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991.
Jae Hyuk Yang Jong-Hoon Park Kyueng-Whan Min Hak Jun Kim Joon-Yong Jung 《Journal of orthopaedic science》2011,16(3):326-328
Osteoid osteoma is a benign bone tumor that causes localized pain that typically increases during the night and is relieved by NSAIDs [1]. It most commonly occurs in the femur and tibia. Only 8% of osteoid osteoma is found in the foot [2]. For that reason, if osteoid osteoma develops in the foot, there may be a delay in diagnosis as it often mimics other, more frequent pathologies. Moreover, if the patient has a history of injury, the initial diagnosis of osteoid ostoema is even more difficult to make [3] as it is natural for the physician to attribute the symptoms to the trauma. 相似文献
992.
Kwak HN Kim JH Yun JS Son BH Chung WY Park YL Park CH 《Surgical laparoscopy, endoscopy & percutaneous techniques》2011,21(6):439-442
A standard procedure for single-port laparoscopic adrenal surgery has not been established. We retrospectively investigated intraoperative and postoperative outcomes after laparoscopic adrenalectomy through mono port (LAMP) and conventional laparoscopic adrenalectomy to assess the feasibility of LAMP. Between March 2008 and December 2009, 22 patients underwent adrenalectomy at the Department of Surgery, Kangbuk Samsung Hospital. Twelve patients underwent conventional laparoscopic adrenalectomy and 10 patients underwent LAMP. The same surgeon performed all the surgeries. The 2 procedures were compared in terms of tumor size, operating time, time to resumption of a soft diet, length of hospital day, and postoperative complications. The 2 groups were similar in terms of tumor size (30.08 vs. 32.50 mm, P=0.796), mean operating time (112.9 vs. 127 min, P=0.316), time to resumption of a soft diet (1.25 vs. 1.30 d, P=0.805), and length of hospital day (4.08 vs. 4.50 d, P=0.447). Despite 1 patient in the LAMP group experiencing ipsilateral pleural effusion as a postoperative complication, this parameter was similar for the 2 groups (P=0.195). Perioperative mortality, blood transfusion, and conversion to open surgery did not occur. Perioperative outcomes for LAMP were similar to those for conventional laparoscopic adrenalectomy. LAMP appears to be a feasible option for adrenalectomy. 相似文献
993.
Seo TJ Park CH Jeong HK Park SY Cho SB Lee WS Joo YE Kim HS Choi SK Rew JS Choi SJ 《Surgical laparoscopy, endoscopy & percutaneous techniques》2011,21(6):e313-e315
Ingestion of foreign bodies is common in gastroenterology practice. Most of them are spontaneously passed through gastrointestinal tract. However, ingestion of multiple magnets can cause serious complications, because magnets attract each other and they hold the gastrointestinal wall. Here, we describe a patient who ingested multiple magnets that attracted each other between distal esophagus, and a part of them was impacted into the esophageal wall. In general, impacted magnetic foreign bodies should be removed by surgical intervention because of a high perforation risk. But, in this case, we used an insulated-tip knife for endoscopic submucosal dissection technique to make an incision to expose the impacted magnetic foreign bodies, and removed them successfully without surgery. With this report, we hope to encourage gastroenterologists to consider this new technique as one of procedures for difficult cases, including impacted foreign bodies. 相似文献
994.
Background
Type 2 diabetes mellitus (T2DM) has become an epidemic health problem worldwide. Compared to Western countries, in Asia, T2DM occurs in patients with a lower body mass index (BMI) due to central obesity and decreased pancreatic β-cell function. The efficacy of laparoscopic mini-gastric bypass (LMGB) in obese patients with T2DM has been proven by numerous studies. Treatment outcomes of LMGB for non-obese T2DM patients are also estimated to be excellent. The aim of the present pilot study was to evaluate the efficacy and safety of LMBG in non-obese T2DM patients (BMI 25–30 kg/m2). 相似文献995.
Residual renal function (RRF) is an important parameter in the management of patients on chronic dialysis. The aim of this
cross-sectional study was to determine the efficacy of serum cystatin C (CysC) for RRF estimation in 20 children (16 boys,
4 girls; median age 13.4 years) undergoing peritoneal dialysis (PD). For studies of correlation with serum CysC, the average
of creatinine clearance rate (Ccr) and urea clearance rate (Curea), Kt/Vurea, and weekly Ccr were evaluated as parameters reflecting RRF. The serum CysC level was found to be negatively correlated with urine volume
(r = −0.717, P < 0.001), average of Ccr and Curea(r = −0.851, P < 0.001), total and renal weekly Ccr (r = −0.795, P < 0.001; r = −0.845, P < 0.001, respectively), and renal Kt/Vurea (r = −0.793, P < 0.001) and positively correlated with peritoneal weekly Ccr (r = 0.738, P < 0.001) and peritoneal Kt/Vurea (r = 0.785, P < 0.001). There was no significant association with total Kt/Vurea (r = −0.335, P = 0.148). In non-anuric group of patients, serum CysC had no link to peritoneal Kt/Vurea (r = 0.573, P = 0.066), but was negatively correlated with renal Kt/Vurea (r = −0.609, P = 0.047). In the multiple regression analysis, renal Kt/Vurea significantly contributed to log CysC concentration rather than peritoneal Kt/Vurea. The results of this study suggest that serum CysC could be an appropriate marker for RRF, independent of total and peritoneal
Kt/Vurea. 相似文献
996.
