• The Korean Journal of Pain
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• 제11권1호
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• pp.124-126
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• 1998

As laparoscopic surgery becomes more popular, various complications following the laparoscope are also increasing. Nerve injury following the laparoscope is an infrequent but serious complication for both the doctor and patient. A 30-year old female patient suffered severe burning pain of the left buttock, inguinal area, external genitalia and inner side of vagina following laparoscopic surgery for ovarian mass. We successfully treated this patient with ilioinguinal, iliohypogastric nerve block in combination with epidural blocks.

• Annals of Clinical Neurophysiology
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• 제7권2호
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• pp.127-129
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• 2005

We report a 29-year old female who developed bilateral femoral neuropathy combined with multiple abscesses in both thigh muscles. She was present with weakness in both lower extremities for 15 days and intermittent chilling sense for 3 months. Nerve conduction study showed complete absence of compound muscle action potentials in bilateral femoral nerves when stimulated at inguinal area. Electromyographic examination revealed no motor unit action potentials in both rectus femoris and vastus medialis muscles. CT revealed multifocal abscesses in bilateral thigh muscles. After antibiotic treatment, the patient's neurologic symptoms were improved.

• Archives of Plastic Surgery
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• 제40권3호
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• pp.247-250
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• 2013

Circumcision is one of the most common rituals in Jewish and Islamic cultures. It may also be performed for phimosis correction or the treatment of recurrent balanitis. Although circumcision is considered to be a technically easy and safe surgical procedure with no significant risk, it may lead to severe complications such as necrotizing fasciitis or total penis amputation. In this report, we present a case of penis amputation at two levels occurring with third-degree burns due to electrocautery during circumcision. Although penile replantation was attempted, it was unsuccessful due to burn damage to the veins. After restoration of the functional structures, the penis was buried in the inguinal area by reepithelization to maintain blood circulation. The recovery of the penis was successful. This case is presented as a novel example of groin flap surgery to achieve a functionally and aesthetically acceptable outcome in a salvage operation for a penis with significant traumatic injury, which has not been previously reported in the literature.

• Journal of Chest Surgery
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• 제41권1호
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• pp.120-123
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• 2008

40년 전 군복무 중 우측 서혜부에 총상을 입은 과거력을 가진 60세 남자 환자로 파행과 운동 시 호흡 곤란을 주소로 내원하였다. 총상 교정술 후 지속된 만성 외상성 대퇴동정맥루로 진단되었고 수술은 소심낭을 이용한 누공 폐쇄와 대복재정맥을 이용한 대퇴동맥-슬와동맥 우회술이 이루어 졌다. 술 후 결과는 양호하였으며 문헌고찰과 함께 보고한다.

• Parasites, Hosts and Diseases
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• 제48권4호
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• pp.313-317
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• 2010

A case of tick bite was found in the inguinal region of a 74-year-old Korean woman. She was attacked by the tick while working in her vegetable garden in the vicinity of mountain located in Suncheon City, the southern coastal area of the Korean Peninsula. On admission she complained of mild discomfort and itching around the bite area. The causative tick was 23 mm long and had slender pedipalps. The scutum was quite ornate and had eyes at the edge. The genital aperture was located anterior to the level of the coxa II. The spiracular plate was comma-shaped and the anus was surrounded posteriorly by the anal groove. The coxa I had subequal 2 spurs; the external one slightly larger. The spur of coxa IV was slightly longer than those of coxae II and III. The tarsus IV had 2 distinct subapical ventral spurs. It was identified as the fully engorged adult female of Amblyomma testudinarium. This is the first human case of Amblyomma bite in Korea.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.71-75
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• 2005

The purpose of this study is to assess abdominal sensation after free TRAM flap for breast reconstruction. 74 patients underwent breast reconstruction with free TRAM flap by authors and were followed up to check the sensation on abdomen following the surgery at the out patient clinic. They are compared with 20 female volunteer controls. Abdomens were divided into 13 zones, and assessed for superficial touch, superficial pain, temperature, two-point discrimination, and vibration. For all five sensory modalities, subjects were found to have decreased sensation in the umbilical and infraumbilical regions. This was statistically significant compared with controls. Division following pedicle dissection showed more reduction of sensation than non-dissection side. Both Inguinal areas below the donor site closure also showed markedly decreased sensation. Sensation on most area of abdomen recovered in postoperative 1 year, however, there were remained hypoesthesia in umbilical and infraumbilical area after post operative 1 year. This study clearly demonstrates that there is a significant and persistent reduction in abdominal sensibility following free TRAM flap surgery.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.105-109
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• 2005

