The authors performed microsurgical reconstruction by free cutaneous or myocutaneous flaps transfer in 104 cases, who were sustained of extensive soft tissue injuries on their extremities by accident. These 104 cases were operated in 6 years from 1980 to 1986 and were consisted of 47 cases of latissimus dorsimyocutaneous free flaps, 36 cases of scapular free flaps, 18 cases of dorsalis pedis sensible free flaps, and 3 cases of groin flaps. Most of them were males(80 cases) and were in third decade(28 cases). The youngest case was 2-year-old baby and the oldest one was 76-year-old woman. The traffic accident was the most frequent cause of injuries(55 cases), and the others were burn, industrial injuries, and cultivator accidents. Most of the microsurgical reconstruction were performed in lower extremity injuries(81 cases), especially below the ankle joints(65 cases). The average dimension(width and length) of free flaps were 7.3×14.3cm in latissimus dorsi free flaps, 5.6×8.2cm in scapular free flaps, and 4.5×5.9cm in dorsalis pedis free flaps. The dorsalis pedis free flaps were successful in 100%, the scapular free flaps were in 83.3%, the latissimus dorsi myocutaneous free flaps were in 89.4%, and the groin free flaps were in 33.3%, And the overall viability of 104 free flaps was 87.5%.
Accidents, Traffic ; Aged ; Ankle ; Burns ; Child, Preschool ; Extremities ; Female ; Free Tissue Flaps ; Groin ; Humans ; Lower Extremity ; Myocutaneous Flap ; Soft Tissue Injuries ; Superficial Back Muscles

No abstract available in English.
Knee Prosthesis ; Knee

No abstract available.
Humans* ; Knee* ; Ligaments* ; Microvessels*

No abstract available.
Darier Disease*

With the increase of motor accident, the rate of popliteal artery injury is increased, As the injuries are critical, early diagnosis and prompt treatment can save the limb. 27 cases of popliteal artery injury patients were reviewed and the result was as follows ; l. Amputation rate was 11%, as 3 out of 27 cases failed. There was no correlation between ischemic time and the rate of amputation. 2. Complete resection of all injured portion of vessel and reconstruction of patency through interposed saphenous vein graft was often indicated to avoid tension at the anastomosis site. 3. The rate of fasciotomy was positively correlated with the ischemic time. 4. Medial approach is preferred to posterior approach, since it makes proximal extension of exploration possible, and decrease the incidence of joint contracture. 5. Complications noted are wound infection, systemic sepsis and venous stasis, but they could be treated with proper management. However, nerve deficit due to associated nerve injuries was resist to treatment.
Amputation ; Clinical Study ; Contracture ; Early Diagnosis ; Extremities ; Humans ; Incidence ; Joints ; Popliteal Artery ; Saphenous Vein ; Sepsis ; Transplants ; Wound Infection

With the increase of frequency and the recent development of surgical treatment in brachial plexus injury, the requirement for accurate assessment between supra and infraganglionic injury is increased. Cervical myelography has been the popular tool in evaluating the root lesion since the first introduction of Murphey et al. in 1947. However, the invasiveness of procedure has been the impediment to the common-use. But with the utilization of water-soluble contrast media, Metrizamide, such impediment can be alleviated. Author has performed myelography in 27 patients along with surgical exploration in 18 patients since 1984. And the results were as follows. 1. 85% of 27 patient revealed anomaly of root in myelography. 2. Traumatic menimgoceles were typical findings and most of them were located at C7 and C5. 3. Myelography reaveled 70%(28 root) of anomalies among 40 root lesions, confirmed by surgical explorations. 4. Myelography is considered to be very effective in evaluating supra and infraganglionic root lesions when its results is correlated with physical and other neurological examination.
Brachial Plexus ; Contrast Media ; Humans ; Metrizamide ; Myelography ; Neurologic Examination

