복식소절개난관불임술

배병주(BJ Bai) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.5

복식소절개난관불임술중 출혈로서 개복이 부득이 할 경우, 저자의 거상기를 이용하면 그냥 소절개로 처리할 수 있어서 입원의 필요가 없으리라고 본다. In Korea, the IUD and oral pill programs which are given priority as major contraceptive methods have confronted with some difficulties because of their side effects, complexity of use, and high drop out. Therefore recently a high interest is given to tubal sterilization for woman which is the method that a better contraceptive effectiveness and can be brought by single procedure. Since 1966, the author have performed Pomeroy through a suprapubic small incison and have tried to develop a new method to elevate the uterine body, using utilizing Schroeder`s cervical dilator No.6 or /and male urethral metal bougie a round metal plate located 6cm from the tip of the device and the stem is bent like the pelvic cavature. As a whole it was very similar to today`s Vitoon`s elevator coincidentaly. In the early study prior to the main surgeries for some gynecological diseases such as mild ectopic pregnancy small uterine myoma small ovarian cyst, chronic metritis et cervicitis, and dysfunctional uterine bleeding Pomeroy procedures were tried via suprapubic tiny laparotomy under the procaine local anesthesia, and their results were satisfied in 25 cases but no pubication of this experiences has been provided even though the technic has been demonstrated to the residents of our department. Recently Dec. 1974 three kinds of uterine elevatoe for tiny-lap were devided by author, namely Bai`s IYT elevator, IT elevator and 17 elevator Among them Bai`s 17 elevator would be most useful and safety, Bai`s 17 elevator consists of handle, stem, intrauterine bending part and cavature and the manipulation technic showed in Fig 13, 16, 17. Once an adequte insertion is attained in the uterine fundus the Bai`s 17 elevator can be used to extend the uterus and vagina, elevate antevert and axis rotate(twist).

인공임신 중절의 외과적 합병증

배병주(BJ Bai) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.5

인공유산수술로서 발생되는 외과약합병증 내지 후유증을 자궁손상 및 부손상을 중심으로 검토하였다. 국가시책에 따라 가족계획운동에 의한 피임효과에 절대적인 희망을 걸고 있으나, 피임법의 보급에 필요한 시간적요소, 생활양식, 지적요소 혹은 피임에 실패한 뒤의 처리, 또는 의학적 적응증의 존재로 인하여, 인공유산이 단시일내에 우리의 주변에서 사라질것 같지 않은 것이 현재의 실정이다. 그러나 현행법규상으로는 이것을 허용하지 않는고로 유능한 전문의는 시술을 경원한다. 따라서 유산희망자는 자연 그다지 수술에 대한 소양이 적은 의사 또는 암암리에 암약하는 무자격자에 수술을 의뢰하게 된다. 이러면 필요적으로 본수술로, 인한 장애가 많아진다는 곤란한 사회문제가 조성될것을 우려한다. 결코 유산수술을 장려하는 의미는 아니나, 만부득이 시행해야할 경우에는 일본에서와같이 국가지정의 같은 것이 있어서 안심하고 시행할 수 있게 되는것이 모성보건을 위해서는 현재와 같이 법이 거의 무시되다 싶이 비밀리에 성행하는것 보다는 나을 것으로 생각된다. 연이나 의사로서는 사고방지에 노력할 의무가 있다. 소독의 불충분 기술의 졸렬 술시의 부주의 술후의 관리 부족환자의 불섭생 등에 대한 철저한 대책이 필요하다. 특히 술자의 정신적인 면이중요한 것이다. 유산 수술을 용이한 소수술이라고 경율하게 추급하던가 심신의 피로가 심한때 정신적으로 흥분되어 있을때, 또는, 약속시간을 앞두고 촉박한 마음으로, 또는 음주후에 수술에 착수하는 것등은 절대로 피해야하겠고, 환자는 입원 시키는것을 원칙으로 하여 환자가 의사가 심신이 평온한 가운데 의사의 정신과 기술이 일치되어서 수술에 임애야할것이다. 이리하여 모체의 보호를 위한 본수술이 도리혀 모체를 해치는 일이 없기를 바라는 바이다.

