1.Chronic Fatigue Syndrome.
Korean Journal of Medicine 2006;70(4):469-473
No abstract available.
Fatigue Syndrome, Chronic*
;
Fibromyalgia
2.A case of leiomyosarcoma of ovary.
Jeon Ju LIM ; Sam Youl PARK ; Sung Rak SON ; Jung Kun KIM ; Hwan Ju CHOI
Korean Journal of Obstetrics and Gynecology 1993;36(7):1615-1619
No abstract available.
Female
;
Leiomyosarcoma*
;
Ovary*
3.Clinical Review of the Double Stapling Technique for Lower Rectal Cancer.
Young Hwan KO ; Duk Jin MOON ; Ju Sup PARK
Journal of the Korean Surgical Society 1998;54(2):234-244
From January 1993 to December 1995, 47 patients with rectal carcinomas underwent a rectal anastomosis using the double stapling technique at the Surgical Department of Kwang-ju Christian Hospital. The major advantages of the double stapling technique for lower rectal cancer over the single stapling technique or a hand-sewn operation are as follows:1) Insertion of a purse-string suture is eliminated, and application of a linear stapler to close the distal rectum may be performed with greater ease. 2) In addition, fecal contamination and spillage of tumor cells from the rectal segment are minimized. 3) Differences in the sizes of the colons and rectums are not a concern in constructing the anastomosis. 4) The operating time is shorter. The following results were obtained by a comparison with 24 patients with rectal carcinoma who had undergone a rectal anastomosis using the double stapling technique from January 1989 to December 1992 which was reported in a previous study:1) Anastomotic stenosis was decreased from 8.3% to 4.2% because of reduced ischemia due to the double row of staples and the reduced injury due to compression of tissue between the anvil and the cartridge with experience. In addition, it resulted from reduced tension of the anastomosis due to sufficients mobilization of the proximal colon and from selection of large cartridge (33 mm). 2) Anastomotic leakage, even though the same location as the tumor and in the advanced age group, was decreased from 4.2% to 0% because the blood circulation was maintained and unnecessary tension was reduced with experience. In addition, it resulted from reinforced suture of the anastomotic site which was performed after anastomosis. 3) Systemic recurrence was the same result as that of the previous study(4.2/4.3%). 4) Local recurrence, even though at the same distal distance from the margin of the cancer, was increased from 0% to 2.1% because of advancing the pathologic stage (B2, C1>B1, B2) and increasing the poorly differentiated pathologic type.
Anastomotic Leak
;
Blood Circulation
;
Colon
;
Constriction, Pathologic
;
Gwangju
;
Humans
;
Ischemia
;
Postoperative Complications
;
Rectal Neoplasms*
;
Rectum
;
Recurrence
;
Sutures
4.Clinical Review of the Double Stapling Technique for Lower Rectal Cancer.
Young Hwan KO ; Duk Jin MOON ; Ju Sup PARK
Journal of the Korean Surgical Society 1998;54(2):234-244
From January 1993 to December 1995, 47 patients with rectal carcinomas underwent a rectal anastomosis using the double stapling technique at the Surgical Department of Kwang-ju Christian Hospital. The major advantages of the double stapling technique for lower rectal cancer over the single stapling technique or a hand-sewn operation are as follows:1) Insertion of a purse-string suture is eliminated, and application of a linear stapler to close the distal rectum may be performed with greater ease. 2) In addition, fecal contamination and spillage of tumor cells from the rectal segment are minimized. 3) Differences in the sizes of the colons and rectums are not a concern in constructing the anastomosis. 4) The operating time is shorter. The following results were obtained by a comparison with 24 patients with rectal carcinoma who had undergone a rectal anastomosis using the double stapling technique from January 1989 to December 1992 which was reported in a previous study:1) Anastomotic stenosis was decreased from 8.3% to 4.2% because of reduced ischemia due to the double row of staples and the reduced injury due to compression of tissue between the anvil and the cartridge with experience. In addition, it resulted from reduced tension of the anastomosis due to sufficients mobilization of the proximal colon and from selection of large cartridge (33 mm). 2) Anastomotic leakage, even though the same location as the tumor and in the advanced age group, was decreased from 4.2% to 0% because the blood circulation was maintained and unnecessary tension was reduced with experience. In addition, it resulted from reinforced suture of the anastomotic site which was performed after anastomosis. 3) Systemic recurrence was the same result as that of the previous study(4.2/4.3%). 4) Local recurrence, even though at the same distal distance from the margin of the cancer, was increased from 0% to 2.1% because of advancing the pathologic stage (B2, C1>B1, B2) and increasing the poorly differentiated pathologic type.
Anastomotic Leak
;
Blood Circulation
;
Colon
;
Constriction, Pathologic
;
Gwangju
;
Humans
;
Ischemia
;
Postoperative Complications
;
Rectal Neoplasms*
;
Rectum
;
Recurrence
;
Sutures
5.Subperiosteal Composite Xenograft(Kiel bone) with Autologous Red Marrow for a Fibrous Dysplasia
Chang Ju LEE ; Seung Rim PARK ; Sung Kee CHANG ; Jeong Hwan OH ; Seong Soo PARK
The Journal of the Korean Orthopaedic Association 1987;22(2):559-563
The courses of the progression in the fibrous dysplasia are characterized by asymptomatic progression or spontaneous regression in some cases after the growth has ceased and the aims of treatment for a fibrous dysplasia are prevention of the pathologic fractures and correction of the deformities. The osteogenic potentiality of the cambium layer in the periosteum and the beneficial effect on the osteogenesis of the impregnating bone graft with autologous red marrow are well documented. We experienced an extensive fibrous dysplasia with cortical thinning and pathologic fracture and it was managed with subperiosteal combined xenograft of Kiel bone with autologous red marrow for the induction of cortical thickening and prevention of the pathologic fractures because of the inoperability of curettage due to extensive lesion over the entire femur, limitations in obtaining large amount of autogenous cancellous bone for the graft and lack of the facilities of the bone bank. This subperiosteal composite xenograft with autologous red marrow for a fibrous dysplasia gave an excellent result of a remarkable cortical thickening and we think this can be a type of management for a entensive fibrous dysplasia. So we are reporting this case with bibliographic reviews.
