Haglunds deformity is a prominence at posterosuperior portion of the calcaneus. Extrinsic irritation on this prominence can give rise to retrocalcaneal bursitis or Achilles tendinitis. Partial resection of the posterosuperior aspect of the calcaneus was performed on 7 heels with Haglunds disease. All patients were reviewed both by radiographic examination and by questionnaire after an average 14.5 months. All but one patient showed an excellent result in a view point of pain relief. The average passive dorsiflexion angle of the ankle was improved from 5 to 25 degree, postoperatively. There was no complication such as recurrence, wound problem or paresthesia.
Ankle ; Bursitis ; Calcaneus ; Congenital Abnormalities ; Heel ; Humans ; Paresthesia ; Surveys and Questionnaires ; Recurrence ; Tendinopathy ; Wounds and Injuries

No abstract available.

PURPOSE: To evaluate the feasibility of a currently available robotic surgical system in performing various general surgical laparoscopic procedures in an acute porcine model. METHODS: Telepresence robotic laparoscopic surgeries, comprising cholecystectomy, Nissen-fundoplication, choledochocholedochostomy and gastrojejunostomy were performed in 5 swine models for 3 consecutive days by the same surgeon who is experienced in advanced conventional laparoscopic surgery. Data were collected from the da VinciTM Robotic System. RESULTS: Mean operative times were 24.4+/-10.6 minutes for cholecystectomy (N=5) 41.2+/-5.5 for Nissen fundoplication (N=5) 51+/-5.6 for choledochocholedochostomy (N=5), and 53.3+/-7.6 for gastrojejunostomy (N=3) but there were 2 cases of failure in the latter. In the case of choledochocholedochostomy, operative time was reduced from 76 minutes in the first case to 42 minutes in the last. Intra- operative blood loss was minimal and there was no intra- operative complication related with malfunction of robotic system. CONCLUSION: Robotic laparoscopic procedures can be performed effectively using the da VinciTM System. In this limited study, the learning curve and operative times were shorter with the da VinciTM System, and the intraoperative technical movements appeared inherently more intuitive. Additional chronic study comparing conventional laparoscopic with robotic surgery is mandatory.
Cholecystectomy ; Fundoplication ; Gastric Bypass ; Laparoscopy* ; Learning Curve ; Operative Time ; Pilot Projects* ; Swine

PURPOSE: The penis has been attracted to everyone associated with various diseases and sexual activity. Lots of materials and instruments has been applied to the penis for sexual arousal. Furthermore, those ar e usually made and applied in inappropriate ways by non-medical personnel. This resulted in lots of complications in various degrees. So, we investigated the real problems concerning various procedures performed on the genitalia by non-medical personnel. MATERIALS AND METHODS: We reviewed retrospectively medical records of 32 male and one female patients having complications which had been developed following some procedures on the genitalia by non-medical personnel from January 1995 to December 1999. These patients were analyzed according to characteristics of the patients, the methods, purposes, complications and treatments. RESULTS: Their age at first visit was various from 12 years to 70 years (mean, 35.8 years). At that time when procedures had been performed, their age were 12 years to 56 yeats (mean, 30.8 years) in 26 cases whose ages were identified. Among them 22cases (66.7%) were the married and 11 (33.3%) were the unmarried. Occupations were various and out-of-work were 10 (30.4%), commerce 8 (24.2%), firm worker 6(18.2%), student 5 (15.2%), and private job manager and the not-identified 2 (6.1%). according to the school career, the high school graduates were 18 (54.6%), the college graduates 7 (21.2%), middle school graduates 4 (12.1%), and 4 were under middle school. These procedures were performed for sexual satisfaction in 29 cases (87.9%) and for cheap and easy circumcision in 4 cases (12.1%), of which 26 cases (78.8%) had been performed by other person and 7 cases (21.2%) by himself. According to the materials used, 22 (66.7%) cases had been injected vaseline or paraffin in to the penis and one (3.0%) into the vulva, and one (3.0%) plicated his penile skin with rubber band using sewing needle, which 24 cases (72.7%) were for enlargement of the genitalia. 2 (6.0%) cases inserted plastic balls into the penile skin for sexual arousal of partner. 3 (9.1%) cases put a metallic ring, a ceramic ring, and a vacuum device over their penis for improving erection quality, respectively. 4(12.1%) cases had applied the commercially-maid self-circumcision devices over their prepuce, Complications were foreign body sensation, pain at erection, inflammation, skin necrosis, and septic condition, which were variable case by case. Treatments were removal of foreign materials and devices, necrotic tissue, and primary repair of defected skin, for that, in 2 (6.0%) cases, skin flap and graft were needed. CONCLUSIONS: Lots of complications, severe in some cases, had been developed on external genitalia following various procedures performed by medically unauthorized person. So, we have to strongly for their purpose and it would be rather harmful. At the same time, we have to strongly recommend the government to control strictly such materials and instruments not to be sold and used inappropriately.
Arousal ; Ceramics ; Circumcision, Male ; Commerce ; Female ; Foreign Bodies ; Genitalia ; Humans ; Inflammation ; Male ; Medical Records ; Necrosis ; Needles ; Occupations ; Paraffin ; Penis ; Petrolatum ; Plastics ; Retrospective Studies ; Rubber ; Sensation ; Sexual Behavior ; Single Person ; Skin ; Transplants ; Vacuum ; Vulva

No abstract available.
Breast Neoplasms* ; Breast*

No abstract available.
Pneumonia*

A 36-year old Korean woman consulted a clinic for a regular gynecological examination, and a mass was noticed in her pelvis. She was referred to the Asan Medical Center, Seoul where transvaginal ultrasonography confirmed a pelvic mass exceeding 10 cm in diameter. She received total abdominal hysterectomy and bilateral salpingoophorectomy, and a borderline serous neoplasm with micropapillary features involving the left ovary and right ovarian serosa was histopathologically confirmed. In addition, a section of a nematode with numerous eggs was found in the parenchyma of the left ovary. The worm had degenerated but the eggs were well-preserved and were identified as those of Enterobius vermicularis. She is an incidentally recognized case of ovarian enterobiasis.
Adult ; Animals ; Enterobiasis/diagnosis/*parasitology/pathology ; Enterobius/isolation & purification ; Female ; Human ; Korea ; Ovarian Diseases/diagnosis/*parasitology/pathology ; Ovary/parasitology ; Parasite Egg Count

No abstract available.
Female ; Pregnancy ; Pregnancy, Ectopic*

Sparganum infestation of the human body was reported over 120 cases and of the urogenital region was reported over 30 cases in korean literatures since 1924. But, infestation of the penis was reported two cases. We experienced a case of sparganosis in the penile shaft and reporte this case with the review of literature of sparganosis of the genitourinary region.
Human Body ; Male ; Penis* ; Sparganosis* ; Sparganum

No abstract available.
Diagnosis* ; Female ; Humans ; Ovarian Neoplasms*