1.Treatment of comminuted segmental tibial shaft fractures with ender nails.
Young Ho JEE ; Dai Sung JUNG ; Taik Jin AHN ; Jong Sool SONG
The Journal of the Korean Orthopaedic Association 1992;27(3):737-743
No abstract available.
2.Biliary Tract & Pancreas; Effectiveness of Endoscopic Ultrasonography in Detecting the Extrahepatic Choledocholithiasis.
Im Hwan ROE ; Jung Taik KIM ; Il Han SONG ; Jung Won KIM ; Yun Soo YUN ; Chang Young LIM
Korean Journal of Gastrointestinal Endoscopy 1997;17(1):23-31
BACKGROUND/AIMS: Ultrasonography is the easiest, fastest procedure for the diagnosis of choledocholithiasis, but the diagnostic failure are mostly because of the intrapancreatic level of this condition and the absence of bile duct dillatation. Endoscopic ultrasonography is a promising procedure for the diagnosis of extrahepatic cholestasis due to noninvasiveness and accuracy in the digestive gas interposition. The aim of this study was to prospectively compare the diagnostic accuracy of endoscopie ultrasonography with abdominal ultrasonography and endoscopic retrograde cholangiography in 66 patients with suspected choledocholithiasis. METHODS: All of the patients had abdominal ultrasonography, endoscopic ultrasonography ~and endoscopie retrograde cholangiography within 72 hours and final diagnosis was determined by endoseopic retrograde cholangiography with sphincterotomy. RESULTS: (l) Choledocholithiasis was confirmed in 45 patients: Thirteen patients had nondilated common bile ducts and 20 patients had stones with diamerer < 1 cm. (2) Endoscopic ultrasonography was more sensitive(95.5%) than abdominal ultrasonography (44.4%: P<0.0001) and similar to endoscopic retrograde cholangiography (97.8%). Specificity was same as 100% in 3 diagnostic tools. (3) Endoscopic ultrasonography was superior to abdommal ultrasonography for the diagnosis of choledocholithiasis with nondilated common bile duct(100% vs 15.3%, P<0.0001) and with less than 1cm sized small stone(100% vs 10.0%, P<0.0001). Endoscopic ultrasonography results did not depend on stone diameter or common bile duct dilatation. CONCLUSIONS: Endoscopic ultrasonography could be an accurate and safe diagnostic tool for the diagnosis of choledocholithiasis and could be promising especially in the cases with difficult cannulation of bile duct and gal1 stone pancreatitis.
Bile
;
Bile Ducts
;
Biliary Tract*
;
Catheterization
;
Cholangiography
;
Choledocholithiasis*
;
Cholestasis, Extrahepatic
;
Common Bile Duct
;
Diagnosis
;
Dilatation
;
Endosonography*
;
Humans
;
Pancreas*
;
Pancreatitis
;
Prospective Studies
;
Sensitivity and Specificity
;
Ultrasonography
3.Effect of Prostaglandin E1 and the Surgical Delay on the Survival of the Transverse Rectus Abdominis Musculocutaneous Flap in the Diabetic Rat.
Seong Pil JOH ; Young Joon JUN ; Yoon Sang SONG ; Ki Taik HAN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(6):543-550
Transverse rectus abdominis musculocutaneous (TRAM) flap is one of the best flap in breast reconstruction. Even though many trials have been attempted to increase the rate of the flap survival, the necrosis of distal flap area due to vascular compromise is troublesome. The aim of this study was to evaluate the effect of prostaglandin E1(PGE1), surgical delay and the combined procedure on TRAM flap survival rate in vascular compromised rat by diabetes. Left inferior epigastric vessel pedicled TRAM flaps(5.0 x 2.5 cm) were elevated in 40 Sprague-Dawley rats. In control group(N=10), there was no procedure before the flap elevation. In surgical delay group(N=10), the left superior epigastric vessels and the contralateral rectus perforators were ligated 2 weeks before the flap elevation. In PGE1 injection group(N=10), PGE1(0.5microgram) was given intraperitoneally for 2 weeks before the flap elevation daily. In combined procedure group(N=10), the same surgical delay and injection of PGE1 were done simultaneously. On the seventh postoperative day, we evaluated and compared the flap survival rates, the vessel distribution status through Microfil casts, the vessel area rates by histomorphometric analysis in each group. The results were as follows 1) The mean percentages of surviving flap areas of surgical delay group(73.41+/- 10.43%), PGE1 injection group(68.95 +/- 7.13%) and combined procedure group(79.39 +/- 13.44%) were greater than that of control group(44.85 +/- 18.08%) with a statistical significance(p< 0.05). 2) The vessel distributions of each procedure group were more abundant than those of control group in Microfil casts. 3) The mean percentages of vessel areas of surgical delay group(2.74 +/- 0.23%), PGE1 injection group(2.58 +/- 0.49%) and combined procedure group(3.15+/- 0.25) were greater than that of control group(1.24 +/- 0.40%) with a statistical significance(p< 0.05). The results indicated that PGE1 injection or surgical delay procedure could be used to increase the TRAM flap survival area in diabetic condition and the effect of PGE1 was comparable to that of surgical delay procedure. But, the synergistic effect of surgical delay and PGE1 injection was not observed statistically.
