1.A Clinical Observation on l0 Cases of Anatrophic Nephrolithotomy.
Korean Journal of Urology 1987;28(6):808-814
The surgical intervention of renal staghorn calculi was performed in 9 patients(lOkidneys) who had undergone anatrophic nephrolithotomy with in situ hypothermia. admitted to the Department of Urology, HaniI Hospital, during four years periods from June, 1982 to May, 1986. This operation technique is simple, easy but uneventful recoveries followed only in a small group. The results were summarized as followings : l. Postoperative hospitalizations were 13.1 days(ranged from 8 to 21). 2. Operating time required 194.5 minutes with mean time(ranged from 150 to 230). 3. Renal artery clamping time required 36.4 minutes with mean time(ranged from 23 to 65). 4. Blood loss during operation was 875ml on the average loss(ranged from 350 to l400). 5. Postoperative complications were nephrectomy l case, pneumothorax l case, deep vein thrombosis l cases remained stone 3 cases.
Calculi
;
Constriction
;
Hospitalization
;
Hypothermia
;
Nephrectomy
;
Pneumothorax
;
Postoperative Complications
;
Renal Artery
;
Urology
;
Venous Thrombosis
2.Morphologic Study on the Mesothelial Hyperplasia in the Rat.
Chan CHOI ; Min Cheol LEE ; Kyu Hyuk CHO
Korean Journal of Pathology 1985;19(2):160-167
Reactive mesothelial cells are frequently found in the smear, of body fludid dffusion when associated with liver cirrhosis, pulmonary tuberculosis, congestive heart failure or pulmonary infarction. But it is not easy to differentiate these reactive mesothelial cells from macrophages or various types of malignant cells. In order to investigate the morphology of hyperplastic mesothelial cells, in comparison with the various types of malignant cells in the effusion, this experiment was designed. The tissue reaction was evoked by intraperitoneal injection of 2.5 ml of 2% Talcum suspension. The results obtained were as follows: 1) On light microscopic observation of the tissure, until 5 days, cytoplasm and nucleus of mesothelial cells became larger and nucleoi became prominent. After then, cytoplasm and nucleus became smaller and at 28 days after injection of Talcum suspension, cellular features became similar to those of normal ones. 2) On cytologic observation of touch print specimens, hyperplastic mesothelial cells became round to oval, and their cytoplasm became conspicuous. Nuclei were vesicular, and nucleoi were prominent. N/C ratio was decreased than normal. 3) On electron microscopic observation, hyperplastic mesothelial cells did not have microvilli, but had a few cytoplasmic globular projections, loosely approximated cellular junctions, larger and more abundant intracytoplaomic vesicles when compared with normal one. Chromatin clumping, irregular thickening of nuclear membrane and prominent nucleoi were also noted.
3.An Evaluation of Results of Cytological Diagnosis for the Uterine Cervical Lesions.
Chan CHOI ; Sung Hee CHO ; Sang Woo JUHNG ; Kyu Hyuk CHO
Korean Journal of Pathology 1987;21(1):12-19
It awakens interest that the frequency of carcinoma of the uterine cervix is the highest among the carcinomas among the Korean women, althouth it is not so high among Westerns. It is admitted that the exfolicative cytologic technique is useful not only as a screening test for early detection of cervical cancer and its precursor lesions but also as a tool for follow-up, because it is accurate, economical, and easy to perform. But it remains to be solved that the false negativity of the cytologic diagnosis is relatively high. Five hundred and sevently two cases of cytology specimens, confirmed by either colposcopic biopsy or cone biopsy, were studied among 15,844 cases which were submitted to the Department of Pathology, Chonnam University Hospital between October of 1982 and August of 1986. The results obtained were as follows. 1) The accuracy of the cytologic diagnosis was 69.9%, the false nagativity, 19.4% and the false positivity, 6.6%. 2) Among the causes of discrepancies between cytologic diagnosis and histologic diagnosis, error in cytology reading was the most frequent (57%), error in cell collection was the second frequent (43.7%), and error in biopsy location was the least frequent (5.3%). 3) Among the 38 cases of false positive diagnosis, the percentage of error in cytology reading was 82.3%, and that of error in biopsy location was 20.7%. Among the 105 cases of false negative diagnosis, the percentage of error in cytology reading was 50.5%, and the percentage of error in cell collection was 56.6%.
Female
;
Humans
;
Biopsy
4.A Case of unusual condyloma Acuminatum in an Immunosuppressed Patient.
Joo Hyun CHOI ; Mi Kyung CHO ; Duk Kyu CHUN ; Kyoung Chan PARK
Korean Journal of Dermatology 1989;27(6):734-737
Condyloma acuminatum is a common viral disease which is transmitted by sexual intercourse. We experienced a case of condyloma acuminatum occurring in a patient of systemic lupus erythematosus who has been treated with various immunosuppressive agents for 10 years. This condylorna acuminatum was unusual in that it was very rapidly growing, recurrent and reluctant to various treatrnents. We investigated the type of human papillomavirus by Southern blot hybridization and schieved partial improvement by bleomycin intralesional injection together with 5-FU topical application.
Bleomycin
;
Blotting, Southern
;
Coitus
;
Fluorouracil
;
Humans
;
Immunosuppressive Agents
;
Injections, Intralesional
;
Lupus Erythematosus, Systemic
;
Virus Diseases
5.Correction in Rotational Deformity with Thoracolumbosacral Orthosis in Idiopathic Scoliosis.
