No abstract available.
Cyclophosphamide* ; Humans* ; Stomach Neoplasms*

No abstract available.
Female ; Hysterectomy, Vaginal*

No abstract available.
Female ; Hysterectomy, Vaginal*

OBJECTIVE: Our purpose was to evaluate and compare the Le Fort colpocleisis and conventional total vaginal hysterectomy in the uterine prolapse patients in the medically compromised or elderly patients. METHODS: This study was to analyze the data from 16 patients with uterine prolapse undergone Le Fort colpocleisis at the department of obstetrics and gynecology, Chung-ang university hospital from January 1991 to December 2000, and 36 patients with uterine prolapse undergone total vaginal hysterectomy from January 1999 to December 2000. We compared the age of patients, operation time, type of anesthesia, estimated blood loss, changes in hemoglobin, duration of hospitalization, occurrence of febrile morbidity, and medical complications based on the medical records. RESULTS: The mean operation time of 16 patients undergone Le Fort colpocleisis with uterine prolapse was 51+/-18 minutes, the estimated blood loss was 175+/-134 cc, hemoglobin change was 1.72+/-1.14 mg/dl, the mean days of hospitalization was 7.2+/-2.8 days, and the febrile illness occurred in 2 patients. In this group, general anesthesia was used in 10 patients (75%), local anesthesia in 4 patients (25%), and spinal and epidural anesthesia in 1 case respectively. The mean operation time of 11 patients undergone total vaginal hysterectomy with uterine prolapse was 86+/-29 minutes, the estimated blood loss was 366+/-154 cc, hemoglobin change was 2.36+/-1.22 mg/dl, the mean days of hospitalization was 7.8+/-1.6 days, and the febrile illness occurred in 3 patients. General anesthesia was done in total vaginal hysterectomy group and vulva hematoma was developed in 1 case postoperatively. There are significant difference (p<0.01) between the Le Fort colpocleisis and total vaginal hysterectomy in operational time, estimated blood loss, and type of anesthesia, but no significant difference in days of hospitalization, febrile morbidity. CONCLUSION: The assessment of Le Fort colpoclesis in uterine prolapse offers signinficant benefits in elderly or compromised patients and the method is safe for operation.
Aged ; Anesthesia ; Anesthesia, Epidural ; Anesthesia, General ; Anesthesia, Local ; Female ; Gynecology ; Hematoma ; Hospitalization ; Humans ; Hysterectomy, Vaginal* ; Medical Records ; Obstetrics ; Prolapse* ; Uterine Prolapse ; Uterus* ; Vulva

Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury.
Cervical Vertebrae ; Female ; Immobilization ; Ligaments* ; Quadriplegia ; Skull ; Spine ; Traction*

The spontaneous rupture of the ureter is a rare condition. Two cases are reported with a spontaneous rupture caused by ureteral calculi. The diagnosis was suspected by delayed post-CT KUB and confirmed by ureteroscopy. On the basis of the clinical evolution the authors discuss the diagnosis and pathogenesis of the observed ureteral rupture. Rupture of ureter must be considered as differential diagnosis of acute flank pain, especially when there is change of pain character or severity.
Diagnosis ; Diagnosis, Differential ; Flank Pain ; Rupture* ; Rupture, Spontaneous ; Ureter* ; Ureteral Calculi ; Ureteroscopy ; Urinary Calculi

Antiphospholipid syndrome (APS) is a thrombophilic disorder characterized by recurrent abortion, thrombocytopenia, and prolonged activated partial thromboplastin time (aPTT) in which venous or arterial thrombosis, or both, may occur in patients with antiphospholipid antibodies. Antiphospholipid antibodies have been associated with a variety of neurological disorders, many of which, but not all are manifestations of cerebral or ocular ischemia. Recently, we experienced one case of a cerebral infarct due to APS in a 24-year-old female. She visited the emergency department and presented with dizziness and vomiting. After admission, we conducted a physical examination, blood tests, and brain computed tomography. Her blood tests revealed prolonged aPTT and thrombocytopenia, and brain computed tomography showed a right cerebellar and pons infarct. We treated her with anticoagulants. She was discharged with nearly a full recovery on the seventh hospital day.
Abortion, Habitual ; Antibodies, Antiphospholipid ; Anticoagulants ; Antiphospholipid Syndrome* ; Brain ; Cerebral Infarction* ; Dizziness ; Emergency Service, Hospital ; Female ; Hematologic Tests ; Humans ; Ischemia ; Nervous System Diseases ; Partial Thromboplastin Time ; Physical Examination ; Pons ; Pregnancy ; Thrombocytopenia ; Thrombosis ; Vertigo ; Vomiting ; Young Adult

Inferior vena cava filters (IVCFs) are effective in preventing pulmonary embolism and their usage has rapidly increased over the past decades. However, complications have also significantly increased, as IVCF occlusion causes serious chronic venous insufficiency. Herein, we report a case of infrarenal IVCF occlusion that was successfully treated with the introduction of kissing stents through the IVCF into both iliac veins. A 54-year-old male presented with non-healing ulcers on his left leg. He had undergone IVCF implantation and warfarin medication due to deep vein thrombosis 4 years earlier in another hospital. Computed tomography (CT) revealed the filter-bearing IVC occlusion. Endovascular IVCF removal was attempted but failed. Kissing stents were deployed across the IVCF and extended into both iliac veins. Cone beam CT showed well-deployed stents just behind the occluded IVCF. Venous flow was restored without complications, and the recurrent ulcer healed immediately.

No abstract available.
Asphyxia* ; Erythrocyte Count* ; Erythrocytes* ; Humans ; Hyaline Membrane Disease ; Infant, Newborn

Lipoprotein(a)[Lp(a)] represents a class of lipoprotein particles defined by the presence of apolipoprotein(a), a unique glycoprotein linked by a disulfide bond to apolipoprotein B-100 to form a single macromolecule. It was known that Lp(a) levels were associated with risk factor for cardiovascular disease and were fluctuated during pregnancy and postpartum. In the present study, plasma Lp(a) levels were estimated in two groups of women comprising 48 normal spontaneous vaginal delivery group and 52 Cesarean section delivery group. The changes of plasma Lp(a) concentrations were serially estimated before delivery, postpartum 1 weeks and postpartum 6 weeks. The result can be summarized as follows.1. Mean ploasma Lp(a) levels were changed from 43.9 +/- 28.4 mg/dl at delivery to 68.5 +/- 35.5 mg/dl at postpartum 1 weeks 73.1 +/- 35.7 mg/dl versus 63.7 +/- 35.1 mg/dl. And after postpartum 6 weeks, mean plasma Lp(a) levels were returned to near initial levels 48.4 +/- 21.1 mg/dl versus 42.2 +/- 16.7 mg/dl.3. Lp(a) levels were significantly rised postpartum 1 weeks compared with before delivery(p < 0.05) and after postpatum 6 weeks(p < 0.05). In conclusion, serum Lp(a) levels were increased postpartum 1 weeks with significant value, and returned to initial levels after postpartum 6 weeks. Our findings suggests that Lp(a) has the characteristics of an acute phase reactant rather modulated by endogenous hormone.
Apolipoprotein B-100 ; Apoprotein(a) ; Cardiovascular Diseases ; Cesarean Section ; Female ; Glycoproteins ; Humans ; Lipoprotein(a)* ; Lipoproteins ; Plasma* ; Postpartum Period* ; Pregnancy ; Risk Factors