Modified Doo`s SACSIH Operation , 자궁경부 내강조직 제거용 Electrode , 그리고 Hysterectomy Scoring System에 대한 연구

서성진(SJ Seo),김태실(TS Kim),두재균(JK Doo) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.10

The methods of hysterectomy for intrapelvic benign disease include total, subtotal, la-paroscopic-assisted transvaginal, and SACSIH operation. There have been 298 cases of SACSIH operation for benign uterine or pelvic diseases at the Chonbuk National University Hospital from November 16, 1992 to March 31, 1997. Patients were 41.8 years old on the average ranging from 29 to 50. Their indications cover uterine myoma(211), adenomyosis(37), uterine myoma with pelvic adhesion(16), uterine my- oma with endometriosis(11), and others(23), the uterine myoma being the most common. Both CIN and CIS is excluded after the full evaluation of the cervical disease through Pap. smear, cervicography, ECC biopsy, and HPV typing etc, and the consent of patient is secu- red. The modified SACSIH operation, when compared with other simple hysterectomy oper- ation, has the following advantages;1) minimal surgery, 2) easy adaptation, 3) avoidance of stump cancer, 4) rapid recovery and 5) less postoperative care as far as psychosomatic posthysterectomy problems are concerned. One of the new equipment for new modified technique is the Electro-Surgical Unit system with Electrode for endocervical canal resection. This is developed at this hospital as a part of the G-7 project supported by the Ministry of Health and Welfare. It is made of electrode and rod from electrosurgical unit system and operated by high frequency of current. Thus, we introduce, herein, the modified SACSIH operation and propose the postopera- tional scoring system to estimate postoperative sequelae and to help carry on personal well- being in terms of sexuality and normal life.

Nifedipine ( Adalat ) 과 Ritodrine Hydrochloride ( Yutopar ) 의 조기진통억제효과 및 안정성에 대한 비교연구

송완례(WR Song),서성진(SJ Seo),박종을(JE Park),조윤희(YH Cho),조성남(SN Cho),김종덕(JD Kim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10

Preterm delivery of infants before 37 completed week of gestation complicates 8-10% of births and is a leading cause of neonatal morbidity and mortality. In an attempts to prevent the sequalae of premature delivery attention logically centered on effort to find safe and effective tocolytic drugs. The drug most commonly used in this country for the suppression of preterm labor is ritodrine hydrochloride and its efficacies were assessed by several means, but several randomized studies have confirmed higher failure rate of tocolysis from tachyphylaxis and serious maternal side effects. Calcium channel blockers and oxytocin antagonists are an attractive alternative to the current tocolytic drugs because of high specificity and lack of serious maternal, fetal or neonatal side effects. This study was undertaken to assess the clinical efficacies of nifedipine and ritodrine hydrochloride on 122 patients admitted with preterm labor from Jan. 1, 1994 to Dec. 31, 1995. The results were as follows: 1. The incidence of preterm labor was 8.6-10.1% of total number of delivery. 2. The risk factors of the preterm labor were premature rupture of membrane, incompetent cervix, placenta previa, previous preterm delivery, acute pyelonephritis, uterine myoma and uterine anomaly in order, but 40.2% of preterm labor had no apparent risk factors. 3. The days gain in uterus was no statistically different between the nifedipine group and the ritodrine group but markedly longer in the two groups than the control group(P

골반경하에 처치한 난소임신 1 예

조장철(JC Cho),서성진(SJ Seo),두재균(JK Doo) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.4

Ovarian pregnancy is one of the rarest types of extrauterine pregnancy, which is difficult to diagnose clinically and even intraoperatively. Clinical presentations of ovarian and tubal pregnancies are similar and differentiation can be made only after microscpic examination of tissue specimens. Ovarian pregnancy occurs within the ovary and on the corpus luteum, usually with rupture of the ovary and a massive hemoperitoneum. We report a relatively intact ovarian pregnancy with laparoscopic removal with a brief review of the literatures.

대음순에 발생한 신경섬유종 1 예

정여주(YJ Jeong),정소망(SM Jeong),서성진(SJ Seo),오병찬(BC Oh),두재균(JK Doo),김종덕(JD Kim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7

A solitary neurofibroma of labia majora in a forty-two-year old female is reported. This benign tumor of the nerve sheath arises from the schwann cell and is rare in the external genitalia, especially in the absence of clinical and histopathologic stigmas of von Recklinghausen neurofibromatosis. The literature on neurofibroma of external genitalia is reviewed.