Perineal area is composed of compact structures of urogenital organs and anus requiring a more sophisticated selection of flap and reconstruction. For achieving better outcome then conventional flap surgery, we use the perineal perforator based island flap for its reconstruction. After locating the perforator by Doppler, the flaps were designed according to the defect or expected vaginal orifice. The flaps were elevated bilaterally as island pattern. Finally defect or neovagina was reconstructed with inconspicious linear scar hidden in the inguinal crease. Five cases were performed with the perineal perforator based island flap. There were 3 cases of vulvar cancer, 1 case of transsexualism, and 1 case of ambiguous genitalia because of congenital adrenal hyperplasia. Operative results were satisfactory with good contouring and less prominent donor scar, when they were compared with other flap reconstructions such as latissimus dorsi perforator flap, groin flap, gracilis myocutaneous flap etc. The perineal perforator based island flap is highly recommended with the advantages of easy flap elevation, good rotation arc, and appropriate flap thickness for contouring. Compared with other conventional flaps, it can be selected as a good option for moderate defect of perineal area.

• 동국한의학연구소논문집
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• 제7권1호
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• pp.33-41
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• 1998

본 연구는 알러지성 접촉피부염(allergic contact dermatitis) 유발 피부 주변 림프절에서의 세포성 면역활성으로 나타나는 면역조직화학적 형태변화를 조사하기 위해 DNCB로 인위적인 알러지성 접촉피부염을 BALB/C계 생쥐의 샅바위부분 피부에서 유발시킨 후 시간 경과에 따른 샅바위 림프절(inguinal lymph node)에서의 T 림프구와 IL-2 수용기의 분포변화를 관찰하였다. 대조군에서는 L3T4(CD4)에 양성반응을 보이는 도움 T 림프구, Ly2(CD8)에 양성반응을 보이는 세포독성 T 림프구 그리고 CD25R에 양성반응을 보이는 IL-2 수용기를 가진 세포는 곁피질(paracortex)과 수질동(medullary sinus)에서 분포하였다. DNCB에 의한 알러지성 접촉피부염 유발후 24시간부터 도움 T 림프군, 세포독성 T 림프구 그리고 IL-2 수용기를 가진 세포가 곁피질과 수질동에서 증가하기 시작하여 48시간에 이르러서는 그 분포와 양성반응성이 최고에 달했다. 48시간의 이러한 분포는 수질동에서 잘 나타났으며, 특히 세포독성 T 림프구가 많은 증가를 보였다. 72시간에 이르러서는 양성반응세포가 서서히 감소되는 것으로 나타났지만, 대조군에 비해서는 여전히 증가된 분포양상으로 나타났다. 이상의 결과로 미루어보아 DNCB에 의한 접촉성 피부염 유발시 림프절에서는 도움 T림프구의 분열 활성 증대로 인한 IL-2 생성 분비 증가의 결과 세포독성 T 림프구의 분열 활성을 유도하는 일련의 세포성 면역연쇄반응의 활성이 일어나게 된다. 이러한 세포성 면역연쇄반응의 활성은 주변 피부에서 일어나는 알러지성 접촉피부염로 인한 피부손상을 주도하는 것으로 사료된다.

• 대한두경부종양학회지
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• 제16권1호
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• pp.87-91
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• 2000

Neurofibromatosis type I or Von Recklinghausen's disease can occur at any site in the body. It is characterized by multiple $c\'{a}fe\;\'{a}u\;l\'{a}it$ spots on the skin-more than six spots greater than 1.5cm-, neurofibromas of the peripheral and centarl nervous system, and variety of other dysplastic abnormalities of the skin, bones, endocrine organs, nervous systems, and blood vessels. It is an autosomal dominant trait disease with a frequency of 1 of 3000. Neurofibromatosis is known to be complicated by malignancies. Neurofibromatosis is progressive disease and shows a marked variations in expression in affected individuals. In this report we describe a male patient with neurofibromatosis type I developed in the parapharyngeal space. The patient had huge mass at left parapharyngeal space and inguinal area. We successfully treated the patient with surgery without complication.

• 대한세포병리학회지
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• 제9권2호
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• pp.233-239
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• 1998

Clear ceil sarcoma(CCS) is an uncommon soft tissue sarcoma that occurs in tendons and aponeuroses, usually of the lower extremities and is believed to be of neural crest origin that have a capability to produce melanin. These tumors commonly metastasize and have a very poor prognosis. The fine needle aspiration cytologic finding of CCS is not well documented. We recently experienced a case of CCS. The patient was a 54-year-old male with painful swelling of the right inguinal area. Fine needle aspiration cytology revealed polygonal or fusiform tumor cells with clear or granular cytoplasm and vesicular nuclei containing one or two nucleoli. Immunohistochemical staining for S-100 protein and HMB-45 revealed strong positivity and variable developing stages of premelanosomes were observed by electron microscopy in the excised specimen.