Prevalent is the concept that tuberculosis has completely been put under control and the actual number of the patients is decreasing. This study has been undertaken in part to give substantial evidence to this general idea about the tuberculosis. Total 921 patients with skeletal tuberculous lesions, selected out of all the patients consulted to the department of orthopedic surgery during the 13 consecutive years from Jaunary of 1963 to December of 1975, were subjected to this analysis. 1. Overall incidence of patients with skeletal tuberculosis was 4.8% of all the patients visited during the 13 years. 2. Of 921 patients, males were 591 and females 330, which showed the men were affected 1.8 times more than women. 3. More than half of them (51,5%) occurred under the age of 19 years. 4. Three anatomical sites were predisposed to this affection; 58.5% in spine, 10.5% in hip, and 11.6% in knee. 5. With the above study it can be safely be said that the actual number and also the incidence of skeletal tuberculosis has not shown any trend of decline and accordingly its management should be more regulated and thorough.
Female ; Hip ; Humans ; Incidence ; Joints ; Knee ; Male ; Orthopedics ; Spine ; Tuberculosis ; Tuberculosis, Osteoarticular

No abstract available.
Humans ; Prostate* ; Ultrasonics* ; Urinary Bladder Neck Obstruction* ; Urinary Bladder*

No abstract available.
Carcinoma, Transitional Cell* ; Cystectomy* ; Urinary Bladder*

The authors analyzed data from 15 patients with idiopathic dilated cardiomyopathy to evaluate the hemodynamic changes and left ventricular cineangiogram as compared with normal control. Mean right atrial pressure, right ventricular systolic pressure, mean pulmonary artery pressure and mean pulmonary wedge pressure were signigicantly elevated in patients with dilated cardiomyopathy. Left ventricular enddiastolic volume was increased in idiopathic dilated cardiomyopathy(139.9+/-58.73 ml/m2). Cardiac index, left ventricular ejection fraction and circumferential fiber shortening were significantly reduced in patients with dilated cardiomyopathy as compared with normal control(p<0.001). Hypokinetic, diffuse wall motion abnormalities of left ventricle were common in idiopathic dilated cardiomyopathy. A few cases of akinetic or dyskinetic segmental wall motion abnormalities were present. Left ventricular configurations in patients with idiopathic dilated cardiomyopathy were globe shape(53.4%) as compared with pear core shape(90%) of normal control. Associated mitral regurgitations in patients with idiopathic dilated cardiomyopathy confirmed by left ventricular cineangiogram were 53.3 percent. Mild to moderate mitral regurgitations were often present(46.6%).
Atrial Pressure ; Blood Pressure ; Cardiomyopathy, Dilated* ; Heart Ventricles ; Hemodynamics* ; Humans ; Pulmonary Artery ; Pulmonary Wedge Pressure ; Pyrus ; Stroke Volume

No abstract available.
Pancreaticoduodenectomy* ; Risk Factors*

No abstract available.
Pancreatitis*

Perinephric abscess is a collection of pus in the space between the kidney and Gerota's fascia. The abscess usually is confined to Gerota's fascia but may extend in several directions, such as a draining flank abscess through Petit's triangle or subphrenic abscess. Rarely, this abscess perforates interpersonally or into the colon. Recently the majority of perinephric abscesses revealed that Gram negative organisms are more prevalent and are attributable to renal disease. This is a report on 6 cases of perinephric abscess admitted to National Medical Center during the pried from January 1970 to August 1977. The results are summarized briefly as follows : 1. Among the 6 cases of perinephric abscess, male was 5 cases and female 1 case Average age was 30 years. 2. 5 cases were located at Rt. side and 1 case at Lt side. 3. Main symptoms were flank pain, palpable mass and fever except 1 case, which was general weakness and weight loss. 4. Duration of symptom prior to adm. was variable, from 10 days to 1 year, average 88 days . 5. Pyuria was noted in 3 cases and leukocytosis in 5 cases. Of the abscess culture, 3 cases were E. coli, 2 cases Staphaureus and 1 case negative. 6. Psoas and renal shadow were obliterated in majority and I. V. P. revealed nonvisualization in 2 cases, faint and delayed visualization in 3 cases, kidney displacement in 3 cases and kidney fixation in 3 cases. 7. Only I & D was done in 3 cases and I & D with nephrectomy in 3 cases. 8. Kidney biopsy revealed chronic pyelonephritis in 2 cases and non-specific pyonephrosis in 1 case. 9. Average duration of Hosp, stay was 20 days.
Abscess* ; Biopsy ; Colon ; Fascia ; Female ; Fever ; Flank Pain ; Humans ; Kidney ; Leukocytosis ; Male ; Nephrectomy ; Pyelonephritis ; Pyonephrosis ; Pyuria ; Subphrenic Abscess ; Suppuration ; Weight Loss

