No abstract available.
Telemedicine*

No Abstract Available.
Facial Asymmetry*

Pyelocaliceal diverticulum is a well recognized uncommon entity, usually noted incidentally on excretory urography by lack of clinical symptoms, About 500 cases had been reported with similar entity till 1975. We report 6 cases of stone-containing pyelocaliceal diverticula and additional one case and the literature has been reviewed briefly.
Diverticulum* ; Urography

Repairing large incisional hernia with abdominal wall reconstruction is a technically challenging problem for surgeons. We report our experience of large midline incisional hernia which was repaired successfully with components separation technique. A patient with incisional hernia, 35 x 20 cm in size, underwent operation following standard components separation technique. The aponeurosis of the external abdominal oblique muscle was longitudinally transected from the rectus sheath, and the external abdominal oblique muscle was separated from the internal abdominal oblique muscle. With further separation of the posterior rectus sheath from the rectus abdominis muscle, closure of the abdominal wall was attained without tension. The post-operative course was uneventful with minor wound seroma. The patient discharged safely, and no further complication in terms of recurrence and wound problem has occurred. Components separation technique could be a possible and effective treatment option for repair of large abdominal wall defect.
Abdominal Wall ; Hernia ; Hernia, Ventral ; Humans ; Muscles ; Rectus Abdominis ; Recurrence ; Seroma

Diffuse neonatal hemangiomatosis (DNH) is a rare entity with the distinctive features of multiple hemangiomas of the skin and internal organs, which may result in a fatal outcome if wide-spread involvement of the internal organs. We report a case of DNH with cutaneous and hepatic involvement. The significant regression in the vascular lesions was achieved with systemic corticosteroid therapy.
Fatal Outcome ; Hemangioma ; Skin

Colorectal cancer is treated primarily by surgery. The goal of surgery is to completely remove the tumor. Surgery for carcinoma of the colon is aimed at removing the tumors with an adequate margin by a wide excision of the tumor-bearing area and associated lymphatics, with attention to the blood supply to the segment and creation of anastomosis without tension. Both rectal and colon cancers are resected for the purpose of cure and prevention of spread and local or pelvic recurrence. The operations generally employed for cancers above the rectum include right colectomy, transverse colectomy, left colectomy, anterior resection, subtotal colectomy, and total colectomy. More limited resections are occasionally performed for palliation in patients with distant metastasis. The survival benefits from the no-touch technique and radical lymphadenectomy with high ligation are still controversial. In rectal cancer, 2 ㎝ is sufficient for the distal resection margin. Several reports have demonstrated improvement in local recurrence rates and cancer-specific survival rate through TME (total mesorectal excision). The technique of chemosensitized irradiation was successful in down staging the tumors and in reducing the tumor size. Preoperative chemoradiation therapy and coloanal anastomosis enables the sphincter-preserving operation more frequently. The rectum, genitourinary structures, and the pelvic autonomic nervous system are very closely related. The urinary and sexual function can be preserved by nerve-sparing operation for rectal cancer. The anorectal function might be improved by colonic pouch operation. Transanal excision or trananal endoscopic microsurgery are advocated for the definitive treatment of small, exophytic, well differentiated, mobile lesions. Resection of hepatic or pulmonary metastasis in cases with-out contraindications improves the survival.
Autonomic Nervous System ; Colectomy ; Colon ; Colonic Neoplasms ; Colorectal Neoplasms* ; Humans ; Ligation ; Lymph Node Excision ; Microsurgery ; Neoplasm Metastasis ; Rectal Neoplasms ; Rectum ; Recurrence ; Survival Rate

No abstract available.

No abstract available.

No abstract available.

No abstract available.