I.U.C.D ( Lippe`s Loop ) 사용중 우발한 자궁외임신

배병주(BJ Bai),고병업(BU Ko),김희석(HS Kim),박희옥(HO Park) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.5

Two experiences of Ectoic Gestation following use of I.U.C.D.(Lippes Loop 27 1/2mm) in situ were presented and briefly reviewed references concerned. The former case presented the left tubal isthmical rupture and the latter ws right tubal isthmical rupture c profuse intraperitoneal hemorrhage. The duration of Lippes Loops using were calcurated from 1 1/2 yr to 3 yrs. Otherwise both opposite sided Adnexa appeared in intact looking and so the tbal ligation done for purpose of sterilization.

반복자궁외임신 ( 자검 30예에관한 관찰 )

배병주(BJ Bai),이용섭(YS Lee),고병업(BU Ko) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.5

A clinical study were made on the 30 cases of the repeated ectopic pregnancy whom had been treated at the Depaartment of Obstetrics and Gynecology, Seoul Red Cross Hospital during the past 7 years from Oct. 1958 to Sep. 1965. The results of this study are as follows. 1) Among the 351 cases of the ectopic pregnancy, the 30 cases were repeated ectopic pregnancy, which revealed 8.5% of total cases. 2) The age distribution fell ito 22 to 45 years of age, and its mean was 33.5 years of age. 3) The duration between the first and the second operation was distributed in 7 months to 17 years. And its mean was 2 years and 8 months. 4) It is difficult to warrent that repeatition will not occur in fresh looking fallopian tube during operation, because repeated ectopic pregnancy often occure in such cases. 5)It would be better removed or sterilize the healthy tube in woman who need no more baby. Ad conservative operation should be done in woman who want more baby. 6) Repeatition on the same side or more than 2 times was not experienced.

분리중복자궁 및 중복질 2예

배병주(BJ Bai),송석조(SJ Song),박신근(SK Park),김희석(HS Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.2

저자들은 23세 및 26세 초산부로서 임신중독증을 주소로 입원하여 제왕절개술로 생아를 분만하고 치료된 예이다. The uterus didelphys is one of the rare congenital anomalies, and it was even judged incompatible with life bofore. Complete duplication occurs from faulty fusion of the two Mullerian ducts and during the first two early months of fetal life. We experienced two cases of uterus didelphys complicated with toxemia and are now presenting them in a brief review.

만기분만시 태반과 함께 만출된 Lippes Loop의 1례

배병주(BJ Bai),송석조(SJ Song),박신근(SK Park) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.5

만기분만시 태반과 함께 만출된 Lippes Loop의 1례를 보고하는 바이다. A case of Lippes-loop which deliveried with placenta at third stage of labor, is presented. And the current literature are reviewed briefly here.

자궁암육종의 1예

배병주(BJ Bai),박희옥(HO Park),신영배(YB Shin),백승용(SY Paik) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.9

A case of uterine carcinosarcoma, projecting into the vagina, the external genitalia and causing the partial inversion of the was presented in young girl who was age of 16yr old. Otherwise the tumor had been developed to fetal head sized for these 10th months since the clinical symptoma identified. Under state of no metastasis the tumor resction through vaginal route, laparatomy and total hysterectomy, bilateral adnexectomy were performed. And briefly reviewed references concerned.

