No abstract available.
Breast Neoplasms* ; Breast* ; Oncogenes*

No abstract available.
Bacteremia*

No abstract available.
Allografts* ; Animals ; Mice*

No abstract available.
Tissue Expansion*

No abstract available.
Antibodies* ; Coxiella burnetii* ; Coxiella* ; Prevalence*

Pulmonary sequestration is a relatively rare anomaly. Arterial supply is usually derived from the aorta or its major branches, or very rarely from the left gastric artery. We present a case of intralobar sequestration in which blood was supplied by the left gastric artery.
Angiography ; Aorta ; Arteries* ; Bronchopulmonary Sequestration*

OBJECTIVE: This study was investigated on the relationship the degrees of proteinuria with the maternal characteristics, maternal and the neonatal outcomes. The correlation between the result of single urine protein- to-creatinine ratio and the amount of 24 hour urine protein was also investigated. METHODS: From December 1999 to June 2002, 63 patients were enrolled in this study. They were divided into two groups by the degree of proteinuria at 24 hour urine, single urine and dip stick test, respectively. Each two groups was compared with the maternal characteristics, gestational age, the maternal and the neonatal outcomes. The correlation between single urine protein-to-creatinine ratio and the amount of 24 hour urine protein was analyzed statistically. RESULTS: Each two groups of single urine and dip stick test had no differences in maternal characteristics, gestational age, maternal and the neonatal outcomes. However, in two of 24 hour urine, massive proteinuria group had poor maternal and neonatal outcomes compared with control group (p value 0.01). Single urine protein-to-creatine ratio and the amount 24 hour urine protein had borderline correlation (p value 0.064). CONCLUSION: The presence of proteinuria influences on maternal and neonatal outcomes. Moreover, the massive proteinuria group had more maternal and neonatal complication than control group. The result of single urine protein-to-creatine ratio had borderline correlation with the amount of protein in 24 hour urine collection.
Female ; Gestational Age ; Humans ; Hypertension, Pregnancy-Induced* ; Pregnancy ; Pregnancy* ; Proteinuria* ; Urine Specimen Collection

This retrospective series compries 268 patients who underwent curative resection of colorectal cancer at the department of surgery, Ewha womans university hospital,from January 1990 to December 1995,and the results obtained were summerized as follows. 1) The sex ratio of male to female was 1.6:1 and peak age group was the 6th decade(29.1%). 2) The most common location of tumor was the rectum (61.2%) and the sigmoid colon (19.8%),ascending colon (11.6%) were followed.3) In the right colon cancer,the most frequent symptoms were abdominal pain and palpable mass. In the left colon,bowel habit change and bloody stool were the most common symptoms. 4) In 119 cases (49.4%) of total cases,the duration of the symptoms prior to admission was below 3 months. 5) The preoperative CEA level was less than 5ng/ml in 147 cases (56.8%). 6) The Modified Dukes stage C2 was noted in 40.3%,B2 in 30.2%,B1 in 11.9%,D in 7.5%,A in 5.2%,and C1 in 4.9%. 7) The Histologic type of cancer was adenocarcinoma in 98.9%,squamous cell cancer in 0.7%,and leiomyosarcoma in 0.4%. 8) Rectal cancer was treated with abdominoperineal resection in 111 cases (41.4%),low.anterior resection in 53 case (19.8%). 9) The Postoperative complications were devepoled in 15.3 % of total cases and the most frequent one was wound infection (39.0%).10) Pelvic cavity was the frequent metastatic site,within 3 year after operation. 11) The 3 year survival rates of 152 patients from 1990 to 1992 were 88.8% in B1, 85.3% in B2, 77.7% in C1,and 50.8% in C2 stages.
Abdominal Pain ; Adenocarcinoma ; Colon ; Colon, Sigmoid ; Colorectal Neoplasms* ; Female ; Humans ; Leiomyosarcoma ; Male ; Postoperative Complications ; Rectal Neoplasms ; Rectum ; Retrospective Studies ; Sex Ratio ; Survival Rate ; Wound Infection

