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강정대(JD Kang),임태웅(TW Lim),유광사(KS Yoo) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.9
This report deals with a case of giant leiomyoma arising in the right mid portion of the cervix uteri in 27 year old unmarried female. The leiomyoma has grown into the right broad ligament, and it has cystic degeneration and hematoma leading to fistula formation into the cervical canal. The pertinent literature has been reviewed. The case is found to be rare in occurrence.
안관순(GS Ahn),강정대(JD Kang),임태웅(TW Lim),유광사(KS Yoo) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.10
1. 분만 및 수술후 창상봉합부위의 동통 및 국소반응이 다른 어떤 봉합사를 사용했을때 보다도 현저히 감소되었다. 2. 분만 및 수술후 봉합사에 기인한 합병증이 아주적다. 3. 같은 크기의 다른 봉합사에 비하여 훨씬 질기기 때문에 smaller suture & needle에 사용할 수 있고 handling이 용이하고 knot의 아전도가 높다. 4. 전자궁척출술후 vaginal vault 및 parametriumsite의 치유가 우수하다. 5. 결찰시 dexon은 미끄러지지 않기 때문에 first tying이 중요하며 이점이 사용상의 주 의점이다. catgut은 first tying이 약간 Loosening되는 경우라도 2 tying시 미끄러지면 서 Tight tying이 되는 경향이 있다. 6. Dexon은 모든 점에서 catgut등 다른 어떤 봉합사보다 우수하며 marshall- marchetti operation 및 다른 (other suspensory operationdmf 제외한 어떤 종류의 산 부인과적인 수술에도 사용할 수 있는 만족할만한 봉합사이다. 210 cases ard presented in which synthetic polyglycolic acid (Dexon) strtre materials were used in Korea General Hospital from Feb. 1976 to July. In 80 cases, the dexom were fsed for episiotomy repair. In Obstetrical & gynecological abdminal surgery group which consisted 112 cases Dexon were used for closure of abdominal wall in 69 cases, silk, catgut and Dexon were combined in 43 cases for closure of abdominal wall. In 18 cases, Dexon were used in a variety of vaginal surgery. the results obtained were as follows. 1. the most noteworthy finding was the significant redution in the degree of pain and tissue local reaction. 2. There were no complications attributable to the use of Cexon suture materials. 3. Dexon suture materials is extremely strong, easy to handle, and has excellent non-slip prorerties, thus the Cexon not only can be used to relatively smaller sutures and needles but knot security superpass those of any other suture materials. 4. Vaginal vault healing after TAH was excellent without granulation tissue growth and bleeding in 17 Cexon series. 5. Dexon does not run like ctgur and it is important to tighten the knot well from the very beginning. 6. We believe that this suture materials in superior to any other sutures in many respects, and it was found satisfactory results for all types of Obstetrical and Gynecological procedures except Marshall-Machetti operation and other suspensory operation.
이남훈(NH Lee),이춘노(CN Lee),강정대(JD Kang),안관순(GS Ahn) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.2
1. The incidence of large fetuses weighing 4 kg or more was 5.81% of the total deliveries and the babies weighing 4.5Kg or more was 0.79% of the total 2. Over half of large fetuses (50.87%) were born at 40 or 41 weeks of gestation and 40.53% were over 42 weeks of gestation. 3. The large fetus was more frequency seen in multipara and as the parity increases, the incidence of large fetus was gradually elevated, especially in pare 3 or 4. 4. The majority of large fetuses were found to be born either in mothers aged 30-34 (8.04%) or in 35-39 (8.68%) 5. Most cases of large fetuses were male (61.32%) in their sex and the female fetuses were found in 38.68%(male : female = 3:2) 6. Incidence of anemia in mothers with large fetuses was 7.32% and the anemia was more common in multipare (7.94%) than in primipara (5.48%) 7. Medical complications were noted in 17 cases (5.92%) among 287 mothers with large fetuses the most common complications were diabetes (12cases or 4.17%). Of which overt diabetes was found in 2 cases (1.10%) and prediabetes in 10 cases (5.5%) 8. Obstetrical complications were found in 106 cases (37.21%). The uterine dysfunction (12.89%) and the toxemias (6.97%) were most frequent complications. 9. The babies were born vaginarloute in 75.61% and abdominal route in 24.39%. 10. The rate of cesarean section was 3 times high compaaring with overall and major indication for cesarean section was cephalopelivic disproportion (62.8%) repeat cesarean section (17.14%) and fetal distress (12.86%) 11. The shoulder dystocia occured in 5 cases (1.74%) 12. There were 4 cases of perinatal loss, of which three cases were stillbirth and one cases was neonatal death.