1.The Result of Minimal Invasive Anterior Lumbar Interbody Fusion with Posterior Lumbar Interbody Fusion on Degenerative Lumbar Flat Back Disease.
Eung Ha KIM ; Woo In CHO ; Jung Woo YU
Journal of Korean Society of Spine Surgery 2013;20(4):149-155
STUDY DESIGN: Restrospective study. OBJECTIVES: We tried to find out the effects of minimal invasive anterior lumbar interbody fusion (ALIF) combined with posterior lumbar interbody fusion for degenerative lumbar flat back disease. SUMMARY OF LITERATURE REVIEW: ALIF combined with PLIF is effective in correcting lumbar lordosis. However, the complication rate with conventional ALIF is higher on the lower level. MATERIALS AND METHODS: 21 cases (9 men and 12 women, 46-83 years of age) of having undergone minimal invasive ALIF and PLIF due to degenerative flat back disease were reviewed. The follow-up period was an average of 23 months. We compared the pre-postoperative pain, the functional outcome, the correction of sagittal imbalance and lordotic angle. RESULTS: At final follow-up, 21 cases with the solid fusion experienced a great improvement in their lower back pain(VAS: 7.3 --> 2.6) and leg pain (VAS: 7.0 --> 2.7) and ODI(38.5 --> 18.1). And we experienced correction in sagital imbalance. On levels with anterior fusion, lordotic angle is corrected 6.3 degrees while on levels with posterior fusion, lordotic angle is corrected 9.7 degrees. Plumb line is corrected by 5.2cm, and no complication was found in the follow-up period. CONCLUSIONS: Combined surgery with minimal invasive anterior lumbar interbody fusion and posterior fusion is an effective procedure on patients who need long level surgery for correction of lumbar deformity and decompression.
Animals
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Congenital Abnormalities
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Decompression
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Female
;
Follow-Up Studies
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Humans
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Leg
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Lordosis
;
Male
2.A study on superoxide anion production by peripheral blood neutrophil in patients with diabetes mellitus.
Sang Won SHIN ; Jae Myung YU ; Se Yong KANG ; Heung Jung WOO ; Woo Joo KIM ; Sung Chull PARK
Korean Journal of Infectious Diseases 1992;24(4):285-291
No abstract available.
Diabetes Mellitus*
;
Humans
;
Neutrophils*
;
Superoxides*
3.The Effects of Self-efficacy Promotion and Education Program on Self-efficacy, Self-Care Behavior, and Blood Pressure for Elderly Hypertensives.
Su Jeong YU ; Mi Soon SONG ; Yun Jung LEE
Journal of Korean Academy of Adult Nursing 2001;13(1):108-122
The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in self-efficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.
Aged*
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Aging
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Blood Pressure*
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Diet
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Education*
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Follow-Up Studies
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Humans
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Hypertension
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Nursing
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Obesity
;
Self Care*
;
Self Efficacy
4.Survival analysis for clinical researchers using personal computer.
Woo Jung LEE ; Yu Seun KIM ; Kiil PARK ; Kyong Sik LEE
Journal of the Korean Surgical Society 1992;42(2):141-155
No abstract available.
Humans
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Microcomputers*
;
Survival Analysis*
5.The surgical treatment for congenital gastric outlet obstruction.
Sung Eun JUNG ; Chang Sik YU ; Seong Cheol LEE ; Kwi Won PARK ; Woo Ki KIM
Journal of the Korean Surgical Society 1993;44(3):382-385
No abstract available.
Gastric Outlet Obstruction*
6.Granuloma Developed Following Injection for Chemical Castration Treatment in Paedophilia.
Yu Ri WOO ; Hye Min LEE ; Joong Sun LEE ; Dae Won KOO ; Kyoung Eun JUNG
Korean Journal of Dermatology 2013;51(5):376-378
No abstract available.
Castration
;
Granuloma
;
Granuloma, Foreign-Body
7.A Case of Ocular Flutter after Left Medial Medullary Infarction.
Min Jung SEO ; Woo Suck YANG ; Yu Suck KYUN ; Hyun Jung YU ; Sook Young ROH
Journal of the Korean Neurological Association 2004;22(2):172-174
No abstract available.
Infarction*
8.The Efficacy of Arm Node Preserving Surgery Using Axillary Reverse Mapping for Preventing Lymphedema in Patients with Breast Cancer.