Carcinoembryonic antigen (CEA) levels were measured in the serum of 35 normal control group and 200 urologic cases of tumor and non-tumor groups at the Department of Urology, National Medical Center during the period from November, 1981 to June, 1983. The following results were obtained: 1. Mean serum CEA level in normal control subjects was 3.2 +/- 2.4 ng/ml. 2. Incidence of positive results and mean serum CEA levels in each groups of disease were as follows: 15 of 30 cases (50%) and 30.0 ng/ml in tumor group, 9 of 30 cases (30.0%) and 9.6 ng/ml in benign prostatic hyperplasia, 13 of 55 cases (23.6%) and 7.4 ng/ml in calculous disease group, 5 of 30 cases (16.7%) and 12.8 ng/ml in infectious disease group, 3 of 26 cases ( 11.5%) and 4.6 ng/ml in congenital anomaly group, I of 14 cases (7.1%) and 4.1 ng/ml in injury group. 3. Incidence of positive results and mean serum CEA levels in each tumor were as follows: 9 of 14 cases (64.3%) and 44.6 ng/ml in bladder tumor, 3 of 3 cases (100%) and 33.7 ng/ml in prostate cancer, 1 of 4 cases (25%) and 8.0 ng/ml in renal cell carcinoma, 1 of 2 cases and 13.0 ng/ml in testis tumor, 1 of 1 case and 84.0 ng/ml in renal pelvis tumor. 4. Mostly the frequency of abnormal serum CEA values correlated with the grade and stage of bladder tumor. 5. The raised serum CEA levels declined to normal early in the postoperative period in the tumor and non-tumor groups if adequate surgery had been effected. 6. Due to low positive result in tumor group (50%) and relatively high positive results in non-tumor groups (20.5%), serum CEA values were of little value in the diagnosis of genitourinary tract tumor.
Carcinoembryonic Antigen ; Carcinoma, Renal Cell ; Communicable Diseases ; Diagnosis ; Incidence ; Kidney Pelvis ; Postoperative Period ; Prostatic Hyperplasia ; Prostatic Neoplasms ; Testis ; Urinary Bladder Neoplasms ; Urologic Diseases* ; Urology

Carcinoembryonic antigen (CEA) levels were measured in the serum of 35 normal control group and 200 urologic cases of tumor and non-tumor groups at the Department of Urology, National Medical Center during the period from November, 1981 to June, 1983. The following results were obtained: 1. Mean serum CEA level in normal control subjects was 3.2 +/- 2.4 ng/ml. 2. Incidence of positive results and mean serum CEA levels in each groups of disease were as follows: 15 of 30 cases (50%) and 30.0 ng/ml in tumor group, 9 of 30 cases (30.0%) and 9.6 ng/ml in benign prostatic hyperplasia, 13 of 55 cases (23.6%) and 7.4 ng/ml in calculous disease group, 5 of 30 cases (16.7%) and 12.8 ng/ml in infectious disease group, 3 of 26 cases ( 11.5%) and 4.6 ng/ml in congenital anomaly group, I of 14 cases (7.1%) and 4.1 ng/ml in injury group. 3. Incidence of positive results and mean serum CEA levels in each tumor were as follows: 9 of 14 cases (64.3%) and 44.6 ng/ml in bladder tumor, 3 of 3 cases (100%) and 33.7 ng/ml in prostate cancer, 1 of 4 cases (25%) and 8.0 ng/ml in renal cell carcinoma, 1 of 2 cases and 13.0 ng/ml in testis tumor, 1 of 1 case and 84.0 ng/ml in renal pelvis tumor. 4. Mostly the frequency of abnormal serum CEA values correlated with the grade and stage of bladder tumor. 5. The raised serum CEA levels declined to normal early in the postoperative period in the tumor and non-tumor groups if adequate surgery had been effected. 6. Due to low positive result in tumor group (50%) and relatively high positive results in non-tumor groups (20.5%), serum CEA values were of little value in the diagnosis of genitourinary tract tumor.
Carcinoembryonic Antigen ; Carcinoma, Renal Cell ; Communicable Diseases ; Diagnosis ; Incidence ; Kidney Pelvis ; Postoperative Period ; Prostatic Hyperplasia ; Prostatic Neoplasms ; Testis ; Urinary Bladder Neoplasms ; Urologic Diseases* ; Urology

In order to study the method of management of urethral injury, the clinical observation was made on 47 cases of traumatic urethral injury who were treated at the Department of Urology, National Medical Center, during the period from January, 1970 to December, 1982 . The following results were obtained: 1. Among the 157 cases of genitourinary tract injury during the same period, patients with urethral injury were 47 cases (30.6%) and most frequently involved age group was 20-39 years (51.2%). 2. The most common causes were straddle injury (55,3%) and next were traffic accident (32.0%). 3. The most common site of injury were bulbous urethra (26 cases) and complete rupture were more common than incomplete rupture. 4. Treatment method of urethral injury were primary realignment with interlocking sound (18 cases), excision and end to end anastomosis ( 15 cases), excision and anastomosis with skin graft (4 cases), excision and myocutaneous flap anastomosis (1 case), Badenoch urethroplasty (3 cases), Turner-Warwick skin inlay urethroplasty (1 case), suprapubic cystostomy only (6 cases). 5. The case with urethroplasty through transpubic route were 8 cases. 6. Overall success rate were seventy-five percent.
Accidents, Traffic ; Cystostomy ; Humans ; Inlays ; Myocutaneous Flap ; Rupture ; Skin ; Transplants ; Urethra ; Urology

No abstract available.
Meningioma* ; Paragonimiasis*