No abstract available.
Epiphyses* ; Follow-Up Studies* ; Osteochondrosis*

No abstract available.
Neurilemmoma*

A recent 10 year's clinical observation was made on pediatric patients who had been admitted to the department of urology, Kyungpook National University Hospital during the period from Jan. 1. 1973, to Dec. 31. 1982. The results Were as follows: 1. Of 2,252 total urologic inpatients, 301 cases were pediatric urologic inpatients giving a rate of 13.4%. 2. Annual distribution revealed the tendency that the pediatric urologic patients had been increased yearly and especially after the popularization of medical insurance. 3. The proportion of male to female was 5.8: 1. The school aged children (6 to 12 years of age) were most frequently seen and giving a rate of 40.9% of pediatric inpatients. 4. The most common disease group was genitourinary anomaly as 129 Cases and followed by injury 58 cases, hydrocele .42 cases, tumor 27 cases. The most common disease was cryptorchism as 65 cases and followed by hydrocele 42 cases, hypospadias 37 cases. 5. Two hundred fifty four operations were performed in 242 of 301 pediatric inpatients. Orchiopexy was most frequently performed as 62 cases, hydrocelectomy 43 cases, urethroplasty 34 cases and nephrectomy 20-cases followed in order.
Child ; Cryptorchidism ; Female ; Gyeongsangbuk-do ; Humans ; Hypospadias ; Inpatients ; Insurance ; Male ; Nephrectomy ; Orchiopexy ; Urology*

A recent 10 year's clinical observation was made on pediatric patients who had been admitted to the department of urology, Kyungpook National University Hospital during the period from Jan. 1. 1973, to Dec. 31. 1982. The results Were as follows: 1. Of 2,252 total urologic inpatients, 301 cases were pediatric urologic inpatients giving a rate of 13.4%. 2. Annual distribution revealed the tendency that the pediatric urologic patients had been increased yearly and especially after the popularization of medical insurance. 3. The proportion of male to female was 5.8: 1. The school aged children (6 to 12 years of age) were most frequently seen and giving a rate of 40.9% of pediatric inpatients. 4. The most common disease group was genitourinary anomaly as 129 Cases and followed by injury 58 cases, hydrocele .42 cases, tumor 27 cases. The most common disease was cryptorchism as 65 cases and followed by hydrocele 42 cases, hypospadias 37 cases. 5. Two hundred fifty four operations were performed in 242 of 301 pediatric inpatients. Orchiopexy was most frequently performed as 62 cases, hydrocelectomy 43 cases, urethroplasty 34 cases and nephrectomy 20-cases followed in order.
Child ; Cryptorchidism ; Female ; Gyeongsangbuk-do ; Humans ; Hypospadias ; Inpatients ; Insurance ; Male ; Nephrectomy ; Orchiopexy ; Urology*

The authors analyse the ultrasonographic findings of 10 cases of appendiceal mucocele retrospectively. In atotal of 10 cases, 6 cases showed only cystic masses with posterior reinforcement. The remaining 4 cases showedinternal echoes in the cystic masses. Differential diagnosis of mucocele from periappendiceal abscess is notpossible in ultrasound. The possibility of mucocele shold be considered if cystic mass in right lower quadrantabdomen is observed in ultrasound.
Abscess ; Diagnosis, Differential ; Mucocele ; Retrospective Studies ; Ultrasonography

Baker's cyst is commonly associated with intraarticular pathology such as degenerative arthritis. Few cases of neural compression by a Baker's cyst in the popliteal fossa have been reported with intraarticular pathology. We report a case of peroneal nerve compression by an atypical Baker's cyst in a child without intraarticular pathology. A 10-year-old boy had 6-month history of the left foot drop without a known trauma. There was no swelling or pain in the knee. The electrodiagnostic study demonstrated a profound lesion of the deep peroneal nerve and a mild denervation of the superfical peroneal nerve. Magnetic resonance images displayed an atypical Baker's cyst originating from the popliteal fossa and extending to the posterolateral side of the fibular head. Clinical and electrophysiological findings improved after aspiration of the cyst.
Child* ; Denervation ; Foot ; Head ; Humans ; Knee ; Male ; Osteoarthritis ; Pathology ; Peroneal Nerve* ; Popliteal Cyst*

Appendiceal intussusception is a very rare disease that is found in only 0.01% of patients who have undergone an appendectomy. Clinical symptoms vary but include acute appendicitis symptoms such as right lower quadrant abdominal pain or repetitive right lower quadrant crampy pain. Some patients are asymptomatic. Operative treatment is necessary to reduce an appendiceal intussusception in adults, but there is a debate about how to perform the reduction. Successful colonoscopic reductions have been recently reported for some cases. We report a case of appendiceal intussusception that was diagnosed, reduced by colonoscopy, and histologically confirmed as a mucinous cystadenoma after the operation.
Abdominal Pain ; Adult ; Appendectomy ; Appendicitis ; Colonoscopy ; Cystadenoma, Mucinous ; Humans ; Intussusception ; Mucocele ; Rare Diseases

