• 한국임상수의학회지
• /
• 제17권2호
• /
• pp.438-442
• /
• 2000

Stump pyometra is defined as a reinfection or inflammation of uterine remnant after ovariohysterectomy. We surveyed four bitches which were serviced in the veterinary medical teaching hospital of Seoul National University. In this Paper we studied the method for diagnosis of stump pyometra by symptoms, blood tests, and ultrasound films. To detect the stump pyometra is difficult because clinical signs are verb similar to the normal pyometra. Especially symptoms could noticed be noticed even by their owner until dogs have a vaginal discharge. Blood test also were in normal range in each item except in the elevation of the number of while blood cells. We conclude ultrasonic observation add experimental laparotomy has a significant meaning to diagnosis the stump pyometra.

• Journal of Gastric Cancer
• /
• 제1권3호
• /
• pp.144-149
• /
• 2001

Purpose: Gastric stump cancer is defined as a cancer that develops in the stomach after a resection in cases of non-malignant or malignant gastric disease. The interval between the gastrectomy and the detection of gastric stump cancer must be over 5 years. Since duodenogastric reflux gastritis is a precancerous condition and one of the most important factors inducing gastric stump cancer, we compared the bile-acid content of gastric juice between gastric stump cancer patients and controls. Materials and Methods: To evaluate retrospectively the surgical treatment of patients with gastric stump cancer, we reviewed the cases histories of 1016 stomach cancer patients who had been operated on at the Department of General Surgery, Kosin University Gospel Hospital, between 1995 and 1998. The gastric juice was collected during the operations on the gastric stump cancer patients by using a needle puncture of the fundus of the stomach and during the endoscopic examinations of the control subjects. The samples were analyzed for various bile acids (gas chromatography/mass spectrometry). Results: The 6 gastric stump cancer cases accounted for $0.6\%$ of all gastric cancer patients; 5 patients were first operated on for a peptic ulcer and the remaining one for an adenocarcinoma of the stomach. All of the cases were men. The reconstruction method after the initial gastrectomy was a Billroth II in all cases. The sites of the gastric stump cancer were the anastomotic sitein 2 patients, the upper body in 2, the fundus in 1 and the cardia in 1. The operative methods were 3 total gastrectomies, 2 subtotal gastrectomies with Roux en Y anastomosis, and 1 partial gastrectomy with lymph node dissection and had a curative intention in all patients. All of the patients were still surviving at the time of this report. The gastric juices of 4 gastric stump patients showed significantly higher contents of cholic acid ($36.42{\mu}g/ml$) compared to the gastric juices of 35 control subjects ($36.42{\mu}g/ml$)(p$\leq0.0001$). Chenodeoxycholic acid and lithocholic acid were not significantly different. Conclusion: The gastric juice of gastric stump cancer patients contained a significantly higher cholic acid content. At the time of the initial gastrectomy, an operative method that prevents duodenogastric reflux may prevent or minimize the development of gastric stump cancer, and more aggressive surgical treatment may improve survival.

• Journal of Gastric Cancer
• /
• 제16권1호
• /
• pp.28-33
• /
• 2016

Purpose: We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer. Materials and Methods: A total of 1,230 patients underwent gastrectomy at our institution between 2010 and 2014. Duodenal stump leakage was diagnosed in 19 patients (1.5%), and these patients were included in this study. The management options varied with patient condition; patients were managed conservatively, with a pigtail catheter drain, or by tube duodenostomy via a Foley catheter. The patients' clinical outcomes were analyzed. Results: Duodenal stump leakage was diagnosed in all 19 patients within a median of 10 days (range, 1~20 days). The conservative group comprised of 5 patients (26.3%), the pigtail catheter group of 11 patients (57.9%), and the Foley catheter group of 3 patients (15.8%). All 3 management modalities were successful; none of the patients needed further operative intervention. The median hospital stay was 18, 33, and 42 days, respectively. Conclusions: Non-operative management of duodenal stump leakage for selected groups of patients with gastric cancer was effective for control of intra-abdominal sepsis. This management modality can help obviate the need for surgical intervention.

• 한국산림과학회지
• /
• 제107권4호
• /
• pp.336-343
• /
• 2018

본 연구는 경사면에 분포하는 참나무류 임분의 성공적인 맹아갱신을 통한 후계림 조성 및 관리 기술 개발을 위해 수행되었다. 맹아갱신작업지의 1,451개 그루터기 높이 벌근경과 맹아발생 부위 수, 맹아 근원경 높이 등 맹아 발생과 생육에 관한 인자들을 조사하였다. 그루터기 벌근경이 커질수록 맹아발생량이 감소하거나 증가하였지만, 그루터기 높이에 따라 맹아발생량은 증가하는 경향을 보였다. 경사면 맹아갱신작업의 편의상 참나무류 임분은 사면상부 방향을 기준으로 낮게 벌채하기 때문에 사면상부와 하부 방향의 그루터기 높이차가 발생하는 것으로 파악되었다. 상대적으로 높이가 높은 사면하부 방향의 그루터기에서 맹아발생량이 많았으며, 사면하부 방향에서는 측면맹아, 사면상부 방향에서는 근부맹아 발생률이 높아 그루터기 높이차는 맹아가 발생하는 부위에 영향을 미치는 것으로 나타났다. 사면방향(상부 하부)에 따른 발생부위별 맹아 생장상태를 비교한 결과, 사면상부 방향에서는 생장량에 차이가 없는 반면 사면하부 방향에서는 측면맹아의 생장이 근부맹아 보다 높았다. 참나무류 맹아의 품질을 향상시키기 위해서는 경사면에 분포하는 참나무류 임분의 분포 특성을 고려하여 벌채면을 경사면과 평행하도록 그루터기 높이차를 줄여 측면맹아 발달을 억제하는 시업 적용이 필요하다.

