1.AN EXPERIMENTAL STUDY ON PATENCY RATE OF MICROVASCULAR ANASTOMOSIS USING FIBRIN GLUE.
Seung Kyu HAN ; Byung Il LEE ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(2):250-256
Microvascular anastomosis has become an essential technique in reconstructive surgery. A lot of techniques have been developed to improve patency rate and reduce operation time. But interrupted suture technique is still most widely used because of limited indication and inconvenience of other methods. A comparative study was undertaken to evaluate new microvasular anastomosis technique using fibrin glue. In this report 40 femoral arteries of Sprague-Dawley rats were anastomosed by utilizing four stay sutures which were placed 90 degrees apart and the intervals covered with fibrin glue, and by conventional eight suture method served as control. The patency rate(immediate postoperative, postoperative two weeks), time needed for vascular anastomosis, and microscopic evaluation were compared to those of conventional microvascular suture technique. Postoperative patency rate was 100% and 85% by fibrin glue technique compared to 100% and 90% by conventional technique at immediate postoperative and postoperative two weeks. Less time consumed with fibrin glue technique by 16 minutes compared to conventional technique by 21 minutes. Microscopically reendothelization was complete with smooth and less injured inner lining and also less inflammatory response by fibrin glue technique compared to conventional technique.
Femoral Artery
;
Fibrin Tissue Adhesive*
;
Fibrin*
;
Rats, Sprague-Dawley
;
Suture Techniques
;
Sutures
2.Percutaneous transhepatic biliary drainage: an analysis on 72 cases of internal drainage
Jae Hyung PARK ; Byung Ihn CHOI ; Chan Sup PARK ; Kyu Bo SUNG ; Byung Hee LEE ; Man Chung HAN
Journal of the Korean Radiological Society 1986;22(3):311-316
A total of 72 cases of internal biliary drainage procedure has been done percutaneously at Departement ofRadilogy, Seoul Natinal Universtiy Hospital for recent 4 and half years since August 1981. Five different types ofinternal drainage including endoprosthesis were applied to various conditions with different obstruction levels.The different method of procedure in each type of internal drainage was described and the results were analysed.1. Among the clinical diagnosis in 72 cases, carcinoma of bile duct was in 37 cases as the most frequent one. Thenext was pancreas head carcinoma in 16 cases, followed by metastatic carcinoma and other disease. 2. Type Iinternal drainage, classical internal and external type with distal end in duodenum, was applied in 43 cases asthe most comon one. Type II, modification of type I with distal end in CBD, was applied in 17 cases. Type III,endoprosthesis distal end into duodenum, was applied in 7 cases. Type IV, endoprosthesis just across theobstruction in bile duct, was applied in 2 cases, Type V, combined type of any internal drainage with externaldrainage, was applied in 3 cases. 3. According to various obstruction level, prefered type could be selected. Forproximal obstruction type II and IV were preferred and for distal obstruction type III was chosen. However, type Icould be applied in any situation. 4. Early complication occurred in 9 cases(12.5%). Clinical imporvement withdecrease in bilirubin level was observed 17 of 21 cases in which follow-up data was available over 2 months. 5.Though the experience with those 72 cases it is recommended that appropriate type of internal biliary drainageshould be selected according to prognosis, obstruction level and clinical findings of each patient.
Bile Ducts
;
Bilirubin
;
Diagnosis
;
Drainage
;
Duodenum
;
Follow-Up Studies
;
Head
;
Humans
;
Methods
;
Pancreas
;
Prognosis
;
Seoul
3.Postoperative Complications of Peritrochanteric Fractures in Elderly over 65 years
Byung Jik KIM ; Han Suk KO ; Jeong Gook SEO ; Suk Kyu CHOO ; Ik Kyu CHOI ; Jae Kie SHIN
The Journal of the Korean Orthopaedic Association 1994;29(7):1806-1812
The mortality and morbidity of peritrochanteric fractures in the elderly are great due to preexisting diseases, the osteoporosis, and poor general conditions. Since the complications sometimes lead to death, it is utmost important to reduce the complications and to prevent them. Authors had experienced 42 peritrochanteric fractures over 65 years old from January, 1988 to December, 1992. Age incidence was distributed from 65 to 93 years. The sites of fractures were 17 femoral neck, 24 intertrochanteric, 1 subtrochanteric. The mortality at postoperative 6 months was 10.2%. The postoperative complications were 6 cardiovascular diseases, 3 pneunonia, 3 pressure sore etc. The results according to interval between injury and operation were not significant, but reducing risk factors following check-up of general conditions was significant. It was necessary in treatment of elderly peritrochanteric fractures to check the general conditions, to reduce risk factors, to choose appropriate method of operation and anesthesia, and to operate as soon as possible by experienced surgeon. Postoperative early ambulation was also significant at good results. The percutaneous pinning under local anesthesia was an recommendable method in patients with severely poor general conditions.
Aged
;
Anesthesia
;
Anesthesia, Local
;
Cardiovascular Diseases
;
Early Ambulation
;
Femur Neck
;
Humans
;
Incidence
;
Methods
;
Mortality
;
Osteoporosis
;
Postoperative Complications
;
Preexisting Condition Coverage
;
Pressure Ulcer
;
Risk Factors
4.CORRECTION OF THE INVERTED NIPPLE.
