1.Domestic Violence.
Journal of the Korean Medical Association 1999;42(11):1083-1088
No abstract available.
Domestic Violence*
2.The Last Fifty Years of Western Medicine in Korea: Korean Surgical Society.
Journal of the Korean Medical Association 1997;40(8):986-989
No abstract available.
Korea*
3.The Effect of Cuff Volume of Laryngeal Mask Airway on Cuff Pressure and Ventilation.
Korean Journal of Anesthesiology 1997;33(6):1037-1041
BACKGROUND: The cuff inflation of laryngeal mask airway (LMA) with excessive volume of air may injure soft tissue and nerves around hypopharynx because of high cuff pressure. But it is not well known about adequate cuff volume of LMA. The cuff inflation of LMA in hypopharynx accomodate pharynx, so various injection volume may differ in sealing effect. This may influence ventilation. This study was proposed to investigate the effect of cuff volume on cuff pressure and ventilation when LMA inserted. METHODS: Fifteen male patients were inserted with #4 LMA, fifteen female patients were inserted #3 LMA. For male patients, 10, 20, 30 and 40 ml of air were injected into cuff of LMA and 10, 15, 20 and 25 ml for female patients. Cuff pressure, minute ventilation and airway pressure were randomly measured. RESULTS: Volume of injected into cuff and cuff pressure of LMA were closly related. But minute ventilation and airway pressure were not related with injected air volume of LMA. CONCLUSION: Excessive volume of air injected to LMA cuff was not beneficial to ventilation. So minimal sealing cuff volume under maximal recommended volume of LMA may reduce the incidence of complications associated with high cuff pressure.
Female
;
Humans
;
Hypopharynx
;
Incidence
;
Inflation, Economic
;
Laryngeal Masks*
;
Male
;
Pharynx
;
Ventilation*
4.Significance of Sentinel Node Biopsy in Cancer.
Journal of the Korean Medical Association 1998;41(3):336-339
No abstract available.
Biopsy*
5.Reduction Mammaplasty by the Inferior Dermal Flap (Modified Mckissock Method).
Sang Hyun WOO ; Jung Hyun SEUL
Yeungnam University Journal of Medicine 1987;4(2):51-58
The goal of reduction mammaplasty is a breast with natural contour and volume, aesthetically situated scars, and a well-placed, sensate nipple and areola. The most successful techniques achieve this through the excision of tissue from the lower part of the breast based on some variation. However, the Mckissock's vertical bipedicle technique is the popular method for reduction mammaplasty. As an alternative modified Mckissock's method, we have found the use of only an inferior dermal flap with a keyhole pattern to be a simple and safe method for obtaining satisfactory aesthetic results. We have used inferior dermal flap for 4 patients recently and obtained the advantages as below compare to the Mckissock's method. 1. Rich blood supply to the broad based inferior flap. 2. More easy transposition of the nipple and areola. 3. More good operation field for resection of breast tissue. 4. Short operation time. 5. Can applied to the gigantomastia.
Breast
;
Cicatrix
;
Female
;
Humans
;
Mammaplasty*
;
Methods
;
Nipples
6.Pathogenesis of Inflammation in H. pylori Infection.
Journal of the Korean Gastric Cancer Association 2002;2(2):63-68
No abstract available.
Inflammation*
7.Aesthetic facial bone contouring surgery in Koreans.
Sang Hyun WOO ; Kyung Ho LEE ; Jung Hyun SEUL
Yeungnam University Journal of Medicine 1993;10(1):82-90
No abstract available.
Facial Bones*
8.CLINICAL ANALYSIS OF REFLEX SYMPATHETIC DYSTROPHY AFTER HAND INJURIES.
