1.Ureteroscopy for the Ureteral Stone.
Korean Journal of Urology 1986;27(4):537-543
Ureteroscopy is the newer procedure for the treatment and diagnosis in the ureteral lesion.
Biopsy
;
Diagnosis
;
Hematuria
;
Hemorrhage
;
Humans
;
Ureter*
;
Ureteroscopy*
2.Surgical Complication and Its Management in Ischemic Stroke.
Dal Soo KIM ; Do Sung YOO ; Pil Woo HUH ; Kyoung Suok CHO ; Joon Ki KANG
Journal of Korean Neurosurgical Society 2000;29(8):1107-1112
No abstract available.
Stroke*
3.Caliceal Anatomical Structure by Radiological Examination.
Korean Journal of Urology 1986;27(1):79-84
Developing the instruments in urological field, the urinary tract stones may be manipulated more easily and lesser invasively recently. The percutaneous nephrolithotripsy is one of the most widely using technique for the renal stone. But, the major portion of the failure through the manipulation of percutaneous nephrolithotripsy is the access to the correct, wanted calyx by puncture. So, we observed the 27 normal right kidneys and 26 left kidneys by abdominal computer tomogram scanning and excretory urography for the Korean caliceal anatomy. The following results were obtained 1. The average values of posterior renal rotation from the coronal plane of body were 31.0 degrees +/- 4.4 degrees in the right kidneys 32.4 degrees +/- 3.2 degrees in the left kidneys. 2. The average values of anterior and posterior caliceal angle were 58.8 degrees +/- 7.6 degrees and 20.7 degrees +/- 5.8 degrees in the right kidneys; 38.3 degrees +/- 6.2 degrees and 43.0 degrees +/- 5.2 degrees in the left kidneys. 3. The major type of classical system was Brodel type (74.l%) in the right kidney; Hodson type (53.8%) in the left kidney. 4. The anterior calyx is more laterally placed about 8l.8% in the excretory urography.
Kidney
;
Punctures
;
Urinary Calculi
;
Urography
4.Changes of Splenocyte Proliferative Capacity and Subpopulation of Peripheral Lymphocytes Related to the Hemorrhage Amount in Rats.
Hahn Shick LEE ; Sung Pil CHUNG ; Uk Jin KIM ; Young Soon CHO ; Seok Joon JANG
Journal of the Korean Society of Emergency Medicine 2000;11(3):269-275
BACKGROUND: Hemorrhage itself has been shown to produce abnormalities in immunity, particularly depression of the lymphocyte function. In order to better examine the amount of hemorrhage required to suppress the lymphocyte function, we determined the effect of graded fixed-volume hemorrhage on splenocyte proliferation and the lymphocyte subpopulation. METHODS: Male Sprague-Dawley rats(weight, 350~400g) were anesthetized, subjected to hemorrhages of 7.5ml/kg, 15ml/kg, and 22.5ml/kg by percutaneous cardiac puncture with 26G needles. After 1, 2, 4, and 7 days, animals were killed to obtain the blood and spleen. The splenocyte proliferative capacity was measured by using the tritiated thymidine incorporation technique, and the peripheral lymphocyte subpopulation was determined using flow cytometry with the following monoclonal antibodies: T cell(CD3+), T helper cell(CD4+), T cytotoxic cell(CD8+), and B cell(CD45RA+). RESULTS: Hemorrhage of 7.5ml/kg did not induce depression of splenocyte proliferation. However, for hemorrhage greater than 15ml/kg, the splenocyte proliferative capacity was significantly depressed at 2 days after hemorrhage and recovered at 4 days. Hemorrhage induced no changes in the relative percentage of lymphocyte subpopulations and in the number of each cell in peripheral blood. CONCLUSION: This study suggests that cellular immunity is depressed at 48 hrs after a hemorrhage greater than 15ml/kg without any change in the peripheral lymphocyte subpopulation.
Animals
;
Antibodies, Monoclonal
;
Depression
;
Flow Cytometry
;
Hemorrhage*
;
Humans
;
Immunity, Cellular
;
Lymphocyte Subsets
;
Lymphocytes*
;
Male
;
Needles
;
Punctures
;
Rats*
;
Rats, Sprague-Dawley
;
Spleen
;
Thymidine
5.Malakoplakia Clinically Simulating Bladder Tumor - A Case Report -.
Duck Ki YOON ; Jae Pil CHO ; Sung Kun KOH ; Kap No LEE
Korean Journal of Urology 1985;26(2):179-181
Malakoplakia of the bladder is an extremely rare condition in which there are multiple round or oval, plaque like or occasionally polypoid projections of the mucosa and submucosa which may be mistaken for cancer. It is believed to be infectious in origin, secondary to a deficiency of intracellular lysosomal digestion. There is often a clinical history of urinary tract infection, and the condition is considered to be an atypical form of granulomatous response to Gram negative coliform infection. We report a case of malakoplakia of the bladder clinically simulating malignant tumor, which was treated successfully with transurethral resection and antibiotics.
