Aortic root diameter by two dimensional and M-mode echocardiography in predicting prosthetic aortic valve size preoperatively was measured in 10 adult patients undergoing aortic valve replacement. Correlation of aortic root diameter measured by two dimensional echocardiography and actual prosthetic valve size implanted by aortic valve replacement was excellent. Correlation coefficient was statistically significant (r=0.91, P<0.001). Correlation of aortic root diameter measured by M-mode echocardiography and actual prosthetic valve size was also excellent. Correlation coefficient was statistically significant (r=0.86, P<0.001). This study demonstrates that aortic root diameter by two dimensional and M-mode echocardiography can accurately predict prosthetic aortic valve size in patient undergoing aortic valve replacement.
Adult ; Aortic Valve* ; Echocardiography* ; Humans

A clinical observation was made on 7 patients with postrenal complete anuria in the department of Urology. Medical School, Jeonbug National University during recent 3 years. The results were as follows. 1. Most common age groups were the 5th and 6th decades (57.1%), and the male to female ratio was 1.3:1. 2. Of etiology, ureteral stones were most common (3 cases), and the others were malakoplakia of both ureteral surrounding tissues (1 case), both ureteral obstruction due to renal bleeding (1 cases) post-catheterization ureteral obstruction (1 case) and ureteral compression due to metastatic cervical cancer involved lower ureter (1 case) Incidence of complete anuria were relatively high in the solitary kidney. 3. In most cases. The BUN and the creatinine levels were nearly normalized in 6th postoperative day. And 5 cases of high blood level in preoperative state showed massive diuresis after operation.
Acute Kidney Injury ; Anuria* ; Creatinine ; Diuresis ; Female ; Hemorrhage ; Humans ; Incidence ; Jeollabuk-do ; Kidney ; Malacoplakia ; Male ; Schools, Medical ; Ureter ; Ureteral Obstruction ; Urology ; Uterine Cervical Neoplasms

A clinical experience with management was made on 65 cases of posterior urethral injury in the Department of Urology, Jeonbug National University Hospital during the period. From January, 1978 to December, 1982. The results were as follows: 1. The number of the posterior urethral injury was 65 cases. 2. Age distribution of the posterior urethral injury was the high test in the age 20-49 (66%). 3. The most common cause of the posterior urethral injury was industrial injury in 44 cases and traffic accident in 21 cases. 4. Initial managements of posterior urethral injury were Foley catheter indwelling in 8cases, cystostomy only in 20 cases and primary realignment in 37 cases. 5. Of 65 cases, urethral stricture after initial management developed in 34 cases. 6. Among 34 cases of the urethral stricture, various delayed managements were performed, including sounding in 19 cases, transpubic urethroplasty in 5 cases, urethral end-to-end anastomosis by perineal approach in 9 cases and cystostomy in 1 case.
Accidents, Traffic ; Age Distribution ; Catheters ; Cystostomy ; Jeollabuk-do ; Urethral Stricture ; Urology

PURPOSE: The purpose of this study was to investigate complications and radiologic and clinical outcomes of medial opening wedge high tibial osteotomy (MOWHTO) using a locking plate. MATERIALS AND METHODS: This study reviewed 167 patients who were treated with MOWHTO using a locking plate from May 2012 to June 2014. Patients without complications were classified into group 1 and those with complications into group 2. Medical records, operative notes, and radiographs were retrospectively reviewed to identify complications. Clinically, Oxford Knee score and Knee Injury and Osteoarthritis Outcome score (KOOS) were evaluated. RESULTS: Overall, complications were observed in 49 patients (29.3%). Minor complications included lateral cortex fracture (15.6%), neuropathy (3.6%), correction loss (2.4%), hematoma (2.4%), delayed union (2.4%), delayed wound healing (2.4%), postoperative stiffness (1.2%), hardware irritation (1.2%), tendinitis (1.2%), and hardware failure without associated symptoms (0.6%). Major complications included hardware failure with associated symptoms (0.6%), deep infection (0.6%), and nonunion (0.6%). At the first-year follow-up, there were no significant differences in radiologic measurements between groups 1 and 2. There were no significant differences in knee scores except for the KOOS pain score. CONCLUSIONS: Our data showed that almost all complications of the treatment were minor and the patients recovered without any problems. Most complications did not have a significant impact on radiologic and clinical outcomes.
Follow-Up Studies ; Hematoma ; Humans ; Knee Injuries ; Knee ; Medical Records ; Osteoarthritis ; Osteotomy ; Retrospective Studies ; Tendinopathy ; Wound Healing

We experienced three cases of uric acid stone. We treated all these cases sodium bicarbon with nate for systemic alkalization, 1/10 Molar sodium bicarbonate solution for direct irrigation through urethral & ureteral catheter and allopurinol for decreasing uric acid level and combined surgery was done in two cases, including upper ureteral stone & UVJ stone.
Allopurinol ; Molar ; Sodium ; Sodium Bicarbonate ; Ureter ; Uric Acid* ; Urinary Catheters

This rare venous congenital anomaly has been diagnosed preoperatively in a 25 year-old male with complaint of the right flank pain. The right RGP shows the S-shaped course of the ureter. Diagnosis of this anomaly was confirmed by venacavogram with ureteral catheterization. Spatulated ureteral end to end anastomosis was done over ureteral stent, Herein a rare case of postcaval ureter ie presented with brief review of literatures.
Adult ; Diagnosis ; Flank Pain ; Humans ; Male ; Stents ; Ureter* ; Urinary Catheterization ; Urinary Catheters

