2.Postoperative Safety of Sequential Bilateral Total Knee Arthroplasty in Low Risk Patients.
Ju Hyung YOO ; Seong Min KIM ; Chang Dong HAN ; Yeun Tae LEE ; Hyun Cheol OH ; Jee Ho HYUNG
The Journal of the Korean Orthopaedic Association 2011;46(1):54-59
PURPOSE: To study the safety of sequential bilateral total knee arthroplasty in low risk patients. MATERIALS AND METHODS: Those who had received the surgery all at once were grouped as the first group, those who had received the surgery over two weeks interval were the second group and the last group, third group were those who had received the first surgery on only one knee and they were gotten re-hospitalized for the second surgery on the rest of the knee. These groups were compared on the aspects of complication, postoperative bleeding amount, average transfusion amount, operation time and admission period. RESULTS: There were no major complications found in all groups and the minor complication rate of occurrence was 3%, 4%, 6% in each, which did not constitute a significance difference. Each of the total blood loss was 1442.9 mL, 1567.4 mL, 1616.6 mL and which did not constitute a significance difference, either. Each of the average volume of blood transfused was 1220.3 mL, 680.1 mL, 692.2 mL, and the first group had the largest volume transfused (p<0.05). The operation time was 186, 196, 211 minutes in each and the first group had the shortest duration (p<0.05). The average admission periods were 16.8, 28.6, 29.8 days and the first group had the shortest period (p<0.05). CONCLUSION: We suggest that when there are no medical diseases contracted on patients, the sequential bilateral total knee arthroplasty can be performed safely without definite increase in perioperative complications.
Arthroplasty
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Contracts
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Hemorrhage
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Humans
;
Knee
;
Postoperative Complications
4.Letter to the Editor: The Supernumerary Phantom Limb and Phantom Limb Pain-Important Facts.
Journal of Korean Medical Science 2011;26(9):1250-1250
No abstract available.
Cerebral Hemorrhage/*complications
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Female
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Humans
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Male
;
Phantom Limb/*diagnosis
5.An Obseration on Operations upon Diabetic Cataracts.
Journal of the Korean Ophthalmological Society 1978;19(4):423-427
The true diabetic cataract is well known as one of the complications of diabetes mellitus. It affects always bilaterally and progresses very rapidly and is found frequently relative young indivisuals. In the past, it has been hesitated of performing cataract extraction in diabetes owing to the complications such as hemorrhages during and after surgeries, delayed wound healing and infection etc. But according to the authors experiences with the proper use of insulin and careful control of the level of sugar either in blood or in urine and general condition, the outcome of cataract extraction in diabetic patient is very unevenful one.
Cataract Extraction
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Cataract*
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Diabetes Complications
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Hemorrhage
;
Humans
;
Insulin
;
Wound Healing
6.Characteristic of bleeding esophageal complications in peptic ulcer patients with H.pylori(+)
Journal of Practical Medicine 2003;456(7):21-22
Study conducted on 56 patients with gastrointestinal bleeding because of gastroduodenal ulcer with H. pylori (+) and 27 with H. pylori (-), treated at the Hospital 19/8 in ther period of 1995-2000. These 2 groups were similar at age, gender, duration of the disease and at the first time of bleeding. Results showed that in H. pylori (+) group, there are the symptoms of cardiovascular colapsus and of bleeding, recurred after 3 years of follow-up. In this group anemia and the bleeding were more severe
Helicobacter pylori
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Peptic Ulcer
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Esophageal Diseases
;
complications
;
Hemorrhage
7.Clinical Evaluation of Endoscopic Transnasal Dacryocyocystorhinostomy.
Journal of the Korean Ophthalmological Society 1997;38(10):1706-1711
The purpose of our study was to evaluate the effectiveness of endoscopic transnasal dacryocystorhinostomy(DCR) in patients who had lacrimal obstruction. Between June 1995 and December 1996, 19 patients(20 eyes) who had undergone endoscopic transnasal DCR were evaluated for follow up of at least 3 months. All patients were preoperatively examined by an otolaryngologist. Eleven cases were operated on intranasal diseases(sinusitis, septal deviation, enlarged middle turbinate) at the same time. Lacrimal obstruction was completely relieved in 16 patients (80%) for a follow-up of 3 months. Granulation was formed in 4 patients after 3months. There were two postoperative complications including bleeding and periorbital swelling on the first day after operation. In conclusion, endoscopic tansnasal DCR appears to be a safe, effective procedure which should be considered as an alternative to conventional external DCR for the surgical treatment of nasolacrimal duct obstruction.
