1.Clinical Evaluation of Laparoscopic Appendectomy.
Min Hwa LEE ; Byung Joo SONG ; Sang Yong CHOI ; Sin Hee PARK ; Chin Seung KIM
Journal of the Korean Society of Coloproctology 1998;14(3):551-560
BACKGROUND: This study was performed to evaluate our experience on laparoscopic appendectomy. METHODS: Retrospective analysis was performed on 2,856 patients who had been operated by laparoscopic appendectomy under diagnosis of acute appendicitis at the Sung-Ae Hospital and Kwang-Myoung Sung-Ae Hospital from October 1991 to July 1998. RESULTS: Among 2,856 patients who had undergone laparoscopic appendectomy,2,379 patients (83.3%) were operated due to simple acute appendicitis, 275 patients (9.6%) due to perforated appendicitis. Operation time was 44.6 minutes for simple acute appendicitis and 60.3 minutes for perforated appendicitis. In perforated appendicitis, intra-peritoneal irrigation and drain insertion was performed. The length of hospital stay in patient with simple acute appendicitis was 3.7 days (5.82 days in conventional appendectomy) and patients with perfotrated appendicitis was 6.1 days (9.91 days in conventional appen-dectomy). Complications such as wound infection, intra-abdomen abscess, trocar site bleeding, subcutaneous emphysema developed in 43 (1.5%) patients (79/1,947, 4.5% in conventional appendectomy). In 202 (7.1%) patients, appendix was normal, but another diseases were detected, including acute pelvic inflammation, ovarian cyst, mesenteric lymphadenitis, enteritis, diverticulitis in order. CONCLUSION: Overall complication rate was lower in laparoscopic appendectomy compared with conventional appendectomy and the length of hospitalization of laparoscopic appendectomy was shorter. When the acute appendicitis is suspected, especially in the reproductive women, the laparoscopic approach would be better diagnostic and therapeutic value than conventional method. Therefore laparoscopic appendectomy would be replaced with conventional appendectomy.
Abscess
;
Appendectomy*
;
Appendicitis
;
Appendix
;
Diagnosis
;
Diverticulitis
;
Enteritis
;
Female
;
Hemorrhage
;
Hospitalization
;
Humans
;
Inflammation
;
Length of Stay
;
Mesenteric Lymphadenitis
;
Ovarian Cysts
;
Retrospective Studies
;
Subcutaneous Emphysema
;
Surgical Instruments
;
Wound Infection
2.Spinal Ganglion Cyst of Lumbar Posterior Longitudinal Ligament.
Sung Woo ROH ; Seung Chul RHIM ; Ho Kyu LEE ; Sin Kwang KANG
Journal of Korean Neurosurgical Society 2000;29(4):543-549
No abstract available.
Ganglia, Spinal*
;
Longitudinal Ligaments*
3.A case of pregnant woman with acute promyelocytic leukemia.
Joo Won CHOI ; Seung Sik SUH ; Eun Sin CHUNG ; Hyung Yeol LEE ; Young Hye LEE ; Choon Hee LEE
Korean Journal of Obstetrics and Gynecology 1991;34(7):1021-1026
No abstract available.
Female
;
Humans
;
Leukemia, Promyelocytic, Acute*
;
Pregnant Women*
4.The clinical study of intra uterine fetal death.
Seung Sig SUH ; Ju Won CHOI ; Eun Sin CHUNG ; Doo Soo JEONG ; Hyeong Yul LEE ; Young Hae LEE
Korean Journal of Obstetrics and Gynecology 1992;35(5):662-673
No abstract available.
Fetal Death*
5.Active management of premature rupture of membranes at or near term using PGE2 vaginal suppository.
Byoung Young LEE ; Jae Young LEE ; Yoon Keun HUR ; Sin Wook KIM ; Hee Jin SEUNG ; Moon Soo SUNG
Korean Journal of Perinatology 1993;4(2):215-223
No abstract available.
Dinoprostone*
;
Membranes*
;
Rupture*
;
Suppositories*
6.A Study on the General and Nutritional Information of Children's Preference Foods Sold in the Middle, High School Stores.
Sim Yeol LEE ; Seung Sin LEE ; Gyoung Mi KIM ; Soo Chang KIM
Korean Journal of Community Nutrition 2012;17(3):302-311
The purpose of this study was to provide preliminary data for better safety control over children's preference foods sold in school stores. The survey was conducted from June to July 2009, to collect 749 types of children's preference foods sold in 150 middle and high school stores nation-wide excluding Jeju Island and general and nutrition information were analyzed. Out of 749 types of snack food items, 689 and 602 snacks were sold at high school and middle school stores respectively. Among children's preference foods, cookies, bread, and ice-cream were the main items. Among them, 98% of snacks were domestic products and the price range of each individual snacks were mostly between 600 and 900 won. 27.8% of children's preference foods sold were found to be in the high calorie/low nutrition food group. Even though the proportion of candy and fruit/vegetable beverages sold were not high, their proportion in high calorie/low nutrition snack group were higher than 68.1%. Among the children's preference foods sold in middleand high school stores, carbonated drinks and ramen were continuously sold in certain middle and high schools, even though sales were prohibited. This study concludes that government, corporations and retailers should work together in developing healthier children's snack distribution environment. In addition, dairy products, which take up 15% of children's preference food, should be diversified to meet their nutrient requirements.
Beverages
;
Bread
;
Candy
;
Carbonated Beverages
;
Commerce
;
Dairy Products
;
Humans
;
Snacks
7.Atypical Mesoblastic Nephroma: A case report.