Anti-Bacterial Agents
;
Digestion
;
Malacoplakia*
;
Mucous Membrane
;
Urinary Bladder Neoplasms*
;
Urinary Bladder*
;
Urinary Tract Infections
6.The Effect of Systemic Steroid Therapy on the Tuberculous Ureteral Stricture.
Korean Journal of Urology 1985;26(1):13-17
Ureteral stricture are not uncommon sequelae in renal tuberculosis. Oral steroid therapy has been tried as an alternative to surgery in some of these patient on several reports. Three ureteral stricture were effective in 5 patient by oral steroid therapy.
Constriction, Pathologic*
;
Humans
;
Tuberculosis
;
Tuberculosis, Renal
;
Ureter*
7.Carotid Endarterectomy Prospective study .
Geun Eun KIM ; Tae Won KWON ; Yong Pil CHO ; Ho Sung KIM
Journal of the Korean Surgical Society 1998;55(2):265-273
Cerebrovascular accident remains the second most common cause of death in Korea, following combined cancer mortality. It is one of the most common causes of disability, and atherothromboembolic ischemic infarction accounts for nearly half of stroke in Korea. Carotid endarterectomy is proven to be effective in preventing stroke from internal carotid artery stenosis. The authors report the results of prospective study of 63 carotid endarterectomies, performed from September, 1995 to November, 1997 at our institution, to clarify the persisting diversity of opinions as to ideal preoperative diagnostic tests, anesthetic management, intraoperative monitoring techniques for cerebral protection, type of arterial repair, and postoperative evaluation for cerebral function. We confirmed that preoperative diagnostic tests of duplex scanning and magnetic resonance angiogram can replace the invasive conventional cerebral angiography, and observation of consciousness under regional anesthesia is the most reliable and safe method for carotid endarterectomy utilizing selective shunting, if needed.
Anesthesia, Conduction
;
Carotid Stenosis
;
Cause of Death
;
Cerebral Angiography
;
Consciousness
;
Diagnostic Tests, Routine
;
Endarterectomy, Carotid*
;
Infarction
;
Korea
;
Monitoring, Intraoperative
;
Mortality
;
Prospective Studies*
;
Stroke
8.Hypothermia During Prehospital Transportation of Neonates.
Hyang Suk KIM ; Yoon Seok JUNG ; Joon Pil CHO ; Moon Sung PARK ; Ki Soo PAI
Journal of the Korean Society of Emergency Medicine 1999;10(4):680-685
BACKGROUND: Hypothermia is a condition that can lead to serious complications and even to death in newborn. Although the temperature control is essential in neonatal care, it is often neglected during urgent transfer from local private hospitals. The purpose of this study is to evaluate the incidence and clinical outcomes of transfer induced neonatal hypothermia. SUBJECTS AND METHOD: In this retrospective study, subject is limited to transferred outborn babies with age less than 24 hours from June 1996 to May 1999. A total of 3,086 patients were admitted in NICU during the study period and inborn and outborn babies were 1,743(56%) and 1,343(44%) respectively. Among the 1,343 outborn babies, 212 babies were transferred from the private hospital within 24 hours of birth and were eligible for the study. Rectal temperature on arrival, transfer time, birth weight, gestational age, initial arterial gas study, and clinical outcome were compared. Statistical analysis has been done with chi-sqaure test and multiple logistic regression analysis. RESULTS: There were 84 cases(39.6%) hypothermia(<36degrees C> among the 212 babies and the rate of hypothermia in transfered babies have not decreased over the study period. There were significantly more hypothermia in lower gestational age (less than 28 weeks) and lower birth weight (less than 2,000gm) caused hypothermia significantly more than normal gestational age or normal range of birth weight. And time interval (less than 12 hour) from birth to arrival at emergency department was also significant factor in hypothermia. The mortality rate was three fold higher in hypothermia than normothermic or hyperthermic babies. CONCLUSION: This study shows that hypothermia during neonate transportation is a major cause of neonatal mortality and morbidity in prehopital care. Body temperature control during transport of neonates under 24 hours of age should be emphasized for the better outcome of treatment.
Birth Weight
;
Body Temperature
;
Emergency Service, Hospital
;
Gestational Age
;
Hospitals, Private
;
Humans
;
Hypothermia*
;
Incidence
;
Infant
;
Infant Mortality
;
Infant, Newborn*
;
Logistic Models
;
Mortality
;
Parturition
;
Reference Values
;
Retrospective Studies
;
Transportation*
9.A clinical review of frontal sinus fracture.
Jin Soo LIM ; Young Hwan OH ; Sung Pil CHO ; Ki Taek HAN ; Poong LIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(2):274-280
No abstract available.
Frontal Sinus*
10.Clinical analysis of bladder dysfunction after vaginal delivery.
Jin Shouk HUH ; Yong CHO ; Sung Won LEE ; You Dong CHO ; Eu Sun RO ; Yong Pil KIM ; Sun Uk KWON
Korean Journal of Obstetrics and Gynecology 1993;36(7):1496-1501
No abstract available.
Urinary Bladder*