1.Immediate Tissue Expander Insertion for Breast Reconstruction Following Mastectomy for Breast Cancer Patients. Our Experience of Breast Surgeon - MDbP 101.
Journal of the Korean Surgical Society 2004;67(1):7-12
PURPOSE: Although breast reconstruction provides some advantages for women following mastectomy, few Korean breast cancer patients currently receive such reconstruction. Routine provision of breast reconstruction requires simplicity and easy availability for the procedure. This paper reports the possibility of performing breast reconstruction by insertion of a tissue expander by the breast surgeon. METHODS: We studied 22 cases of breast cancer patients who were treated in the Breast service of KangNam Cha Hospital. Nine cases were the group of immediate expander insertion and 13 were the group of MRM only. We evaluated age, histopathologic stage, starting time of chemotherapy, operation time, drainage amounts and periods, medication periods, time of discharge and depression score. RESULTS: The mean age of the expander insertion group was 41, which was younger than that of the MRM only group by 3 years. Histopathologic state was better in the expander insertion group and the time for chemotherapy start was almost the same between the two groups. Mean operation time in the expander insertion group was 2 hours and 41 minutes, and it was longer than the MRM only group by 1 hour, but it included additional wasting time to check the results of frozen biopsy. Periods for drainage were longer and amounts were larger, but this only delayed the medication period and time for discharge by two days. There were no other complications and mental suffering was alleviated. CONCLUSION: Tissue expander insertion for breast reconstruction could be offered on a routine basis by breast surgeons without problems. Breast reconstruction will become a more essential process for breast cancer patients to improve the quality of life. It is ideal if the same surgeon participates in both oncology and reconstruction surgery.
Biopsy
;
Breast Neoplasms*
;
Breast*
;
Depression
;
Drainage
;
Drug Therapy
;
Female
;
Humans
;
Mammaplasty*
;
Mastectomy*
;
Quality of Life
;
Stress, Psychological
;
Tissue Expansion Devices*
2.Echocardiographic Diastolic Left Atrial Emptying Index in Hypertensive Patients.
Korean Circulation Journal 1984;14(1):95-102
M-mode echocardiography has been demonstrated to be a sensitive indicator of the sequential changes occurring in the heart in systemic arterial hypertension. The changes in function as well as anatomic features have been recorded. Previous analysis has focused on the anatomy and systolic function of the left ventricle, analysed in hypertensive heart disease. 13 normal subjects(Group I), 14 hypertensive patients without evidence of cardiac involvement(Group II) and 13 hypertensive patients with echocardiographic evidence of left ventricular hypertrophy(Group III) were compared using M-mode echocardiographic data and clinical. findings. The results are as follows : 1) Mean age are; Group I : 41 years(19-62), Group II : 49 years(25-67) and Group III : 53 years(30-83). There are no significant age difference between Group I and II. Sex ratio are 4:9, 8:6 and 7:6 respectively. 2) Mean arterial pressure are; Group I : 98+/-5mmHg, Group II : 126+/-7 mmHg and Group III : 131+/-101mmHg. 3) Left ventricular posterior wall thickness are; Group I : 0.87+/-0.12cm, Group II : 0.89+/-0.12cm and Group III : 1.32+/-0.18cm(p>0.05 in I vs II). 4) Left atrial dimension are; Group I : 2.77+/-0.68cm, Group II : 2.96+/-0.44cm and Group III: 3.12+/-0.60cm. 5) Left ventricular mass arel Group I : 194+/-51gm, Group II : 192+/-51gm and Group III : 318+/-77gm(p>0.05 in I vs II, p<0.001 in I vs II and II vs III). 6) Ejection fraction are; Group I : 0.57+/-0.09, Group II : 0.60+/-0.01 and Group III : 0.52+/-0.01)p>0.05). 7) Mitral valve EF solpe are; Group I : 113.70+/-23.26mm/sec, Group II : 81.14+/-17.22mm/sec and Group III : 69.92+/-22.70mm/sec(p<0.05 in I vs II, p<0.001 in I vs III and II vs III). 8) AEI are; Group I : 0.70+/-0.04, Group II : 0.56+/-0.07 and Group III: 0.48+/-0.07)p<0.001 in I vs II, I vs III and II vs III). From the above results, the atrial emptying index seems to be an early indicator of abnormalities of left ventricular diastolic compliance in hypertensive patients.
Arterial Pressure
;
Compliance
;
Echocardiography*
;
Heart
;
Heart Diseases
;
Heart Ventricles
;
Humans
;
Hypertension
;
Mitral Valve
;
Sex Ratio
3.Congenital hypoplasia of the thumb: case report.
Kwang Suk LEE ; Sang Won PARK ; Hae Il PARK
The Journal of the Korean Orthopaedic Association 1991;26(3):995-999
No abstract available.
Thumb*
4.Ultrasonographic measurement of the neonatal adrenal glands.
