1.Appendiceal transection associated with seat belt restraint.
Seung Je GO ; Young Hoon SUL ; Jin Bong YE ; Joong Suck KIM
Annals of Surgical Treatment and Research 2016;91(2):93-95
The seat belt is designed for safety in a motor vehicle and should be worn to prevent severe injuries. But, the seat belt itself can be an injury factor in combination with deceleration forces applied to fixation points of mobile viscera. Here, we present a 23-year-man with traumatic transection of the appendix, highly mobile viscera, following seat belt injury.
Appendix
;
Deceleration
;
Motor Vehicles
;
Seat Belts*
;
Viscera
2.Pneumatic Colorectal Injury Caused by High Pressure Compressed Air
Jin Young LEE ; Young Hoon SUL ; Seung Je GO ; Jin Bong YE ; Jung Hee CHOI
Annals of Coloproctology 2019;35(6):357-360
The pneumatic colorectal injury caused by high pressure compressed air are rare and can be fatal. Herein, we present a case of 45-year-old male who developed sudden onset of severe abdominal pain after cleaning the dust on his pants with high pressure compressed air gun dust cleaner. Emergent exploratory laparotomy was done which findings are a huge rectal perforation with multiple serosal and subserosal tear in sigmoid to splenic flexure of colon. Anterior resection with left hemicolectomy, and temporary transverse colostomy was performed. Postoperative course was uneventful. Recently, prognosis is generally favorable because of prompt diagnosis and emergent surgical management.
Abdominal Pain
;
Colon
;
Colon, Sigmoid
;
Colon, Transverse
;
Colostomy
;
Compressed Air
;
Diagnosis
;
Dust
;
Humans
;
Laparotomy
;
Male
;
Middle Aged
;
Prognosis
;
Rectum
;
Tears
3.Adaptation of New Oral Anticoagulants for Warfarin Anticoagulated Patient with Traumatic Ongoing Hemorrhage.
Jin Bong YE ; Young Hoon SUL ; Jin Young LEE ; Seung Je GO ; Jung Hee CHOI
Journal of Acute Care Surgery 2018;8(1):33-37
The traditional drug for anticoagulation in those with a high risk of thrombosis is a vitamin K antagonist, such as warfarin. On the other hand, this drug has several limitations and hemorrhagic complications. Recently, novel or non-vitamin K-dependent antagonist oral anticoagulants (NOACs) have been developed to solve these problems. This paper presents a case of adaptation of NOAC for a warfarin anticoagulated patient with traumatic ongoing hemorrhages with a discussion of the clinical implications of NOAC.
Anticoagulants*
;
Hand
;
Hemorrhage*
;
Humans
;
Thrombosis
;
Vitamin K
;
Warfarin*
4.Surgical Outcome of Hepatic Resections for Hepatolithiasis.
Seung Je GO ; Min Koo LEE ; Joo Seung PARK ; Yoon Jung KANG ; Byung Sun CHO ; Chang Nam KIM ; Young Jin CHOI ; Hye Won PARK
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2007;11(4):28-33
PURPOSE: Hepatolithiasis results in septic cholangitis, biliary stricture, hepatic atrophy, hepatic abscess, irreversible liver cirrhosis, and cholangiocarcinoma. Hepatic resection for hepatolithiasis is regarded as a more effective treatment for achieving complete removal of stones and preventing recurrence. The purpose of this study was to determine the surgical outcome of hepatic resections for hepatolithiasis. METHODS: From March 2001 to December 2006, 54 patients underwent hepatic resections for hepatolithiasis at the Department of Surgery, Eulji University Hospital. A retrospective review of the surgical outcome was carried out. RESULTS: The hepatolithiasis was located in the left intrahepatic duct (34 cases), right intrahepatic duct (7 cases) or both (13 cases). The operative procedures were as follows: a left hepatectomy in 34 patients, a left lateral sectionectomy in eight, a right posterior sectionectomy in three, a left trisectionectomy in three, a right hepatectomy in five, and a segmentectomy in 1. The postoperative complications were intraabdominal abscess in 10 patients, wound infection in 4, pleural effusion in 3, internal bleeding in 2, T-tube site leakage in 2, hepatic failure and pneumonia in 1. The factors that affect these complications were analyzed. Preoperative percutaneous transhepatic biliary drainage (PTBD) and operative hepaticojejunostomy increased the frequency of postoperative complications; these findings were statistically significant (p=0.035, p=0.006, respectively). Two patients were diagnosed with cholagiocarcinoma. Five patients had remaining stones and five patients had recurrent stones. CONCLUSION: Hepatic resection is a safe and effective procedure for treating hepatolithiasis. If possible, bypass procedures such as hepaticoenterostomy should be avoided to reduce postoperative complications.
