1.Maternal and perinatal outcomes in triplet versus twin pregnancies with the result of Assisted Reproductive Technology.
Chang Ik CHOI ; In Bai CHUNG ; Gab Young OH ; Ki Dong CHOI ; Hyun Il CHOI ; Hyuck Dong HAN ; Young Jin LEE
Korean Journal of Obstetrics and Gynecology 1999;42(9):2013-2018
The present study was performed to compare maternal and perinatal outcomes in triplet and twin pregnancies with the result of ART(Assisted Reproductive Technology). Each pregnancy of 18 triplet pregnancies with 18 weeks or more was matched for maternal age, EDC(estimated date of confinement), parity, history of preterm delivery, indication of ART with two sets of twin pregnancies. Triplet pregnancies had a significantly shorter gestational age at delivery than twin pregnancies(30.4 versus 34.6 weeks), and a significantly lower mean birth weight(1,514 versus 2,286g). The mean hospital stay was significantly longer in triplets(22.3 versus 10.1 days). The incidences of 5 min Apgar score less than 7, neonatal deaths were significantly more often in triplets than twins; 18(33.3%) vs 6(8.3%), 15(27.8%) vs 7(9.72%), respectively. There were significant differences in the incidence of neonatal complications such as respiratory distress syndrome; 14(25.9%) vs 7(9.72%), ventilatory support; 18(33.3%) vs 5(6.9%), neonatal seizure; 9(16.7%) vs 0, btween the two groups. However, there were no significant differences between the groups in maternal complications or neonatal morbidity such as congenital malformations or hyperbilirubinemia, intraventricular hemorrhage, or bronchopulmonary dysplasia. We suggest that counseling patient regarding the anticipated perinatal outcomes of triplet pregnancies with the result of ART should be conducted with our data.
Apgar Score
;
Bronchopulmonary Dysplasia
;
Counseling
;
Female
;
Gestational Age
;
Hemorrhage
;
Humans
;
Hyperbilirubinemia
;
Incidence
;
Infant, Newborn
;
Length of Stay
;
Maternal Age
;
Parity
;
Parturition
;
Pregnancy
;
Pregnancy, Triplet
;
Pregnancy, Twin*
;
Reproductive Techniques, Assisted*
;
Seizures
;
Triplets*
2.The Controlled Study between The Group Used Highly purified FSH and The Group Used FSH/hMG in Controlled Ovarian Hyperstimulation for In Vitro Fertilization and Embryo Transfer.
Ki Dong CHOI ; Min HONG ; Ill Han KIM ; Chang Ik CHOI ; Gab Young OH ; Hyuck Dong HAN
Korean Journal of Obstetrics and Gynecology 1999;42(8):1751-1754
OBJECTIVE: It is known that normal follicular growth and pregnancy are possible using Follicular stimulating hormon(FSH) alone during controlled ovarian hyperstimulation(COH) for IVF-ET. The purpose of this study was to compare and analize the results of COH for IVF-ET between a group using only FSH-HP and a group using FSH/hMG METHOD: 111 cycle of the total 280 COH for IVF-ET cycles belonged to the FSH-HP group, and the FSH/hMG group accounted for remaining 169 cycles. The amount of gonadotropin administered, the duration of hormonal therapy, the number of embryos transfered, the endometrial thickness, and the pregnancy rate were compared between the two groups and statistically analized using the t-test. p values less than 0.05 deemed statistically significant. RESULT: There were no statistical differences on the amount of gonadotropin administered, the duration of hormone therapy, number of oocytes retrieved, nor the endometrial thickness between the two groups. However,the serum E2 level was significantly lower, and the number of embryos of high quality(GradeIandII) significantly higher in the FSH-HP group. In pregnancy rate, FSH-HP group shows higher than FSH/hMG group(38.8% VS 34.2%). but the difference was not large enough to be considered statistically significant. CONCLUSION: The results of this study show that compared to using FSH/hMG, treatment with FSH-HP alone allowed the retrieval of more embryos of high quality, and although not statistically significant, achieved a higher pregnancy rate, thus indicating that it can be used as an effective method for COH.
Embryo Transfer*
;
Embryonic Structures*
;
Fertilization in Vitro*
;
Gonadotropins
;
Oocytes
;
Pregnancy
;
Pregnancy Rate
3.A Case of Epidermoid Cyst of Testis.