Sang Hyun WOO ; Byoung Chul CHOI ; Jung Hyun SEUL
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(2):326-339
Reflex sympathetic dystrophy(RSD) defines as a chronic pain syndrome with sympathetic manifestations that afflicts individuals who haute suffered a trauma to the hand. Persistent pain and dysfunctions of the hand are frequently overlooked by the surgeons. The exact pathophysiology of RSD is not known but severity of injury and prolonged immobilization of the joints are considered as resonable causes on the retrospective studies. The diagnosis of reflex sympathetic dystrophy is based on clinical manifestations, simple X-ray and three-phase bone scan. Confirmative diagnosis absolutely depends on the presence of a diffusely abnormal pattern of uptake in phase III in a patient haying pain with underlying cause and strong clinical signs of sympathetic overactivities. As with most disease processes, early diagnosis and treatment is a goal of management of RSD. Surgical restoration of anatomical structures such as tendon, nerve and joint goes ahead of any kind of procedures and it made the VAS pain score decrease from 7.8 to 3.4 in 16 patients. Also, decrease of pain could be achievable with sympathetic or stellate ganglion block with steroid medication. Active physical therapy after surgery is also verb helpful to functional recovery of the hands. Once the appropriate diagnosis is made, combined therapy composed of surgical restoration of anatomical structure, physiotherapy and steroid medication with sympathetic block will be free from pain and produce early functional recovery.
Chronic Pain
;
Diagnosis
;
Early Diagnosis
;
Hand Injuries*
;
Hand*
;
Humans
;
Immobilization
;
Joints
;
Reflex Sympathetic Dystrophy*
;
Reflex*
;
Retrospective Studies
;
Stellate Ganglion
;
Tendons
9.The Change of Arterial Blood Gas during High Frequency Jet Ventilation via 14 French Suction Catheter in Microlaryngeal Endoscopic Surgery.
Hyun Jung KIM ; Kook Hyun LEE ; Mi Sook GWAK
Korean Journal of Anesthesiology 1997;33(6):1116-1120
BACKGROUND: It is a routine practice that High Frequency Jet Ventilation (HFJV) is applied through a 14~16 gauge (about 12 French (Fr.)) angiocath. The 14 Fr. suction catheter which is similar to angiocath in its internal diameter is commonly available in the operating room. We evaluated the suction catheter as a carrier of HFJV in point of ventilation, oxygenation and operating field during HFJV at microlaryngeal endoscopic surgery (MES). METHODS: Fifteen adult patients undergoing HFJV via 14 Fr. suction catheter during MES were studied. Time-based arterial blood gas analyses were done before and after HFJV. The movement of operating field was examined using laryngoscopic examination by surgeon and anesthesiologist. We also evaluated complications such as abdominal distension, barotrauma and so on. RESULTS: The mean arterial oxygen tension was maintained above 250 mmHg all the time during HFJV. The mean carbon dioxide tension was less than 51 mmHg. There were no remarkable catheter movement and complications. CONCLUSION: The 14 Fr. suction catheter is a good replacement of angiocath. It provided good operating field, ventilation and oxygenation without complications.
Adult
;
Barotrauma
;
Blood Gas Analysis
;
Carbon Dioxide
;
Catheters*
;
High-Frequency Jet Ventilation*
;
Humans
;
Operating Rooms
;
Oxygen
;
Suction*
;
Ventilation
10.Pathologic Analysis and Treatment of Chronic Burn Wounds Suspected to be Marjolin's Jlcers.
Sang Hyun WOO ; Moo Seog KANG ; Jung Hyun SEUL
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(2):191-198
'Marjolin' ulcer' is used to describe the malignant transformation of a chronic ulcer which has developed in a burn scar. Clinically, although the lesions is slowly progressive, it comes to be more aggressive when the scar barrier is disrupted. We reviewed 24 cases in patients who complained of chronic burn wounds suspected to be Marjolin's ulcer. The mean latent period for developing pathologic lesions was 31 years. Histologically, chronic ulcer and pseudoepitheliomatous hyperplasia were 21% respectively, while malignancy including squamous cell carcinoma and leiomyosarcoma was 56%. The mean elapsed time to diagnose squamous cell carcinogma was 33.2 years. In pseudoepitheliomatous hyperplasia which is considered as a transitional state to malignant tumor, wide excision and reconstruction with free muscle flap was a better procedure than skin graft for the prevention of recurrence and malignant transformation. As well, the same modality of treatment was also applied in malignant tumors.
Burns*
;
Carcinoma, Squamous Cell
;
Cicatrix
;
Humans
;
Hyperplasia
;
Leiomyosarcoma
;
Recurrence
;
Skin
;
Transplants
;
Ulcer
;
Wounds and Injuries*