No abstract available.
Abscess*

No abstract available.
Colorectal Neoplasms* ; Follow-Up Studies*

No abstract available.
Colorectal Neoplasms* ; Follow-Up Studies*

Urodynamic study developed because physicians recognized that history, physical examination and previous testing modality were inadequate to differentiate between those patients with and those without stress urinary incontinence( SUI). The purpose of this study is to evaluate the practicability and usefulness of the test cough urethral pressure profiler in the evaluation of SUI with objective data. Between November 1991 and October 1993, 45 patients with symptoms of urinary incontinence were studied to determine the value of this test by using microtip transducers of Urocompact 8000 which is a computerized urodynamic system. Dynamic pressure profiles were obtained during cough by measuring the pressure at the proximal, middle and distal urethra. At rest, functional urethral length and maximal urethral closure pressure were 3.01+/-0.58cm, 52.0+/-17.8cmH2O respectively (control 3.66+/-0.35cm, 80.25+/-16.95cmH2Orespectively, p <0.05, p<0.05). During the cough, urethral closure pressure decreased to negative pressure in 41 of 42(98% ) patients who were available for analysis. Three of the 45 patients were not available due to the lack of experience of one. Six months after bladder neck suspension was performed, the urethral pressure profile of four patients were checked again and the results showed that the functional urethral length and maximal urethral closure pressure at rest were greater than those of the preoperative urethral pressure profile, but statistically not significant. In 3 patients who underwent successful treatment, the urethral closure pressure at cough did not decrease to a negative pressure. As a result, the cough urethral pressure profile is a useful and objective diagnostic method of SUI and evaluation of the postoperative state.
Cough* ; Humans ; Neck ; Physical Examination ; Transducers ; Urethra ; Urinary Bladder ; Urinary Incontinence* ; Urodynamics

No abstract available.
Breast Neoplasms* ; Breast*

A case of intraneural ganglion, 5cm×2cm×1.5cm, which was located between the funiculi of the common peroneal nerve was excised completely under the operative microscope. There was no communication with adjacent bursa or joint.
Ganglion Cysts ; Joints ; Peroneal Nerve

Angiolipomas are usually found in the soft tissues of the extremity, trunk, or neck. Spinal angiolipomas are rare, accounting for between 0.14% and 1.2% of spinal axis tumors, and the majority are extradural. We report a case of surgically proven extradural spinal angiolipoma with a high vascular content and involving the thoracic level.
Angiolipoma* ; Axis, Cervical Vertebra ; Extremities ; Neck

The endoscopic sphincterotomy plays an important role in the treatment of common duct stones; however, with a sphincterotomy has the potential hazard of critical complications. Retroperitoneal duodenal perforation during the endoscopic sphincterotomy is a well-recognized complication causing retroperitoneal abscess, sepsis, and sometimes death. We experienced a patient who complained a severe abdominal pain with a febrile sensation after an endoscopic retrograde cholangiopancreatography with sphincterotomy. The diagnosis was delayed, but confirmed by the CT scan, and a duodenal diverticulization with T-tube drainage was performed. The patient was managed by using a duodenal diverticulization with T-tube drainage, but a conservative management is usually effective if the duodenal perforation is recognized immediately and occurs together with uninfected minimal soilage.
Abdominal Pain ; Abscess ; Cholangiopancreatography, Endoscopic Retrograde ; Diagnosis ; Drainage ; Humans ; Sensation ; Sepsis ; Sphincterotomy, Endoscopic* ; Tomography, X-Ray Computed

OBJECTIVE: To determine whether the follicle stimulating hormone(FSH) receptor gene mutation (C566T point mutation) is present in Korean women with premature ovarian failure and normal karyotype. METHODS: Genomic deoxyribonucleic acid(DNA) obtained from 40 patients with chromosomally competent premature ovarian failure and from 30 normal fertile women(control group) was amplified by polymerase chain reaction(PCR). PCR products were digested by the enzyme BsmI and polyacrylamide gel(PAG) elctrophoretic patterns of these enzyme-digested products were analyzed. The direct sequencing of PCR products was also performed. RESULTS: All patients with premature ovarian failure and 30 normal control women demonstrated homozygous, normal alleles with 51- and 27- base pairs fragments in PAG elctrophoresis. The absence of C566T point mutation in both group was confirmed by direct DNA sequencing. CONCLUSIONS: A C566T mutation in FSH receptor gene is rare in Korean women with premature ovarian failure and normal karyotype.
Alleles ; Base Pairing ; Female ; Follicle Stimulating Hormone* ; Humans ; Karyotype* ; Point Mutation ; Polymerase Chain Reaction ; Primary Ovarian Insufficiency* ; Receptors, FSH* ; Sequence Analysis, DNA

STUDY DESIGN: The authors reviewed the dural tears in the thoracolumbar fractures treated surgically. OBJECTIVES: To evaluate the incidence and the predictive values for the presence of dural tears in the thoracolumbar fractures. SUMMARY OF LITERATURE REVIEW: Many authors reported that the dural tear was usually related to the thoracolumbar fractures especially with laminar fracture and neurologic deficit. The dural tears may lead complications such as the entrapment of spinal nerve root, delayed wound healing, cerebrospinal fluid fistula, and myelomeningocele. Previous reports emphasized posterior approach to confirm and treat the dural tears using laminectomy. So it is very important that surgeons should identify the presence of dural tear preoperatiyely to determine the surgical approach and treatment options. MATERIALS AND METHODS: The authors reviewed 22 patients of thoracolumbar fractures treated with posterior laminectomy, posterior decompression, posterolateral fusion, and instntmentation from August 1993 to August 1996. The follow-up period was minimally 12 months. We checked the canal compromise, the injury of the posterior column including laminar fracture and ligamental injury, and neurologic deficits as the predictive values. The statistical analysis was done to evaluate the relationship between the dural tear and the predictive values. RESULTS: The incidence of dural tear was 54.4% of the thoracolumbar fractures. The canal encroachment, the injury of the posterior column, and the neurologic deficits were not significantly related with the dural tears in statistical analysis. But we could find the tendency that is related to the dural tear and posterior column injury. CONCLUSION: The authors concluded that we could find the possible presence of dural tears in the severe thoracoiumbar which were needed the surgical treatment and we could suggest the injury of posterior column was a possible value that could predict the presence of dural tear.
Cerebrospinal Fluid ; Decompression ; Fistula ; Follow-Up Studies ; Humans ; Incidence ; Laminectomy ; Ligaments ; Meningomyelocele ; Neurologic Manifestations ; Spinal Nerve Roots ; Tears* ; Wound Healing