This rare venous congenital anomaly has been diagnosed preoperatively in a 25 year-old male with complaint of the right flank pain. The right RGP shows the S-shaped course of the ureter. Diagnosis of this anomaly was confirmed by venacavogram with ureteral catheterization. Spatulated ureteral end to end anastomosis was done over ureteral stent, Herein a rare case of postcaval ureter ie presented with brief review of literatures.
Adult ; Diagnosis ; Flank Pain ; Humans ; Male ; Stents ; Ureter* ; Urinary Catheterization ; Urinary Catheters

BACKGROUND: This study aimed to compare the effects of femoral nerve block and adductor canal block on postoperative pain, quadriceps strength, and walking ability after primary total knee arthroplasty. METHODS: Between November 2014 and February 2015, 60 patients underwent primary total knee arthroplasty. Thirty patients received femoral nerve block and the other 30 received adductor canal block for postoperative pain control. Before spinal anesthesia, the patients received nerve block via a catheter (20 mL 0.75% ropivacaine was administered initially, followed by intermittent bolus injection of 10 mL 0.2% ropivacaine every 6 hours for 3 days). The catheters were maintained in the exact location of nerve block in 24 patients in the femoral nerve block group and in 19 patients in the adductor canal block group. Data collection was carried out from these 43 patients. To evaluate postoperative pain control, the numerical rating scale scores at rest and 45° flexion of the knee were recorded. To evaluate quadriceps strength, manual muscle testing was performed. Walking ability was assessed using the Timed Up and Go test. We also evaluated analgesic consumption and complications of peripheral nerve block. RESULTS: No significant intergroup difference was observed in the numerical rating scale scores at rest and 45° flexion of the knee on postoperative days 1, 2, 3, and 7. The adductor canal block group had significantly greater quadriceps strength than did the femoral nerve block group, as assessed by manual muscle testing on postoperative days 1, 2, and 3. The 2 groups showed no difference in walking ability on postoperative day 1, but on postoperative days 2, 3, walking ability was significantly better in the adductor canal block group than in the femoral nerve block group. No significant intergroup difference was observed in analgesic consumption. CONCLUSIONS: The groups showed no difference in postoperative pain control. Adductor canal block was superior to femoral nerve block in preserving quadriceps strength and walking ability. However, adductor canal block was inferior to femoral nerve block in maintaining the exact location of the catheter.
Anesthesia, Spinal ; Arthroplasty, Replacement, Knee* ; Catheters ; Data Collection ; Femoral Nerve* ; Humans ; Knee ; Nerve Block ; Pain, Postoperative ; Peripheral Nerves ; Walking

PURPOSE: The purpose of this study was to analyze patient factors including smoking, body mass index, correction angle, graft material, presence of lateral cortex fracture, and age for the effect on bone union after open-wedge high tibial osteotomy and the effect of graft material used for lateral cortex fractures. MATERIALS AND METHODS: This retrospective study was conducted on 54 patients and 58 cases with osteoarthritic change Kallgren-Lawrence grade 2 or less from May 2012 to June 2014. Average follow-up period was 22 months (14–38 months). The patients were divided into two groups according to patient related factors and graft materials (allograft, n=6; beta-tricalcium phosphate [β-TCP], n=6) used for lateral cortex fractures and were analyzed for the relationship with bone union after open-wedge high tibial osteotomy. Radiographic and clinic analyses were performed, and van Hemert grading was used for grading bone union at 6 weeks, 3 months, 6 months, and 1 year postoperatively. RESULTS: The non-smoking group and the group without lateral cortex fracture showed significantly higher bone union rates than the control group. No significant clinical or radiological difference was observed between the two groups in 12 cases and the allograft group showed significantly higher rates of union at 6 months and 1 year postoperatively according to the van Hemert grading. CONCLUSION: Smoking and the presence of a lateral cortex fracture is a risk factor for nonunion in medial open-wedge high tibial osteotomy. The use of allograft material rather than β-TCP for lateral cortex fractures is thought to result in better bone union.
Allografts ; Body Mass Index ; Follow-Up Studies ; Humans ; Knee ; Osteoarthritis ; Osteotomy* ; Retrospective Studies ; Risk Factors ; Smoke ; Smoking ; Transplants*

Background: The aim of this study is to compare the postoperative analgesic effect of infiltration between the popliteal artery and the capsule of the knee (IPACK) and the effect of periarticular multimodal drug injection (PMDI) in addition to adductor canal block (ACB) after total knee arthroplasty. Methods: Among patients who received total knee arthroplasty from June 2017 to December 2017, 50 who underwent ACB with additional IPACK and 50 who received ACB with additional PMDI were selected for this study.We compared the postoperative pain numerical rating scale (NRS), the number of times patient-controlled analgesia was administered and the amount administered, the total amount of opioids given, and complications associated with the procedure between the two groups. Results: NRS measured at rest and 45° knee flexion at days 1 and 2 after surgery was significantly lower in the IPACK group than in the PMDI group. The resting NRS measured at day 3 after surgery was also significantly lower in the IPACK group than in the PMDI group, and the NRS at 45° knee flexion measured from day 3 to day 5 showed a significant reduction in the IPACK group. No complications relating to the procedure occurred. Conclusions IPACK may be a better option than PMDI for controlling acute phase pain in patients undergoing total knee arthroplasty.