1.Comparison of Laparosopic Varicocelectomy with Subinguinal Varicocelectomy.
Hee Cheol YOON ; Jun RHO ; Chul Sung KIM
Korean Journal of Urology 2000;41(11):1403-1408
No abstract available.
2.A Case of Malignant Histiocytosis.
Moon Hee HONG ; Jong Jun PARK ; In Kyung KANG ; Kyu Chul CHOI ; Sung Chul LIM
Annals of Dermatology 1996;8(3):201-205
Malignant histiocytosis is a rare, usually fatal malignant neoplasm of reticuloendothelial systems. The disease is associated with fever, malaise, weight loss, hepatosplenomegaly, lymphadenopathy, pancytopenia, jaundice, and purpura. A 44-year-old female patient is described who had multiple, purple crusted nodules and plaques in the skin. In the laboratory study, pancytopenia was noted on the peripheral blood. In addition many atypical histiocytes were seen on the bone marrow aspiration. A lesional biopsy showed nodular infiltrations of atypical histiocytes in the dermis and some erythrophagocytosis was seen. Immunohistochemically, the histiocytes were weakly stained for lysozyme and α-l-antichymotrypsin, but were unstained for S-100 protein, cytokeratin, CEA(carcinoembryonic antigen), pan T/B marker CD30(ki-1), UCHL-1 LCA(leukocyte common antigen), and α-l-antitrypsin.
Adult
;
Biopsy
;
Bone Marrow
;
Dermis
;
Female
;
Fever
;
Histiocytes
;
Histiocytic Sarcoma*
;
Humans
;
Jaundice
;
Keratins
;
Lymphatic Diseases
;
Mononuclear Phagocyte System
;
Muramidase
;
Pancytopenia
;
Purpura
;
S100 Proteins
;
Skin
;
Weight Loss
3.Comparison of Mepivacaine and Bupivacaine as an Adjuvant of Morphine for Benign Anorectal Surgery under Caudal Anesthesia.
Sung Mun YUN ; Ki Hong PARK ; Jun Sang LIM ; Sung Chul KIM
Journal of the Korean Society of Coloproctology 1998;14(3):517-522
BACKGROUND/AIMS: The caudal anesthsia is most commonly used for benign anorectal surgery, The combination of long-acting anesthetics and opiates has been used for longer duration and successful control of postoperative pain. But the side effects of peridural anesthesics and morphine have commonly occured in caudal anesthesia. This study was performed to assess the difference in clinical effects between peridural mepivacaine and bupivacaine with morphine. METHODS: We evaluated the clinical effects in 60 patients who had anal operation with Jack-Knife position under caudal anesthesia. We divided randomly these 60 patients into two groups, M and B groups (in each group, 30 patients included). Group M (n=30) was given 2% mepivacaine 20 ml with morphine 2 mg caudally, and Group B (n=30) was given 0.5% bupivacaine 20 ml with morphine 2 mg in the same manner. We measured the onset time, duration, postoperative analgesia, and side effects including urinary retention. RESULTS: The onset time for analgesia was significantly shorter in group M than in group B. The duration of postoperative pain complaints was significantly longer in group M than in group B. The postoperative analgesic effects and side effects were not significantly different between two groups. CONCLUSIONS: Caudal mepivacaine and morphine mixture is effective for control of postoperative pain without significant side effects.
Analgesia
;
Anesthesia, Caudal*
;
Anesthetics
;
Bupivacaine*
;
Humans
;
Mepivacaine*
;
Morphine*
;
Pain, Postoperative
;
Urinary Retention
4.Two cases of Vascular Ring.
Jun Chul CHOI ; Dong Soo KIM ; Jun Hee SUL ; SUng Kyu LEE ; Dong Shik CHIN
Journal of the Korean Pediatric Society 1986;29(3):80-85
No abstract available.
5.The Observation for the Dead Children with Congenital Heart Disease.