Hae Kyung LEE ; Jae Ock PARK ; Chang Hwi KIM ; Sang Man SHIN ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1993;36(8):1101-1106
TO determine the normal neonatal adrenal gland size, ultrasonographic examinations were performed in 145 newborn infants. They were divided into 3 groups according to the days of age. The group I is 1~3 days, group II is 6~9 days and group III is 21~50 days of age. 1) The adrenal gland size was as follows. In group I, the length was 29.05mm and the width was 4.02mm. In group II, the length was 24.04mm and the width was 2.79mm. In group III, the length was 19.54mm and the width was 2.21mm. 2) With increasing age, the size of adrenal gland became smaller. 3) The size of adrenal gland correlated well with the birth weight and height. We conclude that the ultrasonographic examination is useful in infant adrenal gland disease.
Adrenal Gland Diseases
;
Adrenal Glands*
;
Birth Weight
;
Humans
;
Infant
;
Infant, Newborn
5.Immunogenicity and reactogenicity of a yeast recombinant DNA hepatitis B vaccine in healthy subjects.
Kyo Myong KIM ; Sang Eun CHU ; Hae Ran LEE ; Hae Sun YOON ; Kyu Man LEE ; Chang Hong MIN
Journal of the Korean Society for Microbiology 1991;26(6):493-498
No abstract available.
DNA, Recombinant*
;
Hepatitis B Vaccines*
;
Hepatitis B*
;
Hepatitis*
;
Yeasts*
6.Anatomical landmarks of dating and an organ-oriented approach of early pregnancy using a transvaginal ultrasonography.
Yong Kui CHOI ; Hae Kyung PARK ; Kae Hyun NAM ; Sang Hun CHA ; Kwon Hae LEE ; Tai Ho CHO
Korean Journal of Obstetrics and Gynecology 1993;36(3):326-338
No abstract available.
Pregnancy*
;
Ultrasonography*
7.Measurements of Lid Movements During Blinking: Video Measurement Technique.
Hae Song PARK ; Hae Young KIM ; Sang Yeul LEE
Journal of the Korean Ophthalmological Society 1998;39(3):445-452
Understanding the kinetics of normal blinking is helpful for assessing ptosis, third and seventh cranial nerve palsy. Many different techniques have been used to measure the kinetics of blinking. These techniques require expensive tools and specific clinical environment. And they are invasive and difficult to apply to children because of lack of cooporation. We videotaped the eyelid movements of normal subject using video camera which can be used in uncooperative children and is noninvasive manner. There was no significant difference in the mean velocity and the time of eye closure and opening according to the age and sex(p>0.05). But the greater the levator palpebra function, the faster the mean velocity of eye opening and the faster the mean velocity of eye closure, the lesser the D ratio. We took standard data of eyelid movement of normal subject. Therefore, we may expect the diagnostic value of eyelid movement measurement using video camera in eyelid movement disorders.
Blinking*
;
Child
;
Eyelids
;
Facial Nerve
;
Humans
;
Kinetics
;
Movement Disorders
;
Paralysis
8.Acute monocytic leukemia with P-glycoprotein expression.
Hae Kyung LEE ; Kyung Ja HAN ; Kyo Young LEE ; Sang In SHIM ; Sun Woo KIM
Korean Journal of Clinical Pathology 1991;11(2):409-412
No abstract available.
Leukemia, Monocytic, Acute*
;
P-Glycoprotein*
9.A Case of Encephalopathy Presented with Motor Aphasia and Quadriplegia Following Intrathecal Methotrexate .
Seon Woo LEE ; Eun Hye PARK ; Hyun Sang CHO ; Jae Kook CHA ; Hae Ran LEE
Journal of the Korean Pediatric Society 2001;44(9):1066-1069
Intrathecal administration of methotrexate(IT-MTX) has constituted the standard approach to prophylaxis and treatment of central nevous system(CNS) leukemia. We experienced a quadriplegia and motor aphasia in a 14-year-old boy following repeated IT-MTX for the prophylaxis of meningeal leukemia. He was diagnosed as ALL without CNS involvement and treated by CCG- 1882 protocol. IT-MTX was administered for CNS prophylaxis. The patient began complaining of urinary incontinence, motor aphasia and weakness in his right leg from 12 days after the 5th dose of the IT-MTX therapy. Even though the IT-MTX was discontinued, loss of muscle power progressed upward resulting in quadriplegia. The patient showed slow and partial recovery on right extremities over 3 months. We report this case with brief review of literature.
Adolescent
;
Aphasia, Broca*
;
Extremities
;
Humans
;
Leg
;
Leukemia
;
Male
;
Methotrexate*
;
Quadriplegia*
;
Urinary Incontinence
10.A case of 46, XY pure gonadal dysgenesis.
Chang Hoon AHN ; Cheol Ho LEE ; Paek Keun YOO ; Sang Hun CHA ; Kwon Hae LEE
Korean Journal of Obstetrics and Gynecology 1993;36(7):2101-2106
No abstract available.
Gonadal Dysgenesis, 46,XY*