자궁파열 25례

배병주(BJ Bai),박성관(SK Park),이춘식(CS Lee),임종명(JM Lim) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5

자궁파열 25례에 관한 임상적 고찰을 시행하였다. This report is consisted of 25 cases of the uterine rupture from Oct. 1958 to MRA. 1963 and from Apr. 1968 to Sep. 1971 in Seoul Red Cross Hospital. The results are summarized as follows. 1. The incidence was 1:115 deliveries 2. The age distribution was from 23 to 44 years of age and mostly in 4th decade. According to the parity, 14 of these 25 cases were over 4. 3. On the classification of uterine rupture, 13 cases were spontaneous during labor, 8 cases were traumatic durig labor, 4 cases were rupture of previous cesarean section scar during pregnancy and labor. 4. The mean gestational duration was 39.0 weeks and most of all cases were ruptured at full term period. 5. Duration of labor of rupture during labor were average 13.0 hrs. and the interval p0eriod from rupture to laparotomy were ranged from 2 hrs. to 3 months. 6. The most important symptoms were lower abdominal pain, shock and vaginal bleeding. Among the 15 cases in 2nd. period 12 cases revealed that the Hb. level was ranged from 7.0 gm% to 10 gm% and the mean amount of transfusion was 6.7 pints. 7. According to the site of rupture, the lower uterine segment was involved in 20 cases and the corpus was in 5 cases. Intreatment, subterectomy was performed in 17 cases, total hysterec- tomy was in 7 cases, others in 2 cases. 8. The maternal death was 5 cases (20%) and perinatal death was 100%.

자궁파열 42예

배병주(BJ Bai),박신근(SK Park),김성연(SY Kim),박종배(JB Park),김순자(SJ Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.6

1. The incidence of uterine rupture was 1:167 delivery 2. The age distribution was rupture from 20 to 46 years of age and about 60% in 4th decade. According to parity, 20 of these 42 cases were over 4. 3. The other obstetric past histories except previous cesarean section were marked with numerous spontaneous abortion, difficult delivery, deep cervical laceration and placenta perfecta. 4. On the classfication of uterine rupture according to cause there were 15 spontaneous rupture with no previous surgery, 11 spontaneous rupture with previous uterine surgery and 16 traumatic uterine rupture. 5. On the anatomical classfication complete uterine rupture were 11 of 17 uterine ruptures and incomplete were 6 of 17 cases. 6. On the gestational duration at uterine rupture, 28 of all 42 cases were ruptured at the pregnancyat 38-42 weeks. 7. On the duration of labor at uterine rupture 34 of all cases were less than 18 hours. 8. The places of uterine rupture were home (14 cases) local clinic (7cases) S.R.C.H (7 cases) and midwife(5 cases). 9. Laparotomy (19 of 32 cases ) was performed within 6 hours after uterine rupture. 10. The most important symptoms were severe abdominal pain, shock, vaginal bleeding and abdominal distention. Hematuria were checked in 12 of 42 cases. Hb. was over 8.0 gm% in 16 of 17 cases (3rd period). 11. Amount of the tranfused blood were less than 7 pints in 14 of 17 cases (3rd peirod)

Meconium Peritonits의 1부검예

배병주(BJ Bai),이희동(IS Lee),이인성(HT Lee) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.8

A 32 year old woman (gravida 5, para 2) admitted as an emergency patient under the diagnosis of full term pregnancy. The Cesarenan section was necessiated by the mento posterior face presentation of the boby. The baby was cyanotic and expired 40 minutes after birth. Postmortem examination shows an enormously protruded abdomen with extensive amount of ascites, which contain a lot of meconium like material, and dark greenish in color. Evacuating these, atrophic adhesed intestinal loops, which are a little difficult to seperate out, and widely acattered plaques of calcified material in the abdominal wall and visceral surface, are noted. Finally, an obvious conglomeration of organized, serofibrinous clot with bile tinging is noted at one edge of the duodenum, upper part of which, the lumen of duodenum, stomach and esophagus, is empty, despite below this portion is filled with some dull greenish clay colored contents. These findings are regarded as the sealed-off prenatal rupture of duodenum, which had resulted the peritonitis. Left lung shows complete atelectasis, right lung partial atelectasis, and subcutaneous hemonnhage in vault, subarachinoidal congestion in parieto-occiptal region, are noted. The severe degree of meconium peritonum peritonitis finally brought about peripheral circulatory failure and this, with breathing difficulty, has caused the caused the cessation of life.