Jung Woo HAN ; Yu Jeong SEO ; Jung Eun CHOI ; Su Hwan KANG ; Young Kyung BAE ; Soo Jung LEE
Journal of Breast Cancer 2012;15(1):91-97
PURPOSE: The axillary reverse mapping (ARM) technique to identify and preserve arm nodes during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) was developed to prevent lymphedema. The purpose of this study was to investigate the location and metastatic rate of the arm node, and to evaluate the short term incidence of lymphedema after arm node preserving surgery. METHODS: From January 2009 to October 2010, 97 breast cancer patients who underwent ARM were included. Blue-dye (2.5 mL) was injected into the ipsilateral upper-inner arm. At least 20 minutes after injection, SLNB or ALND was performed and blue-stained arm nodes and/or lymphatics were identified. Patients were divided into two groups, an arm node preserved group (70 patients had ALND, 10 patients had SLNB) and an unpreserved group (13 patients had ALND, 4 patients had SLNB). The difference in arm circumference between preoperative and postoperative time points was checked in both groups. RESULTS: The mean number of identified blue stained arm nodes was 1.4+/-0.6. In the majority of patients (92%), arm nodes were located between the lower level of the axillary vein and just below the second intercostobrachial nerve. In the arm node unpreserved group, 2 patients had metastasis in their arm node. Among ALND patients, in the arm node preserved group, the difference in arm circumference between preoperative and postoperative time points in ipsilateral and contralateral arms was 0.27 cm and 0.07 cm, respectively, whereas it was 0.47 cm and -0.03 cm in the unpreserved group; one case of lymphedema was found after 6 months. No difference was found between arm node preserved and unpreserved group among SLNB patients. CONCLUSION: Arm node preserving was possible in all breast cancer patients with identifiable arm nodes, during ALND or SLNB, except for those with high surgical N stage, and lymphedema did not develop in patients with arm node preserving surgery.
Arm
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Axillary Vein
;
Breast
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Breast Neoplasms
;
Humans
;
Incidence
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Lymph Node Excision
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Lymphedema
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Neoplasm Metastasis
;
Nitriles
;
Pyrethrins
;
Sentinel Lymph Node Biopsy
9.Comparison of Single Incision Endoscopic Nipple-Sparing Mastectomy and Conventional NippleSparing Mastectomy for Breast Cancer Based on Initial Experience
Hye Yoon LEE ; Young Woo CHANG ; Da Young YU ; Tae Yul LEE ; Duk Woo KIM ; Woo Young KIM ; Seung Pil JUNG ; Sang Uk WOO ; Jae Bok LEE ; Gil Soo SON
Journal of Breast Cancer 2021;24(2):196-205
Purpose:
Endoscopic breast surgery for patients with breast cancer was introduced for its superior cosmetic outcomes; it was initially studied in the field of breast-conserving surgery and, more recently, in robotic-assisted nipple-sparing mastectomy (NSM). The main purpose of this study was to investigate the feasibility and safety of endoscopic NSM (E-NSM) in patients with breast cancer by comparing E-NSM and conventional NSM (C-NSM).
Methods:
Between May 2017 and October 2020, we retrieved the records of 45 patients who underwent NSM with permanent silicone implants and divided them into the E-NSM group (20 patients) and the C-NSM group (25 patients), depending on the use of the endoscopic device.We also analyzed demographic information, pathology, operative time, and complications.
Results:
No significant differences were observed between the 2 groups based on demographic information, postoperative pathological data, mean length of hospital stay, and total number of complications. The mean preparation time for surgery was comparable between both groups. Compared to the C-NSM group, the E-NSM group had a significantly longer mean operative time and, subsequently, a significantly longer mean total operative time and number of complications.
Conclusion
The results showed that E-NSM was feasible and safe with a more inconspicuous incision in patients with breast cancer.
10.Comparison of Single Incision Endoscopic Nipple-Sparing Mastectomy and Conventional NippleSparing Mastectomy for Breast Cancer Based on Initial Experience
Hye Yoon LEE ; Young Woo CHANG ; Da Young YU ; Tae Yul LEE ; Duk Woo KIM ; Woo Young KIM ; Seung Pil JUNG ; Sang Uk WOO ; Jae Bok LEE ; Gil Soo SON
Journal of Breast Cancer 2021;24(2):196-205
Purpose:
Endoscopic breast surgery for patients with breast cancer was introduced for its superior cosmetic outcomes; it was initially studied in the field of breast-conserving surgery and, more recently, in robotic-assisted nipple-sparing mastectomy (NSM). The main purpose of this study was to investigate the feasibility and safety of endoscopic NSM (E-NSM) in patients with breast cancer by comparing E-NSM and conventional NSM (C-NSM).
Methods:
Between May 2017 and October 2020, we retrieved the records of 45 patients who underwent NSM with permanent silicone implants and divided them into the E-NSM group (20 patients) and the C-NSM group (25 patients), depending on the use of the endoscopic device.We also analyzed demographic information, pathology, operative time, and complications.
Results:
No significant differences were observed between the 2 groups based on demographic information, postoperative pathological data, mean length of hospital stay, and total number of complications. The mean preparation time for surgery was comparable between both groups. Compared to the C-NSM group, the E-NSM group had a significantly longer mean operative time and, subsequently, a significantly longer mean total operative time and number of complications.
Conclusion
The results showed that E-NSM was feasible and safe with a more inconspicuous incision in patients with breast cancer.