1.20 Years-experience of 1000 Consecutive Vasoyasostomy.
Korean Journal of Fertility and Sterility 1998;25(2):189-198
Since the male sterilization (vasectomy) has been performed on a large scale as an accepted family planning in Korea on 1980s and this, in turn, has been followed by an increase in the number of patients requesting vasovasostomy. We studies 1000 consecutive cases of vasovasostomy performed from January 1975 to July 1995 in Pusan National University Hospital. In this report, we are going to present serial studies of vasovasostomy through which we attempted to find out what factors are of impotence in influencing the successful outcome of vasovasostomy operation. We inquired the operative results data through the questionnaire and telephone interview with survey of medical records. A total of 259 cases was excluded due to the loss of follow-up. The overall patency and pregnancy rates of 741 cases were 86.9% and 51.1%, respectively. The age of man at the time of anastomosis ranged from 23 to 57 years old with an average of 34.9. The most frequent reason for requesting vasovasostomy was the desire to have more children (43.4%). The average obstructive interval was 60.6 months with range from 1 to 264 months. If the obstructive interval had been less than S years patency rate was 92.4% and pregnancy rate 64.8%, but 6 years or more 84.1% and 48.5% p<0.01, p<0.01). Patency and pregnancy rates according to intraoperative vas fluid were 93.1% and 62.8% for presence and 83.7% and 53.1% for absence p<0.01, p<0.05). Patency and pregnancy rates according to histologically proven sperm granuloma at vasectomy site were 87.7% and 49.2% for presence and 86.9% and 50.6% for absence (p>0.05, p<0.05). Patency and pregnancy rates were not significantly different between microscopic standard vasovasostomy (88.4%, 64.3%) and modified vasovasostomy (89.5%, 56.3%)(p>0.05, p>0.05). Both patency and pregnancy rates according to level of anastomosis were 89.8% and 59.8% in cases of straight vas and 91.5%, 60.1% in cases of convoluted vats (p>0.05, p>0.05). Patency and pregnancy rates according to the kind of suture materials were 91.5% and 56.2% for absorbable, 91.0% and 64.2% for non-absorbable and 93.3% and 53.3% for absorbable plus non-absorbable, respectively 0>0.05, p<0.05). Thus it is suggested that the important factor influencing the success rate of vasovasostomy is the interval of obstruction and nasal ooze with surgical skills.
Busan
;
Child
;
Erectile Dysfunction
;
Family Planning Services
;
Follow-Up Studies
;
Granuloma
;
Humans
;
Interviews as Topic
;
Korea
;
Male
;
Medical Records
;
Middle Aged
;
Pregnancy Rate
;
Spermatozoa
;
Sterilization, Reproductive
;
Sutures
;
Thoracic Surgery, Video-Assisted
;
Vasectomy
;
Vasovasostomy
;
Surveys and Questionnaires
2.The Clinical Studies on Congestive Heart Failure.
Korean Circulation Journal 1979;9(2):99-108
The author analyzed 231 patients of congestive heart failure which was confirmed by the clinical symptoms and the laboratory findings among the patients admitted to Ewha Womans University Hospital between the begining of 1974 and the end of 1978. The result were as follow; 1. In sex distribution, the female was predominant. Male to female ratio is 1:2.45. The most common incidence by age group was sixth decade. 2. Regarding the underlying disease, there were hypertensive heart disease(27.3%), post-partum heart disease(19.5%), rheumatic heart disease(16.0%) and arteriosclerotic heart disease(15.6%) in order. 3. The precipitating factors were observed in 77.5% of total cases and the order of frequency was pregnancy and delivery(26.4%), infection(19.1%), arrhythmia(12.6%) and physical exertion(12.1%). 4. On admission, patients usually complained of dyspnea, cough, right upper quadrant pain and the physical examination revealed moist rales, hepatomegaly etc. 5. The laboratory findings were anemia(19.0%), increased E.S.R.(33.8%) and leukocytosis (34.2%). 6. The blood chemistry showed increased level of creatinine(24.5%), S.G.O.T. (20.9%), B.U.N.(20.0%) and decreased albumin(15.5%), increased S.G.P.T.(15.0%) in order. 7. The X-ray films of chest on admission revealed increased vascular marking and pulmonary congestion(85.7%), cardiomegaly(80.0%) and pleural effusion(21.4) etc. 8. The E.C.G. findings showed(205 cases among 231 cases) LVH 56.6%, atrial fibrillation 26.3% etc. 9. The echocardiography perfomed in 59 cases among 231 cases gave valvular heart disease (28.9%), atrial fibrillation (11.9%) arteriosclerotic heart disease(8.5%), ventricular hypertrophy (6.8%) and atrial enlargement(5.1%) in order of frequency.