Jong Kook LEE ; Seung Gab YANG ; Young Chan KIM ; Hei Young SHIM ; Seoung Oh YANG ; Yong Koo PARK
Korean Journal of Urology 1988;29(5):864-866
Benign tumors of the testis are rare, accounting for one percent of all testicular tumors including epidermoid cyst of the testis. Herein we report one case of epidermoid cyst of the testis and discuss the pathological criteria for diagnosis and clinical management of the lesion.
Diagnosis
;
Epidermal Cyst*
;
Testicular Neoplasms
;
Testis*
4.Arthroscopically Assisted Limited Open Reduction and Ilizarov External Fixation of Tibial Pilon Fractures.
Jin Young LEE ; Gab Lae KIM ; Hyung Seok OH ; Kun Ho SHIN ; Deok Yong PARK
Journal of the Korean Fracture Society 2006;19(2):176-181
PURPOSE: To evaluate the clinical results of the pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation. MATERIALS AND METHODS: This is a retrospective study of the clinical result, bone union, complication and postoperative ankle function of 22 pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation between January 1999 to March 2004. RESULTS: Clinical follow up averaged 16 months, with an average age of 39.2. All patients with type 1 and 2 fracture had excellent or good score by Ovadia and Beals criteria. Closed fractures healed within 13 weeks and open fractures within 16 weeks after surgery in average. Average range of motion of the ankle was 12o dorsiflexion (0~20 degree) and 25o plantar flexion (15~35 degree). CONCLUSION: Minimal soft tissue dissection and anatomical reduction are very important factor for minimizing complication and satisfactory ankle function. So, arthroscopically assisted limited open reduction and Ilizarov external fixation is an effective treatment option for tibial pilon fractures.
Ankle
;
Follow-Up Studies
;
Fractures, Closed
;
Fractures, Open
;
Humans
;
Range of Motion, Articular
;
Retrospective Studies
5.Clinical Experience of Domestic SDS-2 Extracorporeal Shock Wave Lithotriptor (ESWL) for 315 Urinary Calculi.
Ki Woon SON ; Mun Gab SON ; Sang Ik LEE ; Hyeon Soo KIM ; Tae Hee OH ; Hee Young SHIM
Korean Journal of Urology 1996;37(5):553-558
Extracorporeal shock wave lithotripsy monotheraphy was performed in 315 urinary stones from 278 patients with the Domestic SDS-2 lithotriptor using C-arm fluoroscopy between December 1991 and December 1994. Of 315 cases, renal stones were 150 cases(47.6%) and ureteral stones 165 cases(36.1%). No regional or general anesthesia was required but parenteral or oral analgesics were required in some patients. Among 315 cases who completed extracorporeal shock wave lithotripsy, the overall success rate of treatment was 90.5% with 92.4% in 5-9 mm, 94.8% in 10-19 mm, 89.7% in 20-29 mm and 61.5% over 30 mm or staghorn stones. Post lithotripsy complications were transient gross hematuria in 17.1%, renal colic in 11.4%, steinstrasse in 4.8%, petechia in 2.9% and fever in 1.9% and these complications were controlled with conservative treatment or repeated session of extracorporeal shock wave lothotropsy, percutaneous nephrodtomy, Double-J stent insertion or ureterolithotomy. We suggest that extracorporeal shock wave lithotripsy monotheraphy with the Domestic SDS-2 lithotriptor was considered to be effective and safe procedure for the initial treatment of urinary stones.
Analgesics
;
Anesthesia, General
;
Fever
;
Fluoroscopy
;
Hematuria
;
Humans
;
Lithotripsy
;
Renal Colic
;
Shock*
;
Stents
;
Ureter
;
Urinary Calculi*
6.Transfemoral Internal Spermatic Vein Occlusion for Varicocele Using a Stainless Steel Spring Coil.
Seung Gab YANG ; Hei Young SHIM ; Hyun Jae NA ; Seung Oh YANG
Korean Journal of Urology 1988;29(5):825-829
Transvenous embolization of the internal spermatic vein appears to be at least as effective as open surgical correction in treating men with varicocele and it has several advantages ; (1) it requires only local anesthesia and a short hospital stay ; (2) there is no risk of damage to the spermatic artery : (3) the veins can be occluded accurately whatever the arrangement of any collateral vessels. We reported a technique for non-operative management of varicocele by a occlusion of the internal spermatic vein using stainless steel spring coil.
Anesthesia, Local
;
Arteries
;
Humans
;
Length of Stay
;
Male
;
Stainless Steel*
;
Varicocele*
;
Veins*
7.Vitreous Biopsy Using You's bottle: Safety and Effectiveness.