This review presents skin anatomy, dermabraders, indications for dermabrasion and microdermabrasion, and dermabrasion techniques for the face, along with potential complications. Dermabrasion is a minimally invasive technique used for skin resurfacing. Its applications include treatment of rhytids, abnormal scarring, and premalignant lesions. The risks of complications are low and include pigment changes, hypertrophic scarring, and infection. Despite the introduction of newer therapies, such as lasers and chemical peels, dermabrasion remains an effective tool for physicians to combat the effects of aging without the downtime required for surgery. 相似文献
997.
Total arch repair versus hemiarch repair in the management of acute DeBakey type I aortic dissection
Joon Bum Kim Cheol Hyun Chung Duk Hwan Moon Geong Jun Ha Taek Yeon Lee Sung Ho Jung Suk Jung Choo Jae Won Lee 《European journal of cardio-thoracic surgery》2011,40(4):881-887
Objective: In acute DeBakey type I aortic dissection, it is still controversial whether to perform extended aortic replacement to improve long-term outcome or to use a conservative strategy with ascending aortic and hemiarch replacement to palliate a life-threatening condition. Methods: Between 1999 and 2009, 188 consecutive patients (93 women; mean age, 57.4 ± 11.7 years) with acute DeBakey type I aortic dissection underwent hemiarch (Hemiarch group; n = 144) or total arch replacement (Total arch group; n = 44) in conjunction with ascending aorta replacement. Clinical outcomes were compared after adjustment for baseline characteristics using inverse-probability-of-treatment weighting. Results: Median follow-up was 47.5 months (range 0–130.4 months) and was 92.0% (n = 173) complete. Five-year unadjusted survival and permanent-neurologic-injury-free survival rates were 65.8 ± 8.3% and 43.1 ± 9.7% in the Total arch group, and 83.2 ± 3.3% and 75.2 ± 4.0% in the Hemiarch group, respectively (P = 0.013 and <0.001). After adjustment, the Total arch group patients were at greater risks of death (hazard ratio (HR) 2.38, 95% confidence interval (CI) 1.21–4.67; P = 0.012), and permanent neurologic injury (HR 3.25, 95% CI 1.31–8.04; P = 0.011) compared to the Hemiarch group patients. The risks of the re-operation for aortic pathology or distal aortic dilatation (>55 mm) were similar for both groups (HR 0.33, 95% CI 0.08–1.43; P = 0.14). Conclusions: Total arch repair was associated with greater morbidity and mortality compared with hemiarch repair in acute DeBakey type I aortic dissection. Rates of aortic re-operation or aortic dilatation were not significantly different between the two surgical strategies. These findings support a conservative surgical approach to circumvent this life-threatening situation. 相似文献
998.
Man Sup Lim Hae-Wan Lee Hyoungjune Im Byung Seup Kim Mi Yeol Lee Jang Yong Jeon Dae Hyun Yang Bong Hwa Lee 《Journal of gastrointestinal surgery》2011,15(10):1783-1788
Introduction
Prediction of lymph node metastasis in early gastric cancer (EGC) is very important to decide treatment strategies preoperatively. The aim of this study was to evaluate factors that predict the presence of lymph node metastasis and to indentify the differences between mucosal and submucosal gastric cancers. 相似文献999.
Channel transurethral resection of prostate (TURP) is an accepted treatment for advanced carcinoma of prostate (CaP) to improve quality of life. We are presenting a case of penile gangrene and urethrocutaneous fistula following TURP in a CaP. This is the first case in literature to our knowledge. 相似文献
1000.
The aim of this study was to assess structural indices from high-resolution peripheral quantitative computed tomography (HR-pQCT)
images of the human proximal femur along with areal bone mineral density (aBMD) and compare the relationship of these parameters
to bone strength in vitro. Thirty-one human proximal femur specimens (8 men and 23 women, median age 74 years, range 50–89)
were examined with HR-pQCT at four regions of interest (femoral head, neck, major and minor trochanter) with 82 μm and in
a subgroup (n = 17) with 41 μm resolution. Separate analyses of cortical and trabecular geometry, volumetric BMD (vBMD), and microarchitectural
parameters were obtained. In addition, aBMD by dual-energy X-ray absorptiometry (DXA) was performed at conventional hip regions
and maximal compressive strength (MCS) was determined in a side-impact biomechanical test. Twelve cervical and 19 trochanteric
fractures were confirmed. Geometry, vBMD, microarchitecture, and aBMD correlated significantly with MCS, with Spearman’s correlation
coefficients up to 0.77, 0.89, 0.90, and 0.85 (P < 0.001), respectively. No differences in these correlations were found using 41 μm compared to 82 μm resolution. In multiple
regression analysis of MCS, a combined model (age- and sex-adjusted) with aBMD and structural parameters significantly increased
R
2 values (up to 0.90) compared to a model holding aBMD alone (R
2 up to 0.78) (P < 0.05). Structural parameters and aBMD are equally related to MCS, and both cortical and trabecular structural parameters
obtained from HR-pQCT images hold information on bone strength complementary to that of aBMD. 相似文献