Alprostadil*
;
Animals
;
Female
;
Mammaplasty
;
Myocutaneous Flap*
;
Necrosis
;
Rats*
;
Rats, Sprague-Dawley
;
Rectus Abdominis*
;
Silicone Elastomers
;
Survival Rate
4.DNA Variation of Helicobacter Pylori in the Gastroduodenal Disease.
Im Hwan ROE ; Chang In KIM ; Dong Ryul HA ; Young Joo JIN ; Il Han SONG ; Chang Young LIM ; Jung Won KIM ; Jung Taik KIM ; Jong Hwa KIM ; Jung Sun YEOM
Korean Journal of Medicine 1997;53(4):520-526
BACKGROUND: The evidence for H. pylori as a gastrointestnal pathogen is now very strong, if not overwhelming. Among the pathogenic factors of H. pylori, flagella and urease are considered to be major factors causing the gastrododenal disease. We observed the gene diversity of H. pylori using the PCR-amplified 1.4Kb fla A gene and 0.9Kb ure B gene and examined the relationship between the gene pattern and the gastroduodenal disease. METHOD: Fifty-one cases of isolated strains were cultured at the Helicobacter-selective blood agar plates. To compare the gene diversity among the isolates of gastroduodenal disease genotypes was analyzed by PCR-based RFLP. 1.4Kb fla A gene and 0.9Kb ure B genes from isolates were amplified by PCR and digested with Hae 3 restriction enzymes to observe the restriction fragment length polymophysm. Protein patterns were also compared to examine the antigenic variations. Total cell proteins, and octyl-glucose extracts from isolates were analyzed by SDS-PAGE gel electrophoresis. RESULTS: 41 cases (80.4%) of H. pylori were isolated in the 51 cases of gastroduodenal diseases. We could classify theses isolates 3 types of PCR-RFLP in the fla A gene, 900+500bp, 500+500+400bp, 600+800bp, and 9 types in the ure B gene. PCR-RFLP in the fla A gene and ure B gene of the isolates was different from the standard strain of Australia and the genetic diversity was not related to the types of the gastroduodenal disease. We demonstrated variations in the protein pattern and antigenic profiles among the isolates by SDS-PAGE analysis. These data also did not show any relationship between protein pattern and types of gastroduodenal diseases. CONCLUSION: Tese studies showed many different gene diversity in the flagella and urease gene without any relationship with the types of gastoduodenal disease. And variable protein pattern were noted among the strains of H. pylori. Further studies to demonstrate the pathgenecity of H. pylori should be continued even if there was no relationship between the genomic diversity of the flagella or urease and the types of gastroduodenal disease.
Agar
;
Australia
;
DNA*
;
Electrophoresis
;
Electrophoresis, Polyacrylamide Gel
;
Flagella
;
Genes, vif
;
Genetic Variation
;
Genotype
;
Helicobacter pylori*
;
Helicobacter*
;
Polymerase Chain Reaction
;
Polymorphism, Restriction Fragment Length
;
Urease
5.Clinical analysis of choledochal cysts in adults.
Yoo Yong KIM ; Wook KIM ; Il Young PARK ; Hae Myung JEON ; Keun Woo IM ; Woo Bae PARK ; Seung Nam KIM ; Jong Man WON ; Chung Soo CHUN ; Young Taik SONG ; Eung Seul HYUN
Journal of the Korean Surgical Society 1993;45(1):65-72
No abstract available.
Adult*
;
Choledochal Cyst*
;
Humans
6.Diagnostic and Surgical Codes ofr National Thoracic and Cardiovascular Database.
Young Hwan PARK ; Sook Whan SUNG ; Kwang Taik KIM ; Hwan Kyu RHO ; Gyung Hwan KIM ; Kyung SUN ; Hyun SONG ; Young Mog SIM ; Chung LIM ; Soo Jung PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(5):343-376
No abstract available.