Atrial Fibrillation
;
Chemistry
;
Cough
;
Dyspnea
;
Echocardiography
;
Estrogens, Conjugated (USP)*
;
Female
;
Heart
;
Heart Failure*
;
Heart Valve Diseases
;
Hepatomegaly
;
Humans
;
Hypertrophy
;
Incidence
;
Leukocytosis
;
Male
;
Physical Examination
;
Precipitating Factors
;
Pregnancy
;
Respiratory Sounds
;
Sex Distribution
;
Thorax
;
X-Ray Film
3.The Clinical Studies on Congestive Heart Failure.
Korean Circulation Journal 1979;9(2):99-108
The author analyzed 231 patients of congestive heart failure which was confirmed by the clinical symptoms and the laboratory findings among the patients admitted to Ewha Womans University Hospital between the begining of 1974 and the end of 1978. The result were as follow; 1. In sex distribution, the female was predominant. Male to female ratio is 1:2.45. The most common incidence by age group was sixth decade. 2. Regarding the underlying disease, there were hypertensive heart disease(27.3%), post-partum heart disease(19.5%), rheumatic heart disease(16.0%) and arteriosclerotic heart disease(15.6%) in order. 3. The precipitating factors were observed in 77.5% of total cases and the order of frequency was pregnancy and delivery(26.4%), infection(19.1%), arrhythmia(12.6%) and physical exertion(12.1%). 4. On admission, patients usually complained of dyspnea, cough, right upper quadrant pain and the physical examination revealed moist rales, hepatomegaly etc. 5. The laboratory findings were anemia(19.0%), increased E.S.R.(33.8%) and leukocytosis (34.2%). 6. The blood chemistry showed increased level of creatinine(24.5%), S.G.O.T. (20.9%), B.U.N.(20.0%) and decreased albumin(15.5%), increased S.G.P.T.(15.0%) in order. 7. The X-ray films of chest on admission revealed increased vascular marking and pulmonary congestion(85.7%), cardiomegaly(80.0%) and pleural effusion(21.4) etc. 8. The E.C.G. findings showed(205 cases among 231 cases) LVH 56.6%, atrial fibrillation 26.3% etc. 9. The echocardiography perfomed in 59 cases among 231 cases gave valvular heart disease (28.9%), atrial fibrillation (11.9%) arteriosclerotic heart disease(8.5%), ventricular hypertrophy (6.8%) and atrial enlargement(5.1%) in order of frequency.
Atrial Fibrillation
;
Chemistry
;
Cough
;
Dyspnea
;
Echocardiography
;
Estrogens, Conjugated (USP)*
;
Female
;
Heart
;
Heart Failure*
;
Heart Valve Diseases
;
Hepatomegaly
;
Humans
;
Hypertrophy
;
Incidence
;
Leukocytosis
;
Male
;
Physical Examination
;
Precipitating Factors
;
Pregnancy
;
Respiratory Sounds
;
Sex Distribution
;
Thorax
;
X-Ray Film
4.Wernicke's Encephalopathy evoked by Hyperemesis Gravidarum and Hyperthyroidism.