Young Sin KIM ; Seung Ha LEE ; Young Tack SONG
Journal of the Korean Surgical Society 1999;56(5):764-770
Congenital mesoblastic nephroma (CMN) is generally considered to be a rare benign renal tumor in neonates, requiring only total excision. However, an atypical mesoblastic nephroma (AMN) may behave aggressively, in contrast to a congenital mesoblastic nephroma. AMN shows atypical gross and microscopic features such as hemorrhage, necrosis, high cellularity, and a mitotic index. We report a case of atypical mesoblastic nephroma which presented in a 2 month-old male infant. Grossly, the tumor involved the upper and the midportion of the left kidney. On section, the cut surface was flesh,which was hemorrhagic necrotic, multicystic degenerative, grayish-white, and heterogenous. Microscopically, the tumor showed a high degree of cellularity and an arrangement of monophagic ovoid spindle cells in sheets and vague interlacing bundles. The individual tumor cells showed fusiform to oval nuclei, indistinct scanty pale-eosinophilic cytoplasm, and many mitotic features.
Cytoplasm
;
Hemorrhage
;
Humans
;
Infant
;
Infant, Newborn
;
Kidney
;
Male
;
Mitotic Index
;
Necrosis
;
Nephroma, Mesoblastic*
8.Surgical Management for Obstructive Sleep Apnea Syndrome.
The Ewha Medical Journal 2013;36(2):93-96
Obstructive sleep apnea syndrome (OSAS) is caused by repetitive upper-airway narrowing or collapse during sleep resulting in hypopneas and apneas. When a patient is diagnosed of OSAS with polysomnogram, he/she should receive upper airway evaluation to find the narrow site. The anatomic narrow site can be nasal cavity, nasopharynx, oropharynx, and/or hypopharynx. Surgical treatment for OSAS should be tailored to the anatomic narrow site. In this article, the authors describe surgical treatment options for OSAS.
Apnea
;
Humans
;
Hypopharynx
;
Nasal Cavity
;
Nasopharynx
;
Oropharynx
;
Polysomnography
;
Sleep Apnea, Obstructive*
9.Pseudobacteremic Outbreak of Leclercia adecarboxylata and Pseudomons aeruginosa Related to Contaminated Saline Cotton .
Cheol Ho SIN ; Gyong Jung KIM ; Sehe Dong LEE ; Hae Jung NAM ; Choon Kwan KIM ; Seung Chul PARK
Korean Journal of Nosocomial Infection Control 2006;11(1):15-20
BACKGROUND: During a 1-month period in 2005 , a series of 4 Leclercia adecarboxylata and 8 Pseudomonas aeruginosa bacteremias were reported from patients admitted to the emergency room. METHODS: An outbreak of L. adecarboxylata and P. aeruginosa bacteremia that occurred from February to March 2005 was investigated. The infection control nurse reviewed medical records and observed the procedures of blood cultures at the clinical microbiology laboratory. Specimens were obtained for investigational cultures from alcohol sponge, tray, sink, water of sink, saline cotton, microscope, computer, and telephone. RESULTS: L. adecarboxylata was isolated from 4 patients and P. aeruginosa from 8 patients during a 1-month period. Observation of the culture procedure revealed that saline cotton was used to prevent betadin skin discoloration. The culture of the saline solution yielded a heavy growth of P. aeruginosa, which was not isolated from any other specimens. CONCLUSIONS: This was a pseudoepidemic caused by contaminated saline cotton. The use of the saline cotton was stopped, and during the follow-up period of 3 months, no additional L. adecarboxylata or P. aeruginosa bacteremia were reported.
Bacteremia
;
Emergency Service, Hospital
;
Enterobacteriaceae*
;
Follow-Up Studies
;
Humans
;
Infection Control
;
Medical Records
;
Porifera
;
Pseudomonas aeruginosa
;
Skin
;
Sodium Chloride
;
Telephone
;
Water
10.Effect of Methylglyoxal on the Oxidative Stress in Trabecular Meshwork Cells.
Seung Hee LEE ; Sin Hoo KIM ; Jae Woo KIM
Journal of the Korean Ophthalmological Society 2009;50(10):1569-1575
PURPOSE: To investigate the effect of methylglyoxal (MG), intermediate metabolite of advanced glycation end products(AGE), on the induction of oxidative stress in human trabecular meshwork cells (HTMC). METHODS: Primarily cultured HTMC were exposed to at concentrations of 0, 30, 100, and 300 micrometer of MG for 18 hours, with or without co-exposure to N-acetyl-cysteine. Cellular survival and apoptosis were assessed by MTT assay and flow cytometry using annexin-PI double staining. Production of nitric oxide (NO), superoxide, and reactive oxygen species (ROS) was assessed by Griess assay, cytochrome c assay, and dichlorofluorescein diacetate assay, respectively. RESULTS: MG did not affect cellular survival at concentrations under 100 micrometer, but induced apoptosis of HTMC at concentrations over 100 micrometer. MG decreased NO production, accompanied with increased superoxide production. In addition, MG increased ROS, which were abolished by N-acetylcysteine. CONCLUSIONS: MG induced oxidative stress by decreasing NO production, accompanied by increasing superoxide and ROS productions in HTMC. AGE could induce trabecular meshwork dysfunction.
Acetylcysteine
;
Apoptosis
;
Cytochromes c
;
Flow Cytometry
;
Glycosylation End Products, Advanced
;
Humans
;
Nitric Oxide
;
Oxidative Stress
;
Pyruvaldehyde
;
Reactive Oxygen Species
;
Superoxides
;
Trabecular Meshwork