Yang Soo KIM ; Seung Kyu HAN ; Byung Il LEE ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):621-626
The inverted nipple presents both cosmetic and functional problems and may create psychological trauma in the patients and nutritional deficiency in the new born infants, Histopathologically it is characterized by less fibroconnective tissue beneath the nipple, shortened and fewer functional lactiferous duct, and short dense fibrous tissue beneath it. Many surgical and non-surgical methods have been designed and introduces for correction of the inverted nipple. We experienced 46 inverted nipples in 25 patients at Korea University Guro Hospital. For correction of nipple inversion we used purse-string suture method, Elsahy method, Pitanguy method, and author's method which modified D'Assumpcao technique. Including recurred cases, 44 nipples were operates by author's method, were follow-up for more than one year. Of these, postpartum breast feeding was possible in all evaluated 8 nipples. Undercorrection was identified in 4 nipples, but nipple projection was maintained to some degree. Author's method was effective for correction of the inverted nipple with preservation of lactiferous duct and lew recurrence rate.
Breast Feeding
;
Follow-Up Studies
;
Humans
;
Infant
;
Korea
;
Malnutrition
;
Nipples*
;
Postpartum Period
;
Recurrence
;
Sutures
5.A Case of Intraventricular Meningioma Acompanied by Intraventricular Hematoma and Subarachnoid Hemorrhage: Case Report.
Journal of Korean Neurosurgical Society 1978;7(1):187-192
A case of intraventricular meningioma(within Rt. Lateral ventricle) accompanied by intraventricular hematoma and subarachnoid hemorrhage is reported. Intraventricular meningioma fantastic and characteristic from the view points of its location is a rare condition;moreover hemorrhage into meningioma in general is exceedingly rare and presents with very unusual clinical pictures. Timely correct diagnosis and surgery aimed at evacuation of hematoma and total excision of the meningioma is essential, if satisfactory therapeutic results are to be obtained. Literatures concerned were reviewed.
Diagnosis
;
Hematoma*
;
Hemorrhage
;
Meningioma*
;
Subarachnoid Hemorrhage*
6.Prolonged Apnea after Cesarean Section in Patient with Low Level of Plasma Cholinesterase Activity: A case report.
Il San TAE ; Ji Han RHYU ; Kyu Ho SIM ; Byung Don CHUN ; Sin Woo LEE
Korean Journal of Anesthesiology 1997;33(4):784-787
Succinylcholine-induced prolonged neuromuscular blockade may occur in patients with either a low level of plasma cholinesterase activity or genotypically abnormal form of that enzyme. We experienced a case of succinylcholine-induced prolonged apnea due to a low level of plasma cholinesterase activity. A 31-year-old woman, full term primigravida, underwent cesarean section for breech presentation under general anesthesia. Familial and past medical history were nonspecific and preoperative physical and laboratory findings were within normal range. After operation, delayed apnea was detected and lasted for about one hour. We performed controlled and assisted ventilation for two and half hours. Plasma cholinesterase activity measured 30.00 IU/L (colorimetric method, normal value: 1130~1960 IU/L) at the first postoperative day. She was discharged on 7th postoperative day without any sequelae. From follow-up study after six months, it measured 1.02 U/ml (EIA, normal value: 7~9 U/ml).
Adult
;
Anesthesia, General
;
Apnea*
;
Breech Presentation
;
Cesarean Section*
;
Cholinesterases*
;
Female
;
Follow-Up Studies
;
Humans
;
Neuromuscular Blockade
;
Plasma*
;
Pregnancy
;
Reference Values
;
Ventilation
7.CLINICAL STUDY ON POLYDACTYLY OF THE FOOT.
Hyoung Jun KIM ; Seung Kyu HAN ; Byung Il LEE ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(2):317-325
Polydactyly is one of the most common congenital anomalies of the foot, but there are few papers on polydactyly of the foot reported in Korea. Forty-six supernummerary toes in thirty-semen patients were operated at Department of Plastic and Reconstructive Surgery, Korea University Guro Hospital, from May 1985 to May 1995. A clinical review was performed on these cases and the results were as follows : 1. Of the 37 patients, the proportion of unilateral involvement to bilateral was 28(76%) to 9 (24%). 2. Of the 46 toes, postaxial type was a majority involving 35 toes(76%) followed by the preaxial type 7 (15%) and central type 4(9%). 3. In anatomical pattern, Wassel's type IV and Stelling and Turek's type II were the most common ones in 7 toes of preaxial type and 39 toes of central and postaxial types. 4. The excellent results could be made by individualized reconstructive methods performed before walking age.
Classification
;
Foot*
;
Humans
;
Korea
;
Plastics
;
Polydactyly*
;
Toes
;
Walking
8.Follow-up study of Surgical Treatment of Lumbar Spinal Stenosis Using Wiltse Instrumentation.
Byung Jik KIM ; Jeong Gook SEO ; Han Sang JIN ; Dong Hwan SIN ; Lyl Kyu CHOI
Journal of Korean Society of Spine Surgery 1997;4(1):129-135
No abstract available.
Follow-Up Studies*
;
Spinal Stenosis*
9.CT and MR findings of primitive neuroectodermal tumor.
Shin Ho KOOK ; In One KIM ; Kee Hyun CHANG ; Moon Hee HAN ; Byung Kyu CHO
Journal of the Korean Radiological Society 1991;27(4):503-508
No abstract available.
Neuroectodermal Tumors, Primitive*
10.AESTHETIC MANDIBULAR CONTOURING SURGERY USING OSTEOTOMY OR OSTECTOMY.
Seong Yun WEE ; Seung Kyu HAN ; Byung Il LEE ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(6):1488-1500
No abstract available.
Osteotomy*