두씨색시수술 313 예에 대한 임상적 고찰

방해미(HM Bang),박종을(JE Park),서성진(SJ Seo),두재균(JK Doo) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.9

The 313 cases of Doo`s SACSIH operation were performed at Chonbuk National University Hospital from the 16th of November in 1992 to 30th of June in 1997. The results were as follows : 1. The mean age of patients was 41.4±6.0 years old and most common age group were ranged from 40 to 49 years old (59%). 2. The mean parity of patients was 2.28±1.01 and most common parity group was 2 (50%). 3. According to the initial chief complaints, abnormal uterine bleeding were in 128 cases (41%), lower abdominal discomfort were in 70 cases (22%),dysmenorrhea were in 55 cases (18%), and no symptoms and signs were in 24 cases (8%). 4. Preoperative clinical diagnosis were myoma (70.3%), myoma with pelvic adhesion (9.3%), adenomyosis, adnexal tumor, endometriosis, TRD, endometrial hyperplasia in orders. 5. According to the histopathologic type, there were 184 cases (58.8%) of leiomyoma, 93 cases (29.7%) of adenomyosis, 9 cases (2.9%) of myometrial hypertrophy, 5 cases (2.2%) of adnexal tumor, and 10 cases of no symptoms and signs. 6. According to the postoperative complications, there were 48 cases (15.3%) of febrile morbidity, 10 cases (3.2%) of wound infection, 6 cases (1.9%) of cervical bleeding, and 2 cases (0.6%) of stump cancer. 7. The mean hospitalization were 8.47±1.06 days. 8. The mean operation time was 97.72±22.59 minutes.

40 대 여성에서 미세난관복원술의 임신성공률

이종진(JJ Lee),조유진(YJ Jo),이승연(SY Lee),서성진(SJ Seo),김관식(KS Kim),류철희(CH Rhyu),김종덕(JD Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.5

Objective: To study the success rate and the acceptability of microsurgical tubal reversal as a treatment procedure for infertility in woman ages ≥ 40 years. Methods: We investigated 51 patients ages ≥ 40 years who had undergone microscopical tubal reversal in the department of Obstetrics and Gynecology at Chonbuk National University Hospital from March 1, 1982 to October 28, 1997. Results: The follow-up rate was 76.5%[39/51] and pregnancy was achieved in 59.0%[23/39]. The mean ages of the pregnant and non-pregnant groups were 41.0±0.93[range:40-43] and 42.8± 2.86[range:40-49] years, respectively. The mean interval between tubal reversal and pregnancy was 5.96±6.2 months. The cumulative pregnancy rate was 46.2% for the first 6 months after tubal reversal, and 53.8% for 18 months. Conclusion:The microscopical reversal of tubal sterilization of women also in their forties should be regarded as an acceptable treatment of infertility in women who are highly motivated and well-counseled and have no other infertility factors.

만삭임신 시 조기파수 환자에서 진통유발을 위한 Prostaglandin E2의 평가

조유진(YJ Jo),이종진(JJ Lee),문현창(HC Moon),서성진(SJ Seo),조성남(SN Cho) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.7

Objective: The management of premature rupture of the membranes in healthy pregnancy women at term without uterine activity is a matter of debate. A retrospective study comparing three management methods for patients at term with premature rupture of membranes was performed. Methods: This study was undertaken to compare the effectiveness of intravaginal prostaglandin E2 [PGE2] of term labor with oxytocin induction and expectant management in healthy 140 pregnant women with spontaneous rupture of membranes before the onset of labor from Jan. 1, 1996 to Dec. 31, 1997 at the Department of Obstetrics and Gynecology, Chonbuk National University, Medical School. Results: The time interval to delivery was shorter in prostaglandin and oxytocin groups versus control group with statistical significance[P<0.05]. The incidence of maternal infection was lowest in prostaglandin group versus oxytocin and control groups with statistical significance[P<0.05]. Overall cesarean section rate was low in prostaglandin group versus oxytocin and control groups without statistical significance. No adverse effects were observed in prostaglandin group. Conclusion: Vaginal PGE2 suppository can be used successfully to induce labor after premature rupture of membranes at term with greater ease of adminstration when compared with oxytocin.