Dong Chul PARK ; Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Korean Circulation Journal 1988;18(4):681-694
In the treatment of congenital heart in Korea, a big progress has made so far, and successful results have been achieved. However, there were few reports pertaining to the age and cause of death in congenital heart disease patients. Now, the author made observation on the mortality, the age and the mode of death in 3817 patients of congenital heart disease who had been admitted to Severance Hospital during the period of 15 years, from Jan 1972 to Dec 1986. The overall hospital mortality of the congenital heart disease was 6.1% ; 10.1% in the unoperated cases and 4.5% in the patients who underwent surgery. The hospital mortality of indivisual congenital heart disease was, in the order of increasing frequency, 1.0% for ventricular septal defect, and for the complicated heart disease, such as transposition of great vessels(12.5%), and total anomalous pulmonary venous return(15.8%) the death rate was higher in general. The mortality was highest under 1 year of age, especially during the neonatal period, i.e. under 1 month of age. The mode of death in the unoperated cases were congestive heart failure, infection, and hypoxia, in the order of frequency, comprising 84.5%, and in the patients who underwent surgery were congestive heart faliure or low cardiac output syndrome and htpoxia, 62.3%. Among the patients who died in the neonatal period, 76.9% died without accurate diagnosis, and 38.5% were under 5 days of age. Hypoxia(27%), congestive heart faliure(19.4%), and sepsis(11.6%) were the main mode of death. The analysis of the dead patients with congenital heart disease revealed the following results.The mortality was high in the complicated heart disease ; the major mode of death in surgical patients were congestive heart faliure or low cardiac output syndrome ; and the mortality was high in patients under one year of age, especially in the neonates, and most of then lacked accurate diagnosis.Therefore, more accurate properative diagnosis of complicated heart disease and better surgical techniques, development of diagnostic tools in neonatal period, and the need for early surgery and emergency medical management are uregently demanded.
Anoxia
;
Cardiac Output, Low
;
Cause of Death
;
Child*
;
Diagnosis
;
Emergencies
;
Estrogens, Conjugated (USP)
;
Heart
;
Heart Defects, Congenital*
;
Heart Diseases
;
Heart Failure
;
Heart Septal Defects, Ventricular
;
Hospital Mortality
;
Humans
;
Infant, Newborn
;
Korea
;
Mortality
6.Atlantoaxial Rotatory Fixation: Report of 3 Cases.
Moon Jun SOHN ; Seung Chul RHIM ; Sung Woo ROH ; Hyung Chun PARK
Journal of Korean Neurosurgical Society 2000;29(4):580-585
No abstract available.
7.Finding and significance of C.T. in petersen's hernia.
Chul Young PARK ; Bong Ock YU ; Yoon Kyu PARK ; Eul Sam CHUNG ; Du Sung JUN
Journal of the Korean Surgical Society 1993;44(6):899-902
No abstract available.
Hernia*
8.Effects of recombinant human erythropoietin therapy in hemodialysis patient.
Seong Soo CHO ; Jun Ho LEE ; Soo Ho SOHN ; Sung Bae PARK ; Hyun Chul KIM
Korean Journal of Nephrology 1993;12(1):68-75
No abstract available.
Erythropoietin*
;
Humans*
;
Renal Dialysis*
9.Ureteral Stricture from Retroperitoneal Fibrosis Caused by Isolated Common Iliac Artery Aneurysm .
Chan MOON ; Yun Il KANG ; Hyung Yoon MOON ; Jun RHO ; Chul Sung KIM
Korean Journal of Urology 2006;47(11):1236-1239
Retroperitoneal fibrosis sometimes causes urological problem involving the ureter, but the mechanism is uncertain. An aortic aneurysm, including an iliac artery aneurysm, is thought to be one of the mechanisms of retroperitoneal fibrosis. However, cases caused by an isolated iliac artery aneurysm are very rare, and symptoms tend to be non-specific; therefore, no definitive treatment has been established. Herein, we report our recent experience of a patient with a left common iliac artery aneurysm involving the ureter, who underwent successful surgical therapy.
Aneurysm*
;
Aortic Aneurysm
;
Constriction, Pathologic*
;
Humans
;
Iliac Artery*
;
Retroperitoneal Fibrosis*
;
Ureter*
10.Solitary Mastocytoma on the Scalp.
Duk Kyu CHUN ; Hyun Su PARK ; Sung Jun KIM ; Jung Chul CHOI
Annals of Dermatology 2003;15(3):125-127
Nine-month-old female infant was seen with a 7-month history of a nodule on the right temporal scalp, which had gradually increased in size. Stroking of the lesion resulted in urtication and blistering and there were no other cutaneous lesions. The histology showed subepidermal bulla formation and a dense infiltration of mast cells in the papillary and reticular dermis. We present an infant with solitary mastocytoma on the scalp, a rare site.
Blister
;
Dermis
;
Female
;
Humans
;
Infant
;
Mast Cells
;
Mastocytoma*
;
Scalp*
;
Stroke