• Tuberculosis and Respiratory Diseases
• /
• 제41권3호
• /
• pp.299-301
• /
• 1994

저자들은 폐결핵으로 우중엽절제술 후 발생한 기관지 단단 국균증을 기관지 내시경으로 진단, 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2002년도 추계학술대회 논문집
• /
• pp.1070-1073
• /
• 2002

The biomechanical interaction between the stump and the prosthetic socket is critically important to achieve close-to-normal ambulation. Many investigators suggested that the pressure changes during gait of transfemoral amputees are closely related to the prosthetic alignment, the socket shape, the stump size, and the residual muscle activity. The effects of the prosthetic alignment, the socket shape, and the stump size on the interface pressure were investigated previously. However, there is no report how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. Since designs of socket fur lower limb amputees need to consider the socket interface pressure characteristics, the interface pressure patterns by the residual muscle activities during gait should be investigated. In this study, myoelectric signals (MES) and socket interface pressure in residual limb of transfemoral amputees were measured during the stance and swing phases of gait. For the purpose, specially designed quadrilateral sockets that MES electrodes could be instrumented were fabricated. A total of two transfemoral amputees were participated in the experiments. The measured temporal MES amplitude and interface pressure in knee flexor (biceps femoris) and extensor (rectus femoris) had significant correlations (P ＜ 0.05). Based on the test results, It was suggested that the residual muscle activity of transfemoral amputees stump is an important factor affecting socket pressure changes during walk.

• 대한골관절종양학회지
• /
• 제4권1호
• /
• pp.53-58
• /
• 1998

Limb-salvage surgery has become more popular than amputation for the treatment of malignant bone tumor because no differences in local recurrence and the 5-year survival rate have been found. However for young patients with sarcoma, skeletal immaturity may be a contraindication to limb-salvage surgery due to the expected leg length discrepancy. If limb-sparing procedure should be impossible for skeletally immature patients, amputation has to be given first consideration. To minimize the functional difficulty from short amputation stump of above knee amputation, we performed lengthening of the amputation stump using ipsilateral tibia. One patient was lengthened 17cm using ipsilateral tibia and the other, 12cm. Two patients and their families were satisfied both clinically and psychologically.

• Journal of Gastric Cancer
• /
• 제17권4호
• /
• pp.354-362
• /
• 2017

Purpose: Laparoscopic gastrectomy is accepted as a standard treatment for patients with early gastric cancer in Korea, Japan, and China. However, duodenal stump leakage remains a fatal complication after gastrectomy. We conducted a prospective phase II study to evaluate the safety of the new technique of laparoscopic reinforcement suture (LARS) on the duodenal stump. Materials and Methods: The estimated number of patients required for this study was 100 for a period of 18 months. Inclusion criteria were histologically proven gastric adenocarcinoma treated with laparoscopic distal or total gastrectomy and Billroth II or Roux-en-Y reconstruction. The primary endpoint was the incidence of duodenal stump leakage within the first 30 postoperative days. The secondary endpoints were early postoperative outcomes until discharge. Results: One hundred patients were enrolled between February 2016 and March 2017. The study groups consisted of 65 male and 35 female patients with a mean age (years) of 62.3. Of these, 63 (63%) patients had comorbidities. The mean number of retrieved lymph nodes was 38. The mean operation time was 145 minutes including 7.8 minutes of mean LARS time. There was no occurrence of duodenal stump leakage. Thirteen complications occurred, with one case of reoperation for splenic artery rupture and one case of mortality. Conclusions: Based on the results of this prospective phase II study, LARS can be safely performed in a short operation period without development of duodenal stump leakage. A future randomized prospective controlled trial is required to confirm the surgical benefit of LARS compared to non-LARS.

• Archives of Reconstructive Microsurgery
• /
• 제22권2호
• /
• pp.63-68
• /
• 2013

Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure. Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation. Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result ($15^{\circ}$ to $100^{\circ}$). The VAS patient satisfaction score for aesthetic were five in six patients, four in four patients, and three in one patient. Conclusion: In case of the failed digital replantation, if patient refuse toe transfer, it could be useful method to reconstruction with the free flap to preserving maximal length of amputated stump.

• Journal of Forest and Environmental Science
• /
• 제34권2호
• /
• pp.119-125
• /
• 2018

The tropical forests in developing countries are faced with the problem of illegal exploitation of trees. However, dearth of empirical means of expressing the dimensions, structure, quality and quantity of a removed tree has imped conviction of offenders. This study aimed at developing a model that can effectively estimate individual tree basal area (BA) from stump diameter (Ds) for Tectona grandis stands in Omo Forest Reserve, Nigeria, for timber valuation in case of illegal felling. Thirty-six $25m{\times}25m$ temporary sample plots (TSPs) were laid randomly in six age strata; 26, 23, 22, 16, 14, and 12 years specifically. BA, Ds and diameter at breast height were measured in all living T. grandis trees within the 36 TSPs. Least square method was used to convert the counted stumps into harvested stem cross-sectional areas. Six basal area models were fitted and evaluated. The BA-Ds relationship was best described by power model which gave least values of Root mean square error (0.0048), prediction error sum of squares (0.0325) and Akaike information criterion (-15391) with a high adjusted coefficient of determination (0.921). This study revealed that basal area estimation was realistic even when the only information available was stump diameter. The power model was validated using independent data obtained from additional plots and was found to be appropriate for estimating the basal area of Tectona grandis stands in Omo Forest Reserve, Nigeria.