No abstract available.
Biliary Tract* ; Humans

No abstract available.
Colorectal Neoplasms*

External fixation was improved in its material, design and techniques as a specific method of open fracture treatment. Seventy-three, tibial open fracture, patients were treated with external fixator in Korea Veterans Hospital from January 1983 to April 1988. Each fixation method was divided into two types;one-plane unilateral frame and one-plane bilateral frame. 1. The duration of external fixation was 14.3 weeks in averge, 15.4 weeks in one plane unilateral frame and 13.2 weeks in one plane bilateral frame. 2. Secondary operation for bony union was performed 19 cases in one plane unilateral frame and 8 cases in one plane bilateral frame. 3. The union time was 23.6 weeks in average, 26.8 weeks in one plane unilateral frame and 21.4 weeks in one plane bilateral frame. 4. The common complications were delayed union and nonunion (7 cases) and pin tract infection (5 cases) in one plane unilateral frame, and pin tract infection ( 9 cases), joint stiffness (4 cases) and delayed union and nonunion (3 cases) in one plane bilateral frame. 5. External fixation gave rigid fixation and easy wound access, but did not give excellent bony union. 6. One plane bilateral frame showed more or less better result than one plane unilateral frame except some complications.
External Fixators ; Fractures, Open ; Hospitals, Veterans ; Humans ; Joints ; Korea ; Methods ; Wounds and Injuries

No abstract available.
Lymphoma*

Prolapse of bladder through vesico-vaginal fistula is quite a rare urological problem. A 38-year-old woman was admitted to the Woo Sok University Hospital with a baby head sized round mass attached to the vagina. Patient had a prolapse of uterus after having her second child birth about 10 years ago and cauterization with corrosives for the treatment of prolapse of uterus was undergone for two times. About one year prior to the admission, the prolapse of uterus recurred and cauterization with corrosives was tried again, resulting vesico-vaginal fistula through which the bladder was everted and prolapsed. Under the general anesthesia, the everted and prolapsed bladder was reduced manually in normal position and vesico-vaginal fistulectomy was performed with good result.
Adult ; Anesthesia, General ; Caustics ; Cautery ; Child ; Female ; Fistula* ; Head ; Humans ; Parturition ; Prolapse* ; Urinary Bladder* ; Uterus ; Vagina ; Vesicovaginal Fistula

No abstract available.
Gallbladder*

No abstract available.
Cholecystectomy* ; Cholecystectomy, Laparoscopic*

The Klinefelter's syndrome is characterized by azoospermia, gynecomastia, a variable degree of eunuchoidism elevated urinary gonadotropins, atrophic testis and hyalinization of the seminiferous tubules in which Leydig cells were preserved. Reviewing some world literatures, we have reported a case of Klinefelter's syndrome associated with right inguinal hernia in 22 year-old Korean male.
Azoospermia ; Eunuchism ; Gonadotropins ; Gynecomastia ; Hernia, Inguinal ; Humans ; Hyalin ; Klinefelter Syndrome* ; Leydig Cells ; Male ; Seminiferous Tubules ; Testis ; Young Adult

With advancement of endoscopical instruments and technique, gallstone diseases can be managed with laparoscopic cholecystectomy which has rapidly and radically changed the surgical treatment of gallstone diseases. The ideas of laparoscopic surgery was introduced by Germany gynecologist Semm, in 1967 and was first performed by French surgeon Mouret, Dubois in 1987. Although many reports of early laparoscopic cholecystectomy were excellent, many surgeons want to know the surgical results of laparoscopic cholecystectomy are enough good to perform comparing with the conventional cholecystectomy, especially in early complications and late complications. (continue...)
Cholecystectomy ; Cholecystectomy, Laparoscopic* ; Gallstones ; Germany ; Laparoscopy

Acute appendicitis is one of the most common diseases which need to surgical intervention. And it is one of the most perplexing diagnostic problems comfronting physicians, often present with atypical finding that make accurate preoperative diagnostic technique. This is a prospective study on 240 patients admitted with right lower quadrant pain and operated for suspected appendicitis at the Department of Surgery Chung-Ang University Hospital from March 1, 1996 to February 28, 1997. Each case was divided into two groups according to whether the pathologic diagnosis was appendicitis or non-appendicitis. And each group analysed by the clinical presentation of the physical findings and the results of preoperative routine laboratory studies including leukocyte count and urinalysis. The result were as follows: 1) Over all of the diagnostic accuracy was found to be 75.8%.The negative appendectomy rate in female was 31% compared to 18% in male, and that was statistically significant. 2) Among negativeappendectomy cases, the number of female was always larger than male in all age groups and this observation was statistically significant in second to fourth decades. 3) Negative appendectomy rate of operated group after 72 hours from symptom developed was 49% compared to 32% of operated group within 72 hours from symptom developed, and that was statistically significant. 4) Statistical significant solitary affecting factor is leukocytosis, migration pain, rebound tenderness and that these parameters were potmtially good indicators of acute appendicitis, second to fourth decades female, the time frome symptom onset to operation over 72 hours, and that these parameter were potentially indicators of non-appendicitis.
Appendectomy ; Appendicitis ; Diagnosis ; Female ; Fibrinogen ; Humans ; Laparotomy* ; Leukocyte Count ; Leukocytosis ; Male ; Prospective Studies ; Urinalysis