Abscess
;
Atrophy
;
Cholangiocarcinoma
;
Cholangitis
;
Constriction, Pathologic
;
Drainage
;
Hemorrhage
;
Hepatectomy
;
Humans
;
Liver Abscess
;
Liver Cirrhosis
;
Liver Failure
;
Mastectomy, Segmental
;
Pleural Effusion
;
Pneumonia
;
Postoperative Complications
;
Recurrence
;
Retrospective Studies
;
Surgical Procedures, Operative
;
Wound Infection
5.The Benefits and Risks of Performing Incidental Appendectomy
Jin Young LEE ; Young Hoon SUL ; Jin Bong YE ; Seung Je GO ; Jin Suk LEE ; Hong Rye KIM ; Soo Young YOON ; Joong Suck KIM
Journal of Acute Care Surgery 2019;9(2):35-38
Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. The risks and benefits of incidental appendectomy during other operations have been debated for over a century. There is no right answer to the question of whether or not to perform incidental appendectomy. Although there are only a few indications where it is explicitly recommended such as in gynecological surgery, malrotation, and Ladd's procedure, incidental appendectomy is cost-effective in selected patient groups, especially in the young, without an increase in morbidity and mortality. In this review, the literature on incidental appendectomy was assessed from several perspectives.
Adolescent
;
Appendectomy
;
Appendicitis
;
Costs and Cost Analysis
;
Emergencies
;
Female
;
Gynecologic Surgical Procedures
;
Humans
;
Mortality
;
Risk Assessment
6.Heterotopic Mesenteric Ossification Following Damage Control Surgery
Seung Je GO ; Young Hoon SUL ; Jin Bong YE ; Jin Young LEE ; Soo Young YOON ; Hong Rye KIM ; Jung Hee CHOI ; Dong Hee RYU ; Mou Seop LEE
Journal of Acute Care Surgery 2019;9(1):29-30
No abstract available.
7.Experience of Penetrating Gunshot Wound on Head in Korea
Hong Rye KIM ; Seung Je GO ; Young Hoon SUL ; Jin Bong YE ; Jin Young LEE ; Jung Hee CHOI ; Seoung Myoung CHOI ; Yook KIM ; Su Young YOON
Journal of the Korean Society of Traumatology 2018;31(2):82-86
Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators.
8.Development of Korean Teaching Model for Surgical Procedures in Trauma -Essential Surgical Procedures in Trauma Course-
Hohyun KIM ; Chan Yong PARK ; Hyun Min CHO ; Kwang Hee YEO ; Jae Hun KIM ; Byungchul YU ; Seung Je GO ; Oh Sang KWON
Journal of the Korean Society of Traumatology 2019;32(1):8-16
PURPOSE:
The Essential Surgical Procedures in Trauma (ESPIT) course was developed as a model to teach necessary surgical procedures to trauma physicians. Its goals are to improve knowledge, self-confidence, and technical competence.
METHODS:
The ESPIT course consisted of five lectures and a porcine lab operative experience. The ESPIT course has been run seven times between February 2014 and April 2016. ESPIT participants completed a questionnaire to assess self-efficacy regarding essential surgical procedures in trauma before and immediately after taking the ESPIT course. Sixty-three participants who completed both pre- and post-course questionnaires on self-efficacy were enrolled in this study.
RESULTS:
The overall post-ESPIT mean self-efficacy score was higher than the pre-ESPIT mean self-efficacy score (8.3±1.30 and 4.5±2.13, respectively) (p<0.001). Self-efficacy was significantly improved after the ESPIT course in general surgeons (p<0.001), thoracic and cardiovascular surgeons (p<0.001), emergency medicine doctors, and others (neurosurgeons, orthopedic surgeons) (p<0.001). The differences in self-efficacy score according to career stage (<1 year, 1–3 years, 3–5 years, and >5 years) were also statistically significant (p<0.001).
CONCLUSIONS
The data of the ESPIT participants indicated that they felt that the ESPIT course improved their self-efficacy with regard to essential surgical procedures in trauma. The ESPIT course may be an effective strategy for teaching surgical procedures, thus promoting better management of traumatic injuries.