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허승철(Seung Chul Heo),강성범(Sung-Bum Kang),정중기(Jung Kee Chung),황기태(Ki-Tae Hwang),유승범(Seungbum Ryoo),이택구(Taek-Gu Lee),박규주(Kyu-Joo Park) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.1
Purpose: We performed this study to share experiences in the management of obturator hernia, which is a very rare disease among elderly women, because rarity of this disease will not approve an expert institute or surgeon and because the aging society, Korea, can increase the incidence. Methods: Patient characteristics, clinical manifestations and treatment results were retrospectively collected from the 12 obturator hernia patients since 2000 in the three hospitals of the authors. Twenty-one obturator hernia cases reported in the Korean literatures were reviewed. In addition, we analyzed clinical features and treatment results of the total 33 patients, collectively. Results: Most of the patients were elderly women except one young, poorly nourished, male patient with pulmonary tuberculosis. Their mean age was 79.6 years. Sixty-four percent (21/33) of the patients had preoperative morbidity. Symptoms from the compression of the obturator nerve, which is an important clue to the diagnosis, were observed in 67% (22/33). Interestingly, spontaneous or suspicious-spontaneous reductions were reported in 7 (21%) patients. Abdominal CT scan was the major tool for diagnosis. Abdominal approach alone could successfully manage most cases, though 84% (27/32) needed anastomosis of the bowel. Operative mortality was 2 of the 32 cases but morbidity was 44% of the 32 patients and the mean hospital period after operation was 21 days. Conclusion: Management of patients with obturator hernia connotes high morbidity and mortality. Sharing the experience of management, prompt diagnosis and surgical management and proper peri-operative care as well as appropriate managing the families is essential for improved results.
안혜성 ( Hye Seong Ahn ),허승철 ( Seung Chul Heo ) 한국정맥경장영양학회 2012 한국정맥경장영양학회지 Vol.5 No.1
Patients undergoing major surgery are at increased risk of developing post-operative complications. In the last years, several clinical studies and meta-analyses focused on the potential clinical benefits of perioperative immunonutrition in surgical patients and showed contradictory results with regard to complications. The aim of this study is to summarize the concept of immunonutrition and the results of those clinical trials and to draw recommendations about the current indications of immunonutrition in surgery. A range of nutrients, including several amino acids, antioxidant vitamins and minerals, long-chain n-3 fatty acids, and nucleotides have been shown to upregulate the host immune function, modulate inflammatory response, and improve gut barrier function after surgery. Several experimental studies have been carried out that support potential benefits of these nutrients in the surgical patients. The majority of the randomized trials found that perioperative immunonutrition improved short-term outcomes in patients who underwent elective major gastrointestinal (GI) surgery. Five meta-analyses including a large number of randomized clinical trials showed that perioperative immunonutrition is associated with a reduction in both the infection rate and the length of hospital stay. These results have been demonstrated in all patients undergoing both the upper and lower GI surgery, regardless of their baseline nutritional status. Promising results have been obtained also in head and neck surgery. Considering these findings, perioperative immunonutrition should be implemented in patients undergoing elective major GI surgery. The use of perioperative immunonutrition could reduce both postoperative morbidity and costs for healthcare systems. However, large- scale trials are required before recommending the routine use of immunonutrition in head and neck surgery. (JKSPEN 2013; 5(1):10-14).
박원서(Won Seo Park),허승철(Seung Chul Heo),김지은(Ji Eun Kim),정중기(Jung Kee Chung),정인목(In Mok Jung),안영준(Young Joon Ahn),황기태(Ki-Tae Hwang) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.2
Primary omental tumors are rare, with most being metastatic, especially those from intra-abdominal organs. Breast and lung malignancies, as well as melanomas, are frequent causes of extra-abdominal cancers metastasizing to the omentum, peritoneum and mesentery. The case of a metastatic omental melanoma from the choroid of the eye was experienced, which formed a solitary mass in the omentum similar to that of a primary omental tumor. The patient was unaware of the nature of her eye disease following enucleation seven years previously. Concomitant liver metastases were also not identified on a CT scan, due to their relatively small sizes. Therefore, the metastatic melanoma was misconceived as a primary omental tumor until laparotomy and pathologic confirmation. This case shows that a metastatic melanoma can be presented as an abdominal mass, and should be considered in the differential diagnosis of an intra-abdominal mass.
황기태(Ki-Tae Hwang),정중기(Jung Kee Chung),정인목(In Mok Jung),허승철(Seung Chul Heo),안영준(Young Joon Ahn),장미수(Mee Soo Chang) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.3
Obturator hernia is a rare type of pelvic hernia and occurs most commonly in elderly and debilitated women. It is still a challenge for surgeons to diagnose precisely in early stages because of its nonspecific symptoms and consequently delayed diagnosis could lead to high morbidity and mortality. We experienced a 92-year old patient who was diagnosed as obturator hernia which was confirmed by computed tomography scan of the abdomen and pelvis. The operation was delayed due to the refusal of family members but eventually done after 12 days from initial diagnosis. After manual reduction of small bowel impacted into right obturator foramen, segmental resection of impacted small bowel and anastomosis was done. The hernial defect was closed by primary closure with Dexon suture material. After the operation, the patient was discharged without significant complications. We report here successful results of delayed operation for obturator hernia.
황기태(Ki-Tae Hwang),정중기(Jung Kee Chung),정인목(In Mok Jung),허승철(Seung Chul Heo),안영준(Young Joon Ahn),안혜성(Hye Seong Ahn),장미수(Mee Soo Chang),김병재(Byung-Jae Kim) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.6
Dermatofibrosarcoma protuberans is a rare tumor that occurs in the dermis or subcutaneous tissue of the trunk or extremities in relatively young adults. There are few reports of Dermatofibrosarcoma protuberans associated with pregnancy. We experienced a 28-year-old pregnant female patient with an abdominal wall mass, which grew rapidly during pregnancy. Excisional biopsy was performed and the pathologic diagnosis was fibrosarcoma transformed from Dermatofibrosarcoma protuberans. Dermatofibrosarcoma protuberans showed a positive CD34 immunostaining while fibrosarcoma showed a negative CD34. There was no recurrence or metastasis with the follow up period of 2 years. We report here a rare case of Dermatofibrosarcoma protuberans aggravated during pregnancy with a review of the literature.