Seung Jin LEE ; Kyung Jae NAM ; Kyung Ho LIM
Journal of Korean Society of Endocrinology 1998;13(3):489-494
Wernickes encephalopathy is an illness characterized by mental disturbance, paralysis of eye movements and ataxia of gait. The specific factor for most, if not all, of these symptoms is a deficiency of thiamine. Wemicke's encephalopathy mostly occurs in developing countries when the patient is in a state such as nutritionally deprived state, anorexia nervosa, stomach cancer, long duration of parenteral nutrition. Wernickes encephalopathy was recognized as a complication of hyperemesis of pregnancy in 1914. Unfortunately, cases continue to occur. We present here a case of Wernickes encephalopathy in a 36-year-old pregnant woman. We discuss the clinical picture, histopathology, radiology, therapeutic management and prognosis with review of the literature.
Adult
;
Anorexia Nervosa
;
Developing Countries
;
Eye Movements
;
Female
;
Gait Ataxia
;
Humans
;
Hyperemesis Gravidarum*
;
Hyperthyroidism*
;
Paralysis
;
Parenteral Nutrition
;
Pregnancy
;
Pregnant Women
;
Prognosis
;
Radiation Oncology
;
Stomach Neoplasms
;
Thiamine
;
Wernicke Encephalopathy*
5.Radiologic Findings in Cases Involving Complications Arising from Total Knee Arthroplasty.
Deok Ho NAM ; Kyung Nam RYU ; Dae Kyung BAE
Journal of the Korean Radiological Society 1999;41(3):585-592
Total knee arthroplasty(TKA) has been used for the treatment of knee joint pain, deformity, and instability caused by osteoarthritis, rheumatoid arthritis, or tuberculous arthritis, and by virtue of good results and rapid development, the procedure has been increasingly employed. With the development of total knee prosthesis, complications have also increased, however, and due to complications occurring up to six years after surgery, fusion occurs in about 2% of all replaced knees. The most common complication of TKA is loosening, followed by infection. Others are thrombosis, subluxation, dislocation and fracture, and complications may be divided into four groups: biologic, technical, specific to type of components, and associated with certain diagnosis. Where these complications occur, a patient must undergo a second procedure, but the success rate is lower than for the initial procedure. Exact etiological evaluation important clinically and radiologically. We illustrate the etiologies and radiologic characteristics of TKA complications according to classification.
Arthritis
;
Arthritis, Rheumatoid
;
Arthroplasty*
;
Classification
;
Congenital Abnormalities
;
Diagnosis
;
Dislocations
;
Humans
;
Knee Joint
;
Knee Prosthesis
;
Knee*
;
Osteoarthritis
;
Thrombosis
;
Virtues
6.An Experimental Study on the Radiation-induced Injury of the Rabbit Lung: Correlation of Soft-tissue Radiograph and High-Resolution CT Findings with Pathologic Findings.
Ki Nam LEE ; Byeong Ho PARK ; Kyung Jin NAM ; Jin Sook JEONG ; Hyung Sik LEE
Journal of the Korean Radiological Society 1994;31(4):657-666
PURPOSE: To describe soft-tissue radiographic and high-resolution CT findings of radiation-induced lung injury of rabbit over time and to correlate them with pathologic findings. MATERIALS AND METHODS: 15 rabbits were irradiated in the right lung with one fraction of 2000 cGy. After 4, 6, 12, 20, 24 weeks, 3 rabbits in each group were sacrificed and soft-tissue radiographs and high-resolution CT of their lung tissue were obtained. Radiological findings were correlated with pathologic findings. RESULTS: On soft- tissue radiogram, radiation pneumonitis shown as consolidation with air-bronchogram occurred in 3 cases after 6 weeks, and in 1 case after 12 weeks of irradiation. In addition, pneumonic consolidation with adjacent pleural contraction was seen in 2 cases after 12 weeks of irradiation. Fibrotic changes indicated by decreased volume occurred after 20 weeks and combined bronchiectatic change and bronchial wall thickening appeared after 20 weeks(N=1), and 24 weeks(N=3). HRCT findings of radiation pneumonitis were homogeneous, increased attenuation after 4 weeks(N=3), 6 and 12 weeks (each N=I), patchy consolidation after 6 and 12 weeks(each N=2), discrete consolidation after 12, 20 and 24 weeks(each N=I) and solid consolidation after 20 and 24 weeks(each N=2). Pathologically radiation pneumonitis and pulmonary congestion were seen after 4 and 6 weeks. After 6 weeks, collagen and reticulin fibers were detected along alveolar wall. Mixed radiation pneumonitis and fibrosis were detected after 12 weeks. 20 weeks after irradiation, fibrosis was well defined in interstitium and in 24 weeks, decreased number of alveoli and thickening of bronchial wall were defined. CONCLUSION: Radiation pneumonitis was provoked 4 weeks after irradiation on rabbit lung and progressed into radiation fibrosis 20 weeks after irradiation on soft-tissue radiographs and high-resolution CT. High-resolution CT is more precise in detecting early radiation pneumonitis and detailed pathologic findings.