PURPOSE: Laparoscopic management of intestinal obstruction is hypothetically attractive, However little is known about this procedure in our country. With new advances in diagnostic and therapeutic tools such as laparoscopic procedures, the management of intestinal obstruction has become feasible. METHODS: In order to analyze the clinical results of laparoscopic adhesiolysis, a retrospective review of a consecutive series of 20 cases of intestinal obstruction unresponsive to medical management was done between 1997 and 2000. RESULTS: The mean surgical time for the laparoscopic procedure was 75 min and two cases were converted to open surgery due to dense adhesion and intestinal strangulation. The characterization of adhesion type included 10 cases with simple fibrotic band, 4 cases with multiple fibrotic band and 5 cases with dense adhesion. Additionally, the most common site for adhesion was the small intestine and colon (12 cases). The mean diet start time was 2.3 days, mean hospital stay was 4.7 days and totally mean analgesic use was 1.6 times. CONCLUSION: Laparoscopic management of adhesive bowel obstruction is feasible and safe in experienced hands. The laparoscopic procedure also is an excellent diagnostic modality in case of obstruction, and the majority of these cases can be simultaneously managed laparoscopically. A laparoscopic approach is recommend as a first choice of treatment for selective cases of intestinal adhesion.
Adhesives ; Colon ; Diet ; Hand ; Intestinal Obstruction ; Intestine, Small ; Length of Stay ; Operative Time ; Retrospective Studies

Laparoscopic surgery is now a commonly used procedure for biliary tract disease because of the small incision, the shorter hospital stay, lower postoperative pains, and prompt recovery. Acute or subacute cholecystitis has been considered a contraindication because the procedure becomes time consuming and complicated. However, improvements in surgical technique and development of better surgical equipment has lead to interest in the use of laparoscopy for acute cholecystitis. However, the proper timing for the operation is still questionable. The authors analyzed 28 cases of laparoscopic cholecystectomies performed for acute cholecystitis between January 1992 and first half of 1997 in order to determine the clinical significant of using a laparoscopic cholecystectomy for patients with acute cholecystitis. For all 28 cases of histopathologically confirmed acute cholecystitis, we analyzed the of surgical method, mean hospital stay, mean operating time, and postoperative analgesic requirement. Each subjects were also analysed year by yearly to determine laparoscopic cholecystectomy for acute cholecystitis. As to histopathologic type, 81% were calculous cholecystitis, and 19% were acalculous cholecystitis. Empyema cases accounted for 46% of the total number of cases. During the 1992, all cases was treated by using a gas technique, but in 1995, the gas technique was used in only 60% of the cases. In 1996, a gasless technique surpassed gas technique was used in 57.2% of the cases. In 1997, all cases were treated by using a gasless technique. The mean hospital stay gradually decreased through the years from 6.75 days in '92, to 5.85 days in '95, 5.8 days in '96 and 5 days in '97. The mean operation time also showed a decrease from 100 min in '92, to 139 min. in '95, 104.64 min in '96 and 90 min in '97. A postoperative analgesic was used 1.5 times in '95, 1.14 times in '95, 1 time in '96 and 0.8 time in '97. In conclusion, the laparoscopic approach to treating acute cholecystitis has reduced the hospital stay, and the mean operation time due to the use of a gasless technique and to development of better laparoscopic instruments. Also, the use of the gasless technique is more treat cost effectiveness, so, the gasless laparoscopic technique is becoming popular as a way to acute cholecystitis in the laparoscopic era.
Acalculous Cholecystitis ; Biliary Tract Diseases ; Cholecystectomy, Laparoscopic ; Cholecystitis ; Cholecystitis, Acute* ; Cost-Benefit Analysis ; Empyema ; Humans ; Laparoscopy ; Length of Stay ; Pain, Postoperative ; Surgical Equipment