BACKGROUND: In postmenopausal women, progestogen should be added to protect the endometrium from hyperplasia or carcinoma induced by the unopposed estrogen. However, the effects of progestogen on bone mineral densities and serum lipodproteins have not been precisely evaluated in Korean postmenopausal women. METHODS: To evaluate the effects of progestogen on bane mineral densities and serum lipoprotein in estrogen rephcement therapy, we canducted a 2-year trial of long conjugated equine estrogen(conjugated estrogen 0.625mg/day) with or without cyclic progestogen(MPA 5mg/day for 12 days) in 120 postmenopausal women. In all subjects, bone mineral density was measured in lumbar vertebra(L2-L4) and femur neck using dual energy X-ray absorptiometry(DEXA) and serum lipoprotein was measured from the beginning of the treatment, 12 manths, and 24 manths later, respectively. RESULTS: BMD of femur neck in both groups increased but not significantly compared to basal level at 12 months and/or 24 months of treatment. As for BMD of lumbar spine, it increased significantly in both groups. Both groups showed a significant decrease in the levels LDL cholesterol, but there was no statistical significance in serum triglycerids. Conjugated estrogen plus MPA group in constrast to conjugated estrogen only group showed a significant decrease in total cholesterol levels. CONCLUSIONS: These results suggest that the addition of MPA of the daily of 5mg for 12 days cyclically in estrogen replacement treatment appear to be effective in postmenopausal women with protection on bone mineral density and maintenance of long-term favorable effects on serum lipoprotein.
Bone Density* ; Cholesterol ; Cholesterol, LDL ; Endometrium ; Estrogen Replacement Therapy* ; Estrogens* ; Female ; Femur Neck ; Humans ; Hyperplasia ; Lipid Metabolism* ; Lipoproteins ; Postmenopause ; Spine

OBJECTIVE:The purpose of this study was to determine the factors associated with successful vaginal birth after cesarean section (VBAC), and to analyze the causes of failed VBAC. METHODS:This study was performed based on 193 pregnant women who tried vaginal delivery after cesarean section in Chungbuk National University Hospital from January 1997 to December 2005. Maternal age, gestational age, cervical dilatation at admisson, maternal body mass index (BMI), neonatal bodyweight, history of prior vaginal delivery, and indication of prior cesarean section were retrospectively analyzed between the successful group and the failed group of women who tried labor. The causes of the failed trial were analyzed. RESULTS:Seventy nine percent (153/193) was successful in the trial of VBAC and 21% (40/193) failed. There were no difference in maternal age or gestational age between two groups. The success rate was significantly higher when cervical dilatation at admission was more extended, BMI of pregnant women before pregnancy and birth was lower, and birthweight of newborn was lower. Maternal request was the major cause of failure (47.5%), and others were failure to progress, non-reassuring fetal monitoring and failed induction. CONCLUSION:The factors that had significant differences in this study can be used as predictor of successful VBAC. And failed trial of VBAC due to maternal request can be decreased by adequate explanation regarding the complication of emergency operation, and enough pain control during labor.
Body Mass Index ; Cesarean Section ; Chungcheongbuk-do ; Emergencies ; Female ; Fetal Monitoring ; Gestational Age ; Humans ; Infant, Newborn ; Labor Stage, First ; Maternal Age ; Parturition ; Pregnancy ; Pregnant Women ; Retrospective Studies ; Vaginal Birth after Cesarean*

Remnant gastric cancer is defined broadly as cancer that develops in the remnant stomach after the resection of nonmalignant or malignant lesions. Generally speaking, remnant gastric cancer is defined as its interval between previous gastrectomy and the detection of remnant gastric cancer must be over 10 years in the previous malignant or nonmalignant lesions. From Aug. 1988 to Dec. 1995, fifteen patients who were operated as remnant gastric cancer (broad definition) in Hanyang Universty Hospital was reviewed as follows. Sex distribution was 12 cases in male and 3 cases in female. Peak incidence of age was 5th and 6th decades.The T.N.M. staging was at first operation: benign disease in 6 cases, stage I in 4 cases, stage IIIa in 1 case, stage IIIb in 2 cases and unknown stage in 2 cases, and at 2nd operation; stage I in 3 cases,stage II in 1 case, stage IIIa in 2 cases, stage IIIb in 5 cases, stage IV in 4 cases. The interval between first and second operation was as follows : less than 5 years in 4 cases, 5 to 10 years in 2 cases, 10 to 15 years in 3 cases, and over 20 years in 6 cases. The procedure at first operation was Billroth II procedure, and the procedure at 2nd operation was as follows: total gastrectomy with Roux-en-Y esophagojejunostomy in 12 cases,total gastrectomy with loop esophagojejunostomy in 2 cases,dismentling partial gastrectomy with Roux-en-Y gastrojejunostomy in 1 case. In our opinion,early diagnosis of remnant carcinoma following gastric surgery by the endoscopic follow up and aggresive surgery are important to improve disease free interval and patient survival.
Diagnosis ; Female ; Follow-Up Studies ; Gastrectomy ; Gastric Bypass ; Gastric Stump ; Gastroenterostomy ; Humans ; Incidence ; Male ; Sex Distribution ; Stomach Neoplasms*