Endoscopes
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Follow-Up Studies
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Hemorrhage
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Humans
;
Nasolacrimal Duct
;
Postoperative Complications
8.The Efficiency of Vitrectomy for Diabetic Macular Edema.
Jung Hyuk HWANG ; Young Wook CHO
Journal of the Korean Ophthalmological Society 2003;44(5):1079-1084
PURPOSE: To evaluate the efficacy of vitrectomy in patients with diabetic macular edema. METHODS: The results of pars plana vitrectomy in 10 eyes were analyzed. Major outcome measurements were preoperative and postoperative best corrected visual acuity, fundus findings of macula, and postoperative complications. All eyes had at least 4 months of follow- up after surgery. RESULTS: The improvement of visual acuity up to 2 lines on the chart was found in 5 eyes (50%) after the surgery and six eyes (60%) showed improvement in macular edema. The complications after surgery were vitreous hemorrhage in 1 eye and submacular exuadates in 1 eye. CONCLUSIONS: Vitrectomy may be beneficial for patients with diabetic macular edema.
Humans
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Macular Edema*
;
Postoperative Complications
;
Visual Acuity
;
Vitrectomy*
;
Vitreous Hemorrhage
9.Surgical Pitfall.
Bum Tae KIM ; Kyo Sung JOO ; Jae Chil CHANG ; Won Han SHIN ; Soon Kwan CHOI ; Bark Jang BYUN
Journal of Korean Neurosurgical Society 1999;28(3):402-405
Authors report two cases of central neurocytoma with unusual surgical pitfall. The one of these presented with postoperative intraventricular hemorrhage with hydrocephalus. The other case developed motor aphasia and hemiplegia due to brain retration during operation. We describe peripoerative courses of these cases and discuss possible causes of postoperative complications.
Aphasia, Broca
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Brain
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Hemiplegia
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Hemorrhage
;
Hydrocephalus
;
Neurocytoma
;
Postoperative Complications
10.Comparative Study of Postoperative Complications in Patients With and Without an Obstruction Who Had Left-Sided Colorectal Cancer and Underwent a Single-Stage Operation After Mechanical Bowel Preparation.
Annals of Coloproctology 2014;30(6):251-258
PURPOSE: The purpose of this study is to compare postoperative complications for single-stage surgery after mechanical bowel preparation in patients who experienced obstruction and those who did not. METHODS: From 2000 to 2011, 1,224 patients underwent a single-stage operation for left colorectal cancer after bowel preparation. Nonobstruction (NOB) and obstruction (OB) colorectal cancer patients were 1,053 (86.0%) and 171 (14.0%), respectively. Postoperative morbidity and mortality were compared between groups. RESULTS: The OB group had poor preoperative conditions (age, white blood cell, hemoglobin, albumin level, and advanced tumor stage) compared with the NOB group (P < 0.05). Mean on-table lavage time for the OB group was 17.5 minutes (range, 14-60 minutes). Mean operation time for the OB group was statistically longer than that of the NOB group (OB: 210 minutes; range, 120-480 minutes vs. NOB: 180 minutes; range, 60-420 minutes; P < 0.001). Overall morbidity was similar between groups (NOB: 19.7% vs. OB: 23.4%, P = 0.259). Major morbidity was more common in the OB group than in the NOB group, but the difference was without significance (OB: 11.7% vs. NOB: 7.6%, P = 0.070). Postoperative death occurred in 16 patients (1.3%), and death in the OB group (n = 7) was significantly higher than it was in the NOB group (n = 9) (4.1% vs. 0.9%, P = 0.001). Twelve patients had surgical complications, which were the leading cause of postoperative death: postoperative bleeding in five patients and leakage in seven patients. CONCLUSION: Postoperative morbidity for a single-stage operation for obstructive left colorectal cancer is comparable to that for NOB, regardless of poor conditions of the patient.
Colorectal Neoplasms*
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Hemorrhage
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Humans
;
Leukocytes
;
Mortality
;
Postoperative Complications*
;
Therapeutic Irrigation