Between Aug. 1982 and Aug. 1983, computed tomographies of 52 patients with low back pain or low back pain with sciatica were performed at the Department of Orthopaedic Surgery, Korea University Medical College Hospital. All scans for patients were done on the Siemens Somatom II in the supine position. The auther studied level of hemiated disc, the measurement of herniation of the nucleus pulposus and buldging of the annulus fibrous in the midsagittal line. The results obtained are as follows: 1. Of all 52 patients with low back pain, 34 patients(65.4%) are interpreted as revealing herniated nucleus pulposus or buldging of the annulus, and the others demonstrated the different abnormality of lumbar spine. 2. Among 34'patients with buldging or herniated nucleus pulposus, 16 cases are noted at L4-L5, 12 at L5-S1, 6 at L4-L5 and L5-S1, respectively. 3. Mean size of herniated nucleus pulposus or buldging annulus in patients diagnosed as HNP are 1.04±0. 600 mm at L3-L4, 2.83±1.345 mm at L4-L5, 2.32±1.207 mm at L5±S1 and in patients diagnosed as other different diseases are 0.98±0.668 mm at L4-L5 1 .04+ 0.689 mm at L4-L5,1.03±0.489 mm at L5-S1.
Humans ; Korea ; Low Back Pain ; Sciatica ; Spine ; Supine Position

No abstract available.
Humans ; Laparotomy* ; Nephrectomy* ; Tissue Donors*

No abstract available.
Laparotomy* ; Nephrectomy*

No abstract available.
Child* ; Humans ; Humerus*

Focal aneurysmal change after spontaneous superior mesenteric artery (SMA) dissection has been reported rarely. A stent graft implantation can exclude false lumen and possibly make major abdominal operation avoidable. A 52-year-old male patient was admitted due to abdominal pain for 10 days. A CT scan showed severe narrowing of the true lumen of SMA, approximately a 7 cm segment from the origin, due to compression by the thrombosed false lumen. Five days after admission, abdominal pain aggravated progressively. The follow-up CT revealed focal aneurysmal dilatation of the dissected SMA segment. I report here an endovascular treatment with stent graft implantation for a focal aneurysmal change after SMA dissection.
Abdominal Pain ; Aneurysm ; Dilatation ; Follow-Up Studies ; Humans ; Male ; Mesenteric Artery, Superior ; Middle Aged ; Polyenes ; Stents ; Transplants

No abstract available.

BACKGROUND: Photodynamic therapy(PDT) is a type of photochemotherapy that is designed to kill targeted tumor cells. OBJECTIVE: The Clinical effects of PDT were analysed for response rates, post-treatment healing and adverse effects on several cutaneous carcinoma in situ. METHOD: PDT with topical 5-aminolevulinic acid-based irradiation of corresponding 630+5nm light was performed in 6 carcinoma in situ patients who had actinic keratosis, Bowen' disease or cutaneous squamous cell carcinoma. RESULT: In all patients the clinical results were exellent with respect to initial complete responses and cosmetic outcome. CONCLUSION: PDT might be chosen as a first line treament for cutaneous carcimoma in situ.
Carcinoma in Situ* ; Carcinoma, Squamous Cell ; Humans ; Keratosis, Actinic ; Photochemotherapy* ; Skin*

Minimally invasive surgery has gained wide acceptance as a method of reducing postoperative pain and curtailing the convalescence period. We have devised a modified surgical technique of laparoscopy-assisted surgery through minilaparotomy. It is a hybridized form of conventional open and laparoscopic surgery and it combines the benefits of both techniques by reducing postoperative pain and scarring as in laparoscopy, but at the same time maintaining the safety of conventional open surgery. From January 1992 to September 1999, we performed laparoscopy-assisted surgery through minilaparotomy in 167 patients. The operative time for laparoscopy-assisted surgery through minilaparotomy ranged from 79 to 290 minutes (mean 125). There was no conversion to open surgery, no peri- or postoperative complications, and only 3 patients needed a blood transfusion at any stage. Pain was significant on the first day but resolved quickly. All patients resumed consistent oral intake on the second day. All patients commenced ambulation by the second postoperative day and were able to resume full ambulatory activity by the fourth postoperative day. The final would size did not exceed 10 cm in size and all patients expressed satisfaction with their wounds. In conclusion, we believe that laparoscopy-assisted minilaparotomy surgery is a truly minimally invasive technique maintaining the advantages of conventional surgery. Our method could become a first-line approach for simple nephrectomy, living donor nephrectomy and radical nephrectomy, as well as surgery for kidney and ureter stones.
Adolescence ; Adult ; Aged ; Child ; Human ; Kidney/surgery* ; Laparoscopy* ; Laparotomy* ; Middle Age ; Nephrectomy ; Ureter/surgery*

Fordyce's disease is a condition known as ectopically located sebaceous glands on the vermilion borders of the lips and oral mucosa. Clinically, it is groups of minute, yellowish, globoid macules and papules. Histologically, it is characterized by sebaceous glands not associated with hair follicles. We report on a 40-year-old man with Fordyce's disease showing particularly wide distribution on the buccal mucosa and upper lip.
Adult ; Hair Follicle ; Humans ; Lip ; Mouth Mucosa ; Sebaceous Glands

Trichilemmal horn(trichilemmal keratosis) is a rare keratinizing tumor that resembles a cutaneous horn. Histologically, it is characterized by an abrupt maturation of keratinocytes into lamellar keratin without the formation of a granular layer. We describe a case of a trichilemmal horn on the right cheek of a 78-year-old woman.
Aged ; Animals ; Cheek ; Female ; Horns* ; Humans ; Keratinocytes