7.Calcification-resistant Effect of Surface-modified Biologic Arteries by Sulfonated Polyethyleneoxide.
Hyoung Mook KIM ; Man Jong BAEK ; Kyung SUN ; Sung Yeoll LEE ; Song Ahm LEE ; Kwang Taik KIM ; In Sung LEE ; Won Gyu LEE ; Gee Dong PARK ; Young Ha KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(11):989-997
BACKGROUND: Calcific degeneration is the major cause of clinical failure of glutaraldehyde (GA) crosslinked bioprosthetic tissues implanted in the body and necessitates the reoperation or causes death. Surface modification of biologic tissues using sulfonated polyethyleneoixde (PEO-SO3) has been suggested to significantly enhance blood compatibility, biostability and calcification-resistance by means of the synergistic effect of highly mobile and hydrophilic PEO chains and electrical repulsion of negatively charged sulfonate groups. This study was designed to evaluate the anticalcification effect of surface-modification of biologic arteries by direct coupling of PEO-SO3 after GA fixation and changes of calcification according to the implantation period through the quantitative investigation of the deposited calcium and phosphorous contents of the biologic arterial tissues in the canine circulatory implantation model. MATERIAL AND METHOD: Total of 16 fresh canine carotid arteries were harvested from eight adult dogs and divided in to GA group(n =8) and PEO-SO3 group(n=8). Sulfonation of diamino-terminated PEO was performed using propane sultone. Canine carotid arteries were only crosslinked with 0.65% GA solution in GA group and modified by direct coupling 5% PEO-SO3 solution after GA crosslinkage for 2 days and stabilized by NaBH4 solution for 16 hours in PEO-SO3 group. In both groups the resected segment of bilateral carotid arteries were reconstructed. Reconstructed segments of the two groups were analysed the quantities of calcium and phosphorous contents after 3(n=4) and 6(n=4) weeks in vivo. RESULT: After implantation of 3 seeks, PEO-SO3 group showed significantly less depositions.
Adult
;
Animals
;
Arteries*
;
Calcium
;
Carotid Arteries
;
Dogs
;
Glutaral
;
Humans
;
Polyethylene Glycols*
;
Propane
;
Reoperation
8.Facters Affecting Recurrence after Video-assisted Thoracic Surgery for the Treatment of Spontaneous Pneumothotax.
Song Ahm LEE ; Kwang Taik KIM ; Il Hyun KIM ; Man Jong BAEK ; Young Ho CHOI ; In Sung LEE ; Hyoung Mook KIM ; Hak Jae KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(5):448-455
BACKGROUND: Recent developments in techniques of video-assisted thoracic surgery(VATS) and endoscopic equipment has expanded the application of video-assisted surgical procedures in the field of thoracic surgery. Especially, it will probably become the treatment of choice of spontaneous pneumothorax(SP). There is, however, a high recurrence rate, high cost, and paucity of long-term results. We report the results of postoperative follow-up and analyze perioperative parameters affected to recurrence, retrospectively. MATERIAL AND METHOD: From march 1992 to march 1997, 276 patients with spontaneous pneumothorax underwent 292 VATS procedures. Conversion to open thoracotomy was necessitated in eight patients, and this patients excluded from the study. RESULT: The sex distribution was 249 males and 31 females. The mean age was 28.1 12.2 years(range, 15 to 69 years). Primary SP was 237cases(83.5%) and secondary SP was 47cases(16.5%). The major underlying lung diseases associated with secondary SP were tuberculosis 27cases(57.4%) and emphysema 8cases (38.3%). Operative indications included Ipsilateral recurrence 123(43.9%), persistent air-leak 53(18.9%), x-ray visible bleb 40(14.3%), tension 30(10.7%), contralateral recurrence 21(7.5%), uncomplicated first episode 8(2.9%), bilateral 3(1.1%), complicated episode 2(0.7%). Blebs were visualized in 247cases(87%) and 244cases(85.9%) performed stapled blebectomy. Early postoperative complications occurred in 33 cases(11.6%): 16 prolonged air-leak more than 5 days(four of them were required a second operation and found missed blebs); 5 bleeding; 5 empyema; 2 atelectasis; 1 wound infection. No deaths occured. The mean operative time was 52.8 23.1 minutes(range, 20 to 165 minutes). The mean d ration of chest tube drainage was 5.0 4.5 days(range, 2 to 37 days). The mean duration ofhospital stay was 8.2 5.5 days (range, 3 to 43days). At a mean follow-up 22.3 18.4 months(range, 1 to 65 months), 12 patients(4.2%) were lost to follow-up. There were 24 recurrences and seven patients underwent second operation and 6 patients(85.7%) were found the missed blebs. 