Ki Chan AN ; Kyu Min GONG ; Hyeon Guk CHO
Journal of Korean Society of Spine Surgery 2009;16(3):173-176
STUDY DESIGN: Retrospective study OBJECTIVES: This study examined the effect of a TLSO brace treatment for the correction of axial rotational deformities in idiopathic scoliosis. SUMMARY OF THE LITERATURE REVIEW: A TLSO brace treatment is effective in correcting 2-dimensional deformities of idiopathic scoliosis but is questionable in axial rotational deformities. MATERIALS AND METHODS: Fifty three cases treated by bracing in March, 1999~February, 2005 at our department were reviewed. The posteroanterior and lateral radiographs were checked in the standing position throughout the study. The change in axial rotational deformity were analyzed using Nash & Moe method and Perdriolle's method. RESULTS: The rotational deformity had improved in 2 curves, was aggravated in 8 curves, and showed no change in 43 curves with the TLSO brace. CONCLUSIONS: The TLSO brace treatment in axial rotational deformity of idiopathic scoliosis is not effective in correcting the rotational deformity but is effective in preventing the progress of a rotational deformity.
Braces
;
Congenital Abnormalities
;
Orthotic Devices
;
Retrospective Studies
;
Scoliosis
6.A Case Report of Human Thelaziasis.
Chan Kyu OH ; Won Shik YOUN ; Seung Yull CHO ; Byong Seol SEO
Journal of the Korean Ophthalmological Society 1975;16(4):431-434
The authors preEented the 6th human thelaziasis case in Korea with the review of the literatures. The patient was 18 years old high-school girl who had lived in Seoul since birth. She experienced epiphora and moving foreign body Eensation of the right eye since one week prior to examination, and extracted 2 living worms from the right eye by herEelf on 1 and 2 days prior to examination. Morphological features of an extracted worm are as follows; Gross appearance of the worm is slender milky, white nematode, and microscopic measurements are 12.51mm in length. 0.34mm in maximum width, 15.5micro in depth of oral cavity, 0.667mm in length of the esophagus, 180~220 cuticular striations per mm, anal-opening on 0.088 mm from posterior end, and vulvar-opening on 0.544mm from anterior end. From the above findings it was confirmed as female worm of Thelazia callipaeda Railliet and Henry 1910.
Adolescent
;
Esophagus
;
Female
;
Foreign Bodies
;
Humans*
;
Korea
;
Lacrimal Apparatus Diseases
;
Mouth
;
Parturition
;
Seoul
;
Thelazioidea
7.Estimation of Glomerular Filtration Rate(GFR) Using (99m)Tc-DTPA Renal Scan and the Parameters for Renal Function.
Ihn Ho CHO ; Hyun Dae YOON ; Kyu Chang WON ; Chan Woo LEE ; Hyoung Woo LEE ; Hyun Woo LEE
Yeungnam University Journal of Medicine 1994;11(1):101-108
Many previously described nuclear medicine procedures to assess glomerular filtration rate have some problems because numerous blood sample is to be taken and they don't measure each separate renal function. Gates described isotopic method for the measurement of global and unilateral GFR based on the fractional renal uptake of (99m)Tc-DTPA 2 to 3 minutes after its intravenous injection. We evaluated GFR using (99m)Tc-DTPA in 57 people according to Gates method and compared with creatinine clearance. A good correlation was observed between creatinine clearance and GRF calculated by Gates' formula with an r value of 0.9(P<0.05). And also the relationship between parameters of (99m)Tc-DTPA renal scan images and GFR was taken. They were significantly correlated with GFR calculated by Gates' formula : r value 0.66 between relative intensity of peak renal to peak aortic activity(pK/pA) and GFR, -0.42 between time between aortic and kidney peak(A-K) and GFR and -0.48 between parenchymal renal activity at 25 min compared to peak kidney activity(25K/pK) and GRF. In conclusion, the determination of GFR according to Gates' formula shows good and reproducible of GRF with rapidity and simplicity. And the parameters from the renal scan images can use to estimate the renal function.
Creatinine
;
Filtration*
;
Glomerular Filtration Rate
;
Injections, Intravenous
;
Kidney
;
Methods
;
Nuclear Medicine
8.A Case of Duodenal Perforation following Endoscopic Biliary Drainage (EBD).
Yong Kyu YOU ; Jong Ho MOON ; Moon Sung LEE ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1992;12(1):91-97
Placement of an endoprosthesis for palliative decompression of biliary obstruction has been advocated as an effective alternative for interanl-external drainage catheters, of which the care and psychological impact of the external segment protruded through the skin has been a difficult problem. (continue...)
Catheters
;
Decompression
;
Drainage*
;
Skin
9.A Case Report of Cerebral Infarction Following General Anesthesia.
Seon A LIM ; Kyu Chan CHO ; Chang Kil PARK
Korean Journal of Anesthesiology 1994;27(6):643-648
We experienced a case of aeute cerebral infaretion after operation. A 74 year old female patient slipped down and received left femoral neck fracture. Preoperatively, orthopedist, internist and anesthesiologist visited and evaluated her but could not find any suspicious symptoms related to cerebral infarction. She have suffered from hypertension and diabetes mellitus for 1Q yrs. She underwent bipolar endoprosthesis under general anesthesia. Postoperatively, she became deep drowsy and revealed respiratory depression, abnormal neurological sign and was diagnosed as acute cerebral infartion on cranial computed tomography and ultimately expired.
Aged
;
Anesthesia, General*
;
Cerebral Infarction*
;
Diabetes Mellitus
;
Female
;
Femoral Neck Fractures
;
Humans
;
Hypertension
;
Respiratory Insufficiency
10.A Clinicl Analysis of 85 Cases of Thyroid Nodules.
Min Seog HONG ; Ma Hae CHO ; Chan Heun PARK ; Yoon Kyu PARK
Journal of the Korean Surgical Society 1997;53(6):786-794
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*