Collagen
;
Estrogens, Conjugated (USP)
;
Fibrosis
;
Lung Injury
;
Lung*
;
Rabbits
;
Radiation Pneumonitis
;
Reticulin
7.Four cases of edward syndrome with abnomal prenatal ultrasonographic findings.
Nam Gyu CHO ; Kyung Ik KWON ; Dong Ho NAM ; Chun Gun LIM ; Ho Chung RYU ; Jong In KIM ; Taek Hoon KIM
Korean Journal of Perinatology 1993;4(4):599-609
No abstract available.
8.Micturition syncope.
Nam Ho KIM ; Kyung Ho YUN ; Nam Jin YOO ; Eun Mi LEE ; Seok Kyu OH ; Jin Won JEONG
Korean Journal of Medicine 2004;66(3):331-332
No abstract available.
Syncope*
;
Urination*
9.Temporary Complication of Gentian Violet in LASIK.
Journal of the Korean Ophthalmological Society 2003;44(1):220-224
PURPOSE: To report four cases in which temporary complication developed after using Gentian Violet as a marker in LASIK procedure. METHODS: Four cases who had undergone LASIK using Gentian Violet (Viscot Surgical Marker, U.S.A.) as a marker were followed. During follow up, corneal edema and opacity developed in landmark area which appeared as a hot spot in topography. Topical Corticosteroids and antibiotics applied for 3 weeks. RESULTS: At 3 month after LASIK, the corneal opacity and edema were disappeared. CONCLUSIONS: Temporary complication may develop by gentian violet following LASIK procedure. When using highly concentrated gentian violet marking pen, great attention should be paid not to make any corneal erosion.
Adrenal Cortex Hormones
;
Anti-Bacterial Agents
;
Corneal Edema
;
Corneal Opacity
;
Edema
;
Follow-Up Studies
;
Gentian Violet*
;
Gentiana*
;
Keratomileusis, Laser In Situ*
10.The Results in LASIK According to The Use of The Fixation Ring and The Accuracy of The Focusing Beam.
Journal of the Korean Ophthalmological Society 2003;44(3):588-593
PURPOSE: In order to know the effects of inaccurate laser shot of vertical or horizontal direction, we evaluated the clinical results of LASIK according to the use of fixation ring and the accuracy of the focusing beam on the corneal stromal bed. METHODS: LASIK was performed in 73 eyes with one surgeon between April, 2001 and January, 2002 were divided into two groups: those who exceeded -6.00D were high myopia group (37 eyes), and those who did not were low myopia group (36 eyes). We retrospectively analyzed the results of the LASIK in two methods, the one is the evaluation of the vertical directional error with the accuracy of the focusing beam and the other is the horizontal error with the use of fixation ring. We measured the preoperative and postoperative uncorrected visual acuity, spherical equivalent, and the postoperative predictability. RESULTS: There was no significant statistical difference in the spherical equivalent, uncorrected visual acuity, postoperative predictability between the use and nonuse of fixation ring and good and bad accuracy of focusing beam in high myopia and low myopia (P>0.05). CONCLUSIONS: These results suggest that a little difference in the accuracy of focusing beam on the corneal stromal bed and the use of fixation ring would not affect the clinical result after LASIK.
Keratomileusis, Laser In Situ*
;
Morinda
;
Myopia
;
Retrospective Studies
;
Visual Acuity