No abstract available.
Child* ; Humans ; Rhabdomyosarcoma*

Serum creatine phosphokinase(CPK) levels were measured serially in 20 adults with closed tibial shaft fractures, CPK activity increased significantly after fracture(p < 0.01). High energy and delayed healing fractures had significantly higher levels of CPK than low energy and normally healing fractures, respectively. Thus, CPK determinations could be used to assess the severity of trauma and possible prognosis of the healing in tibial shaft fractures.
Adult ; Creatine Kinase ; Creatine ; Humans ; Prognosis

No abstract available.
Hysterectomy* ; Venous Thrombosis*

No abstract available.
Child* ; Humans

The corresponding author's name and E-mail address have been corrected. This article was corrected online. The authors would like to apologize for any inconvenience cause.

A statistical observation was made on 203 in-patients with operative procedures in the Department of Urology, Presbyterian Medical Center, Taegu, Korea during the period between August 1, 1971 and July 31, 1972.
Daegu* ; Korea* ; Protestantism* ; Surgical Procedures, Operative ; Urology*

BACKGROUND: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. METHODS: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. RESULTS: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5–9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0–5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45–77] to 89.3 [range, 81–100], p=0.029), and ASES score (52.3 [range, 30–77] to 90.0 [range, 80–100], p=0.002). There was no healing failure on imaging. CONCLUSIONS: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.
Debridement ; Elbow ; Electromyography ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Muscle Strength ; Pain, Postoperative ; Retrospective Studies ; Rotator Cuff ; Rupture* ; Shoulder ; Surgeons ; Tears ; Tendinopathy ; Tendons

PURPOSE: Traditionally, renal transplant in children with end stage renal failure has poorer outcome compared to adult renal transplants. The objective of this study was to evaluate the results of childhood renal transplantation. MATERIALS AND METHODS: Twenty eight renal transplants were performed in children aged 18 years and younger in our institute. The follow up periods ranged from 15 to 217 months (mean 73.2). The cause of the end stage renal disease, postoperative complications, graft survival, and growth status were investigated retrospectively. RESULTS: The causes of renal failure were chronic glomerulonephritis in 13 cases, FSGS in 4, IgA nephropathy in 4, VUR in 2, renal dysplasia in 2, and hemolytic uremic syndrome in 1, posterior urethral valve in 1 and Alport syndrome in 1. The postoperative complications included perirenal hematoma in 2, bacterial infection in 2, lymphocele in 2, avascular necrosis of the hip joint in 2, CMV pneumonia in 1, miliary tuberculosis in 1 and hirsuitism in 1. The graft and patient survival rate at 1, 5 and 10 years was 81% and 64%, 40% and 88%, and 81% and 72%, respectively. The mean body weight distribution of the 10 cases under the age of 15 years who had no graft failure was in the 10.2 percentile (3-25 percentile) at transplantation and it increased to the 18.2 percentile (3-50 percentile) 46 months after the transplant. CONCLUSIONS: Childhood renal transplantation was less successful than adult renal transplantation. Early transplantation is recommended to maximize the growth of the children and more effective immunosuppressive therapy is needed for this age population.
Adult ; Bacterial Infections ; Body Weight ; Child ; Follow-Up Studies ; Glomerulonephritis ; Glomerulonephritis, IGA ; Graft Survival ; Hematoma ; Hemolytic-Uremic Syndrome ; Hip Joint ; Humans ; Kidney Failure, Chronic ; Kidney Transplantation* ; Lymphocele ; Necrosis ; Nephritis, Hereditary ; Pneumonia ; Postoperative Complications ; Renal Insufficiency ; Retrospective Studies ; Survival Rate ; Transplants ; Tuberculosis, Miliary

Recently, continent internal urinary diversion has begun to achieve worldwide popularity. Herein, we report an experience with a 5 year-old female patient who had total urinary incontinence due to left ectopic ureter and vesicourethrovaginal fistula. The ileocecal ureterosigmoidostomy was performed as a staged procedure. The ileocecal segment including a part of ascending colon was isolated, an intussusception through the ileocecal valve was performed as the antireflux mechanism, and the ureters were spatulated and anastomosed side to side. The combined ureters then were sewn end to end to the ileum and the cecum was brought out on the skin as a stoma. Eleven months after first operation, the cecal stoma was taken down and discarded, and the remaining cecum containing the antireflux intussusception was anastomosed end to side to the lower sigmoid, internalizing the urinary diversion. After operation, she has gained perfect urinary control with no evidence of reflux, urinary tract infection and electrolyte imbalance for the 5 years follow up period. In conclusion, ileocecal ureterosigmoidostomy is a reasonable alternative to conventional ureterosigmoidostomy that may reduce the risk of development of cancer.
Cecum ; Child, Preschool ; Colon, Ascending ; Colon, Sigmoid ; Female ; Fistula ; Follow-Up Studies ; Humans ; Ileocecal Valve ; Ileum ; Intussusception ; Skin ; Ureter ; Urinary Diversion ; Urinary Incontinence ; Urinary Tract Infections

To investigate the influence of age on the remnant kidney, unilateral nephrectomy was performed in rats at 1week(group N-1), 3weeks(group N-3), 5weeks(group N-5), 7weeks(group N-7). 9weeks(group N-9), and 10weeks(group N-10) of age and sham operation was performed in the control group of rats at the same ages. Proteinuria in spot urine, serum BUN/creatinine, compensatory renal growth and histologic changes were compared with in each group at 32weeks after uninephrectomy. The results were as follows : 1. A compensatory renal growth in nephrectomy group was significantly greater than that in sham operated groups(p <0.001 ) and a compensatory renal growth in prepubertal groups( N-1, 3, 5. 7) was significantly greater than that in postpubertal groups ( N-9, IO) between the nephrectomy groups. 2. In histologic changes, visceral glomerular epithelial proliferation, mesangeal widening and proliferation, obliteration of capillary lumen were more marked in nephrectomy group than sham operated group and group N-1, N-3, N-5, N-7 than in groups N-9, N-10 at week 32. 3. The proteinuria in spot urine was more marked in nephrectomy groups than sham operated groups at week 32 and there was no significant difference in serum BUN/creatinine between nephrectomy group and sham operated groups. It is concluded that in rat, uninephrectomy at young ages leads to more marked compensatory renal growth and histologic change than uninephrectomy in the adult and functionally, proteinuria precedes change of serum BUN and creatinine.
Adult ; Animals ; Capillaries ; Creatinine ; Humans ; Kidney* ; Nephrectomy ; Proteinuria ; Rats*