Transcatheter hepatic arterial embolization (THAE) is one of the treatment modalities that can be applied to hepatocellular carcinomas (HCC) and metastatic tumors of the liver. Complications such as cholecystitis and gallbladder necrosis, are common with THAE, but liver and peripheral bile duct necrosis are rare, and intrahepatic stones with main bile duct necrosis have never been reported. To prevent intrahepatic spread during operative manupulation and to decrease the vascularity and size of the tumor, we performed a THAE on a huge-sized HCC five times before performing the hepatectomy. We succesfully undertook a right lobectomy after the THAE with lipiodol, gelform, and adriamycin. However, severe bile duct stricture and intrahepatic stones were confirmed during the operation.
Bile Ducts* ; Bile* ; Carcinoma, Hepatocellular ; Cholecystitis ; Constriction, Pathologic* ; Doxorubicin ; Ethiodized Oil ; Gallbladder ; Hepatectomy ; Liver ; Necrosis

PURPOSE: Transurethral prostatectomy(TURP) or open prostatectomy were considered as standard treatments for benign prostatic hyperplasia(BPH), but these treatments showed high morbidity and mortality. We searched urodynamic predictive factors for successful surgical outcome to select patients who would benefit from prostatectomy pre-operatively. MATERIALS AND METHODS: Retrospectively, we reviewed preoperative urodynamic findings of 114 patients with BPH undergoing TURP(104cases) or open prostatectomy(10cases). RESULTS: In the follow-up period of 1 month to 19 months, a strict successes were achieved in 83 patients(73%). On analysis of the success rate, 4 favorable urodynamic factors and 8 unfavorable urodynamic factors were noted. 4 favorable factors were as follows; maximal flow rate<10ml/sec, compressive flow pattern, prostatic urethral length >6cm and presence of peak elevation on prostatic urethra pressure. 8 unfavorable factors were as follow; intermittent or normal flow pattern, prostatic urethral length<4cm, maximal detrusor pressure<10cmH2O, maximal bladder capacity<250ml, maximal urethral pressure >100cmH2O, prostatic pressure area <70cm cmH2O, non-obstructive pattern on Abrams-Griffiths nomogram and detrusor pressure at maximal flow rate <50cmH2O. CONCLUSIONS: Patients with more than 1 unfavorable urodynamic factor should be investigated carefully before surgery and be treated with other non-invasive treatment for BPH. The presence of 2 favorable urodynamic factors without unfavorable factor will usually predict the best surgical outcome.
Follow-Up Studies ; Humans ; Mortality ; Nomograms ; Prostatectomy ; Prostatic Hyperplasia* ; Retrospective Studies ; Treatment Outcome* ; Urethra ; Urinary Bladder ; Urodynamics*

Urine cytology is widely used on early diagnosis and follow up of bladder cancer, diagnosis of carcinoma in situ. and screening test of high risk group. We evaluated the record of 72 consecutive cases of bladder cancer in recent 5 years and following results were obtained according to various analysis. 1. There were 50 positive tests of 72 cases of bladder cancer( 69.4%). 2. The frequency of positive test in high grade was much higher than in low grade( 94.1 :47.4%) 3. The frequency of positive test in high stage was much higher than in low stage(86.8:51.5%)
Carcinoma in Situ ; Diagnosis ; Early Diagnosis ; Mass Screening ; Urinary Bladder Neoplasms* ; Urinary Bladder*