Bone Banks
;
Bone Marrow
;
Cambium
;
Congenital Abnormalities
;
Curettage
;
Femur
;
Fractures, Spontaneous
;
Heterografts
;
Osteogenesis
;
Periosteum
;
Transplants
6.Balance in Patients After TKA.
Ju O KIM ; Bong Ju PARK ; Han Ki LIM ; Kyung Hwan NOH
Journal of the Korean Knee Society 2006;18(2):167-174
PURPOSE: To investigate the improvement in balance after TKA and the difference of balance between posterior cruciate ligament retaining & posterior cruciate ligament substituting prostheses. MATERIALS AND METHODS: Twenty-six patients scheduled to undergo TKA were randomly assigned to receive either PCL-retaining or PCL-substituting prosthesis. The balance of the subjects were checked prior to and at least six months after the operation by computerized dynamic posturography. We investigated whether the balance improve and the difference of change between the implants. RESULTS: Patients showed significantly the improvement of balance by the knee proprioception after TKA (p<0.05) during intercepting visual compensation and the more HSS Knee score improve, the more its balance improve (p<0.05, r=0.667). But the difference of balance between the implants was not detected significantly (p>0.05). CONCLUSION: The balance by the proprioception improves as the HSS Knee Score increases after TKA, and does not show the difference between the implants.
Compensation and Redress
;
Humans
;
Knee
;
Posterior Cruciate Ligament
;
Proprioception
;
Prostheses and Implants
7.The Factors associated with Postural Control after Anterior Cruciate Ligament Reconstruction.
Bong Ju PARK ; Ju O KIM ; Kyung Hwan NOH ; Moon Su JEONG
Journal of the Korean Knee Society 2007;19(1):89-96
PURPOSE: We analyzed the correlation of the Lysholm score, anterior displacement of tibia on stress radiography and muscle strength around the knee with postural control after anterior cruciate ligament reconstruction and also compared them with the normal subjects. MATERIALS AND METHODS: Twenty-five patients after ACL reconstruction were evaluated with Lysholm knee score, anterior displacement on stress radiography with Telos, muscle strength around the knee with Biodex dynamometer and postural control with posturography. RESULTS: The postural control had significant correlation with the Lysholm knee score & anterior displacement on stress radiography(r=0.565, r=0.783, p<0.01), but not with muscle strength around the knee(p>0.05). Patients group with 5mm instability under anterior displacement on stress radiography showed no significance compared with normal control group, while the group with instability more than 6mm showed significant differences in some conditions com- pared with control group. CONCLUSION: Postural control after ACL reconstruction have significant correlation with Lysholm score and we presumed that the acquisition of mechanical stability of the knee after ACL reconstruction may be one of the important factors associated with the recovery of postural control by improvement of the proprioception.
Anterior Cruciate Ligament Reconstruction*
;
Anterior Cruciate Ligament*
;
Humans
;
Knee
;
Muscle Strength
;
Proprioception
;
Radiography
;
Tibia
8.ALG treatment of hypoplastic myelodysplastic syndrome.
Hwan Jun CHOI ; Seon Ju PARK ; Min Chul KIM ; Jae Who PARK ; Si Rhae LEE ; Sook Ja PARK
Korean Journal of Hematology 1991;26(2):379-384
No abstract available.
Myelodysplastic Syndromes*
10.CT Findings of Small Bowel Rupture after Abdominal Trauma.
Young Ju KIM ; Ki Joon SUNG ; Jin Hwan OH ; Joong Wha PARK ; Soo Yeun SHIM
Journal of the Korean Radiological Society 1995;32(5):757-761
PURPOSE: The accuracy of CT in the detection of injuries of the solid visceral organ is well established, but the value of CT in diagnosing small bowel rupture after abdominal trauma is controversal. This study was conducted to ascertain CT finding of small bowel rupture result from abdominal trauma. MATERIALS AND METHODS: A retrospective analysis of preoperative abdominal CT findings in 40 patients was performed. Small bowel rupture was confirmed by surgery. Precontrast and postcontrast enhanced CT images were obtained in all patients. RESULTS: Diagnostic findings of small bowel rupture including pneumoperitoneum or retroperitoneal air, discontinuity of the bowel wall and extravasation of oral contrast materials were observed in 33 cases(83%). Intraperitoneal or retroperitoneal free air was seen in 31 cases(78%) and intraperitoneal or retroperitoneal free fluid collection was seen in 38 patients(95%). Small bowel wall was thickened in 31 cases(78%), bowel wall was enhanced in 12 cases(30%) and bowel wall discontinuity and extravasation of oral contrast material was seen in 5 cases, respectively. CONCLUSION: The CT scan is sensitive and effective modality for evaluation of small bowel rupture after abdominal trauma, because of high detectability of diagnostic and suggestive CT findings.
Contrast Media
;
Humans
;
Pneumoperitoneum
;
Retrospective Studies
;
Rupture*
;
Tomography, X-Ray Computed