1.Popliteal Artery Occlusion after Total Hip Arthroplasty: A Case Report.
Ye Yeon WON ; Hyoung Won KIM ; Kyung Il CHUNG
The Journal of the Korean Orthopaedic Association 1998;33(5):1485-1490
Vascular injury is a serious but rare complication of hip procedures. Most of vascular complications reported in articles occured in vessels around hip joint and femoral artery. To date, report of popliteal artery occlusion during or after total hip arthroplasty was absent. The authors have experienced one case of popliteal artery occlusion after total hip arthroplasty. It was suspected that the cause of occlusion of this particular case was a excessive maneuvering of limb during operation and then, artheromatous plaque fracture or thrombosis made occulusion in popliteal artery. Angiographic embolectomy using a catheter was performed and circulation of limb was recovered. To reduce the risk of vascular complications after total hip arthroplasty procedure, we recommend a thorough evaluation of lower extremity circulation in risky patient. And if a vascular insult is suspected either during or soon after the procedure, then a vascular consultation with arteriography including popliteal artery should be obtained urgently. Delay in treatment could result in a deleterious outcome.
Angiography
;
Arthroplasty, Replacement, Hip*
;
Catheters
;
Embolectomy
;
Extremities
;
Femoral Artery
;
Hip
;
Hip Joint
;
Humans
;
Lower Extremity
;
Popliteal Artery*
;
Thrombosis
;
Vascular System Injuries
2.A Clinical Investigation of Patients with Atopic Dermatitis.
Kea Jeung KIM ; Jai Il YOUN ; Won Suk KIM
Korean Journal of Dermatology 1983;21(2):171-178
Atopic dermatitis is one of the common dermatoses characterized by its chronicity with an uncertain prognosis and usually occurs in patients with a personal or familial history of atopy. There is a dearth of information on the incidence and clinical manifestation of atopic dermatitis in Korea. This study was aimed to elucidate the relative frequency of atopic dermatitis on the hospital base during 1973~1981 period, and to investigate the clinical manifestation hy analysing 333 patients with atopic dermatitis seen from March, 1981 to July, 1982 at the Department of Dermatology, Seoul National University Hoapital. (countinued..)
Dermatitis, Atopic*
;
Dermatology
;
Humans
;
Incidence
;
Korea
;
Prognosis
;
Seoul
;
Skin Diseases
3.Congenital anomalies of korean.
Myung Soon KWAK ; Soo Il KIM ; Won Sik KIM
Korean Journal of Physical Anthropology 1993;6(1):31-45
No abstract available.
4.A Clinical Evaluation of Hypotensive Anesthesia for Posterior Stabilization and Fusion of Sdpine .
Won Hong KIM ; Won Tai KIM ; Young Il KIM
Korean Journal of Anesthesiology 1988;21(4):627-633
Deliberate hypotension reduces bleeding in a wound, there by providing the surgeon with both better visibility and technical freedom for a more definitive dissection and minimizes the need for blood replacement, thereby reducing the risks of transfusion reactions, hepatitis, and acquired immune deficiency syndrome (AlDS). anesthesia With major development in surgery for spine problems in this century there are many reports and studies about the pathophysiology of spine, cord hemodynamics and functional monitoring about spinal cord activity during induced hypotension. Although by the comparative studies of vasodilator deliberate hypotension with nitroprusside was found to induce a reliable and rapid drop in blood pressure, we have found some different responses to the chosen vasodilators between the older, less active groups and the healthy, robust, and physically active groups. In this study we evaluated the hypotensive anesthesia for 42 cases of spinal surgery-posterior stabilization, spinal fusion, laminectomy, osteotomies, and discectomy-performed at Kwangju Christian Hoispital from May 1987 to May 1988. The result of our study was as follows: 1) Halothane and enflurane were used as primary anesthetics in 31 and ll cases respectively. Nitroprusside, hydralazine and both of this two vasodilatora were supplementarily used for inducing hypotensin in 14, 16 and 5 cases, respectively. 2) Although in many paient particularly in the older and less active groups, the combination of halogenated anesthetics and hydralazine are sufficient to produce appropriate operating conditions, in healthy, robust and physicaly active groups nitroprusside or even the combination of two vasodilators are required. 3) The mean arterial pressure of the lowest blood pressure in the induced hypotension was 60.5+/-11.6 mmHg. 4)The mean blood loss and blood replacement was 1242.2+/-769 ml and 925.4+/-854 ml respectively. 5) In the intraoperative period gas analysis arterial CO2 tension was 34.2+/-6.6mmHg and other values was within normal limit. 6) There was no significant perioperative and postoperative complication due to induced hypotension itself. In conclusion, the technique of using induced hypotension with inhalation anesthetics supplemented by nitroprusside, hydralazine, or both is safe and useful one to use in performing surgery for spinal problems.
Acquired Immunodeficiency Syndrome
;
Anesthesia*
;
Anesthetics
;
Anesthetics, Inhalation
;
Arterial Pressure
;
Blood Group Incompatibility
;
Blood Pressure
;
Enflurane
;
Freedom
;
Gwangju
;
Halothane
;
Hemodynamics
;
Hemorrhage
;
Hepatitis
;
Hydralazine
;
Hypotension
;
Intraoperative Period
;
Laminectomy
;
Nitroprusside
;
Osteotomy
;
Postoperative Complications
;
Spinal Cord
;
Spinal Fusion
;
Spine
;
Vasodilator Agents
;
Wounds and Injuries
5.Specific Antibody Response in House Dust Mite Asthmatics on Immunotherapy.
Won Sup SHIN ; Bub Sung KIM ; Sang Il LEE
Journal of the Korean Pediatric Society 1989;32(9):1282-1287
No abstract available.
Antibody Formation*
;
Dust*
;
Immunotherapy*
;
Pyroglyphidae*
6.The frequencies of unexpected antibodies in transfusion candidates and selection of cross-matching method.
Hyun Ok KIM ; Dong Il WON ; Oh Hun KWON
Korean Journal of Blood Transfusion 1993;4(1):35-41
No abstract available.
Antibodies*
7.The effect of infrared coagulation in hemorrhoid.
Ki Won LEE ; Ho Kyung CHUN ; Il Myung KIM
Journal of the Korean Society of Coloproctology 1992;8(3):241-246
No abstract available.
Hemorrhoids*
8.Clinical review of whipple operations.
Tae Sung SOHN ; Yong Il KIM ; Chi Kyu WON
Journal of the Korean Surgical Society 1992;43(3):338-343
No abstract available.
9.Comparison of Urinary Lithogenic Factors According to Sex.
Won Il JEONG ; Sang Cheol LEE ; Wun Jae KIM
Korean Journal of Urology 2000;41(12):1533-1539
No abstract available.
10.Solitary Keratoacanthoma Developing on the Abnormally Sun - exposed Labial Mucosa.
Won Hyoung KANG ; Soo Chan KIM ; Soo Il CHUN
Korean Journal of Dermatology 1985;23(6):832-836
The case of a 56-year-old woman with a keratoacarithoma(KA) of the labial mucosa is herein reported, The tumor was excised and the pathological features were characteristic of a KA, This case is reported because the oral mucosa is such an unexpected location for solitary KA and the labial mucosa of this patient received chronic actinic damage, which suggested an etiological relationship. Follow-up examination of the patient after four months showed no recurrence.
Actins
;
Female
;
Follow-Up Studies
;
Humans
;
Keratoacanthoma*
;
Middle Aged
;
Mouth Mucosa
;
Mucous Membrane*
;
Recurrence
;
Solar System*