Yong Sung YOO ; Seung Gab KIM ; Bo Young AHN ; Oh Woong KWON
Journal of the Korean Ophthalmological Society 2002;43(12):2565-2569
PURPOSE: To evaluation of the safety and the usefulness of our "You's bottle" that we have invented for sampling vitreous. METHODS: We performed the vitreous sampling with our collection bottle in 13 patients who had undergone vitrectomy for diabetic retinopathy. We observed the usefulness and complications after sampling. Collected vitreous was used for analysis of protein components. RESULTS: There was no complication associated with collection bottle. The analysis of proteome was successful. CONCLUSIONS: Our study showed that "You's bottle" might be a useful tool for the research of vitreous.
Biopsy*
;
Diabetic Retinopathy
;
Humans
;
Proteome
;
Vitrectomy
8.A Case of Primary Carcinoma of the Fallopian Tube.
Gab Young OH ; Sang Won HAN ; Ki Dong CHOI ; Chang Ik CHOI ; Hyun Il CHOI ; Seok Woo YANG ; Mee Yon CHO
Korean Journal of Obstetrics and Gynecology 1999;42(9):2103-2106
Primary carcinoma of the fallopian tube is rare and accounts for less than 1% of all cancers of female genital tract. Presenting symptoms are variable and nonspecific, with preoperative diagnosis rarely entertained. The history and character of fallopian tubal carcinoma is similar to ovarian cancer, so the evaluation and treatment are also essentially the same. This case of primary fallopian tube carcinoma was confirmed postoperatively on the basis of the pathologic examination of resected specimen. We have experienced a case of primary carcinoma of fallopian tube and report with a brief review of the literatures.
Diagnosis
;
Fallopian Tubes*
;
Female
;
Humans
;
Ovarian Neoplasms
9.A Case of Blind Ending Megaureter: Preoperatively suspected of Adnexal Tumor.
Ill Han KIM ; Chang Ik CHOI ; Gab Young OH ; Hyun Il CHOI ; Sang Won HAN ; Seok Woo YANG ; Soon Hee JUNG
Korean Journal of Obstetrics and Gynecology 1999;42(9):2098-2102
A pelvic mass in women may be gynecologic in origin or it may arise from the urinary tract or bowel. Nonovarian or nongynecologic conditions may be confused with uterine or ovarian mass. The rare congenital megaureter should always be kept in mind as a possible cause of a pelvic mass. Congenital megaureter showed various clinicopathological features and frequently associated with ipsilateral or controlateral upper tract anomalies. Early meticulous imaging surgical correction will lead to excellent result. We experienced a rare case of blind ending megaureter which was suspected adnexal tumor in twenty seven-year-old woman. Here we present the case with brief review of literatures.
Female
;
Humans
;
Urinary Tract
10.The Usefulness of Endoscopic O-ring Band Ligation in the Management of Mallory - Weiss Syndrome.
Chan Sup SHIM ; Joon Seong LEE ; Moon Sung LEE ; Joo Young CHO ; Young Deok CHO ; Young Hong LEE ; Hyung Keun BONG ; Jin Oh KIM ; Yun Soo KIM ; Seong Gyu HWANG ; Sang Woo CHA ; Gab Jin CHEON
Korean Journal of Gastrointestinal Endoscopy 1996;16(4):601-607
Mallory-Weiss syndrome is a laceration in the region of the gastroesophageal junction due to vomiting, retching, coughing preceding hematemesis in alcoholic patient. Bleeding from Malloly-Weise tears stop spontaneously without specific therapy in 80-90% of patient, but rebleeding occurs in 2 to 5% of patients. Thus most patients require only supportive care. Rarely endoscopic therapy or operative therapy may be required. We performed endoscopic mucosal ligation using intraluminal negative pressure with band ligation for uncontrolled Mallory-Weiss syndrome. In conclusion, Endoscopic O-ring band ligation in uncontrolled intractable Mallory-Weiss syndrome is safe and effective method, but its important that accurate endoscopic O-ring band ligation an bleeding site in laceration area. We experienced endoscopic O-ring band ligation in 6 cases of Mallory-Weiss syndrome.
Alcoholics
;
Cough
;
Esophagogastric Junction
;
Hematemesis
;
Hemorrhage
;
Humans
;
Lacerations
;
Ligation*
;
Mallory-Weiss Syndrome
;
Vomiting