12 perioperative parameters(age, sex, site, underlying disease, extent of collapse, operative indication, size of bleb, number of bleb, location of bleb, bleb management, pleural procedure, prolonged postoperative air-leak) were analyzed statistically to identify significant predictors of recurrence. The significant predictors of recurrence was the underlying disease[17.0%(8/47): 6.8%(16/237), p=0.038], prolonged postoperative air-leakage[37.5%(6/16): 6.7%(18/268), p=0.001], and pleural procedure [11.4%(19/167): 4.3%(5/117), p=0.034]. Blebectomy has less recurrence rate then non-blebectomy [8.2%(20/244) : 10.0%(4/40), p>0. 5]. However, this difference was not statistically significant(p=0.758). CONCLUSION: We conclude that it is important that we shoud careful finding of bleb during VATS due to reducing of recurrnece, and cases of no bleb identified and secondary spontaneous pneumothorax were indicated of pleurodectomy. VATS is a valid alternative to open procedure for the treatment of spontaneous pneumothorax with less pain, shorter hospital stay, more rapid return to work, high patient acceptance, less scar and exellent cosmetics. But, there is high recurrence rate and high cost, and than it is necessary to evaluate of long-term results for recurrence and to observate carefully during VATS.
Blister
;
Chest Tubes
;
Cicatrix
;
Drainage
;
Emphysema
;
Empyema
;
Female
;
Follow-Up Studies
;
Hemorrhage
;
Humans
;
Length of Stay
;
Lost to Follow-Up
;
Lung Diseases
;
Male
;
Operative Time
;
Pneumothorax
;
Postoperative Complications
;
Pulmonary Atelectasis
;
Recurrence*
;
Retrospective Studies
;
Return to Work
;
Sex Distribution
;
Thoracic Surgery
;
Thoracic Surgery, Video-Assisted*
;
Thoracoscopy
;
Thoracotomy
;
Tuberculosis
;
Wound Infection
9.Pseudoaneurysm Due to Squamous Cell Carcinoma of the Lung: Two Cases of Spontaneous Resolution after Chemotherapy.
So Young KIM ; Hak Ryul KIM ; Jung Sub SONG ; Ki Eun HWANG ; Jeong Hyun SHIN ; Seoung Nam SHIN ; Dong KIM ; Seong Hoon PARK ; Sei Hoon YANG ; Eun Taik JEONG
Cancer Research and Treatment 2009;41(4):237-240
Pseudoaneurysm due to cancer is uncommon generally and is extremely rare in lung cancer. We report two cases of false aneurysms due to lung cancer that spontaneously regressed upon chemotherapy without intervention. Both patients had squamous cell carcinoma of the lung and the diagnosis of a pseudoaneurysm was made using computed tomography. There was no evidence of severe bronchial hemorrhage and the psuedoaneurysms were small and well-encased. Chemotherapy was performed and the pseudoaneurysms resolved.
Aneurysm
;
Aneurysm, False
;
Carcinoma, Squamous Cell
;
Hemorrhage
;
Humans
;
Lung
;
Lung Neoplasms
10.A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient.
Eun Kyeong OH ; Jae Yeon SONG ; Hyun Hee JO ; Dong Jin KWON ; Yong Taik LIM ; Young Oak LEW ; Eun Jung KIM ; Jang Heup KIM ; Mee Ran KIM
Korean Journal of Obstetrics and Gynecology 2010;53(8):742-745
The foreign bodies in vagina cause intense inflammation. Genital complaints in patients could indicate the presence of a vaginal foreign object. Vaginal bleeding and blood-stained, foul-smelling discharge are considered to be the main clinical manifestations of vaginal foreign bodies, and toilet tissue reported as the most commonly found foreign body. The insertion of foreign bodies into the vagina is not uncommon but presentation as lower abdominal pain in an gynaecological clinic is rare. The causes of insertion are sexual stimulation, sexual abuse, accident of post-surgery and most cases find a solution after vaginal speculum examination. We describe a case of foreign body in the vagina of a patient presenting with chronic lower abdominal pain but undetectable and unrecognized in general examination.
Abdominal Pain
;
Foreign Bodies
;
Humans
;
Inflammation
;
Sex Offenses
;
Surgical Instruments
;
Uterine Hemorrhage
;
Vagina
;
Young Adult