highest in calculi (30.7%), injury (27.6%), tumor (13.6%). 6. The sites of gross hematuria were it the kidney (48.2%), ureter (20.1%), bladder (17.6%). urethra (6.5%), prostate (3.0%). 7. Painless gross hematuria was 63.3% and the commonest cause was renal injury. Painful gross hematuria was 36.7% and the commonest cause was ureteral stone. 8. Total gross hematuria was 75.4% and the commonest causes were upper urinary tract lesions. Terminal gross hematuria was 21.2% and the commonest causes were mid urinary tract lesions. Initial hematuria was 3.4% and the commonest causes were lower urinary tract lesions.
Arm ; Calculi ; Female ; Hematuria* ; Hospitals, General ; Humans ; Incidence ; Kidney ; Male ; Prostate ; Tuberculosis, Renal ; Ureter ; Urethra ; Urinary Bladder ; Urinary Tract ; Urology

No abstract available.
Pancreaticoduodenectomy*

No abstract available.
Doxorubicin* ; Drug Therapy, Combination* ; Etoposide* ; Fluorouracil* ; Mitomycin* ; Retrospective Studies* ; Stomach Neoplasms*

No abstract available.
Biopsy, Fine-Needle* ; Breast Neoplasms* ; Breast* ; Diagnosis*

PURPOSE: A feasible palliative care model for advance cancer patients is needed in Korea with its rapidly aging population and corresponding increase in cancer prevalence. This study describes the process involved in the development of a community-based palliative care (CBPC) model implemented originally in a Busan pilot project. MATERIALS AND METHODS: The model development included steps I and II of the pilot project, identification of the service types, a survey exploring the community demand for palliative care, construction of an operational infrastructure, and the establishment of a service delivery system. Public health centers (including Busan regional cancer centers, palliative care centers, and social welfare centers) served as the regional hubs in the development of a palliative care model. RESULTS: The palliative care project included the provision of palliative care, establishment of a support system for the operations, improvement of personnel capacity, development of an educational and promotional program, and the establishment of an assessment system to improve quality. The operational infrastructure included a service management team, provision teams, and a support team. The Busan Metropolitan City CBPC model was based on the principles of palliative care as well as the characteristics of public health centers that implemented the community health projects. CONCLUSION: The potential use of the Busan CBPC model in Korea should be explored further through service evaluations.
Aging ; Busan* ; Chronic Disease ; Humans ; Korea* ; Palliative Care* ; Pilot Projects ; Prevalence ; Public Health* ; Social Welfare

Human Sparganosis was one of the main parasitosis and reported over 65 cases in Korea. Sparganum infestation in the scrotum was reported 14 cases. We experienced a cases of Sparganosis in the scrotum. This patient, 45-year-old Master Sergeant, had an episode of in take of raw snakes and frogs for 25 years during survival and ranger training. Life cycle and route of infection of Sparganum mansoni are briefly discussed with review of literatures.
Humans ; Korea ; Life Cycle Stages ; Middle Aged ; Scrotum* ; Snakes ; Sparganosis* ; Sparganum

Teratoma of the testis is a type of mixed tumor made up of various kinds of tissue representing the three primitive layers of blastoderm. Recently we experienced two cases of testicular teratoma in 23-year-old male patients, so we report these two cases of testicular teratoma with review of literatures.
Blastoderm ; Humans ; Male ; Teratoma* ; Testis ; Young Adult

STUDY DESIGN: This retrograde study was designed to compare the clinical features and postoperative clinical results between diabetic and non-diabetic patients who had been performed decompression and arthrodesis with instrumentation. SUMMARY OF LITERATURE REVIEW: There are controversies in the treatment results of diabetic patients. OBJECTIVE: To identify poor results in the patients of lumbar spinal stenosis accompanied diabetes mellitus and to find out variables influencing postoperative results among diabetics. MATERIALS AND METHODS: We analyzed 27 diabetic patients and sex, age-matched 27 non-diabetic patients who were diagnosed as lumbar spinal stenosis and operated from April, 1995 to December, 1998. In all patients, duration of symtoms, sensory and motor deficits, comorbidity, level of operations were investigated and in diabetics, duration of diabetes, amount of insulin administered before operation and presence of diabetic neuropathy were included. Clinical results, postoperative complications were compared between diabetics and non-diabetics. RESULTS: Considerable improvement was reported by 19(71%) in diabetic group and 21(78%) in non-diabetic group. Complication rate such as of infection and delayed wound healing was not higher in diabetic group than non-diabetic group. Duration of diabetes and amount of insulin before operation did not affected the result of operations. CONCLUSION: The outcome of surgery was similary successful in the two groups.
Arthrodesis ; Comorbidity ; Decompression ; Diabetes Mellitus* ; Diabetic Neuropathies ; Humans ; Insulin ; Postoperative Complications ; Spinal Stenosis* ; Wound Healing

PURPOSE: Recurrent groin hernias are a significant problem with high recurrence rates. There is a great deal of controversy regarding their management. This study examined the outcome of patients who had undergone a repair of recurrent groin hernias. METHODS: This study examined retrospectively the medical records of all patients who underwent repairs of recurrent groin hernias (a total 239 cases) between January 1998 and December 2006. The repair was tailored to the previous operation and the patients' medical condition. The types of previous operations, present operation, complications and re-recurrence rate were analyzed. RESULTS: Of the 2,542 groin hernias operated on, 239 cases (9.4%) were treated for recurrent groin hernias. The types of previous surgery were conventional open tissue repair in 199 cases (83.3%), Lichtenstein repair in 28 cases (11.7%), open mesh repair (PHS, Perfix plug) in 6 cases (2.5%) and laparoscopic repair in 6 cases (2.5%). The recurrent groin hernias were repaired using a laparoscopic method in 123 cases (51.4%), open mesh repair in 92 cases (38.4%), Lichtenstein repair in 18 cases (7.5%) and a conventional open tissue repair in 6 cases (2.5%). Postoperative complications occurred in 40 cases (16.7%), which included 10 seromas, 4 wound infections, 3 hematomas, 2 wound swellings, 8 scrotal swelling, 5 dysurias, 2 chronic neuralgias. There were 6 cases of re-recurrence in the 239 cases of recurrent groin hernias (2.5%). CONCLUSION: A tailored approach based on the previous repair and the medical condition of the patients with recurrent groin hernias is associated with a decrease in the incidence of major postoperative complications and a low recurrence rate (2.5%).
Dysuria ; Groin ; Hematoma ; Hernia ; Humans ; Incidence ; Medical Records ; Neuralgia ; Postoperative Complications ; Recurrence ; Retrospective Studies ; Seroma ; Wound Infection