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김승룡 ( Seung Ryoung Kim ),김성희 ( Sung Hee Kim ),이수진 ( Su Jin Lee ),백민현 ( Min Hyun Baek ),천상훈 ( Sang Hoon Cheon ),최홍용 ( Hong Yong Choi ),이정한 ( Jung Han Lee ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.10
Vesicovaginal fistula may be a complication of gynecologic and obstetric procedures, of which abdominal hysterectomy remains as the most common cause. Although there are a number of transvaginal or transabdominal surgical techniques for the correction of this condition, we performed a laparoscopic repair to reduce the morbidity of the transabdominal approach. A 44-year-old woman presented with urinary incontinence after undergoing Cesarean hysterectomy for uterine atony eight years ago. After confirming her vesicovaginal fistula, laparoscopic repair was performed. The bladder and vaginal walls were mobilized by meticulous dissection and repaired by intracorporeal stitches in 2 layers followed by omental interposition. Total operative time was 3 and half hours and estimated blood loss was about 400 ml. Foley catheter was removed at 23rd day after operation. Patient was discharged at 26th day after confirming the complete correction of the fistula by cystogram. Laparoscopic repair of a vesicovaginal fistula appears to be a safe and effective procedure. We report this case with a brief review of literature.
폐경 여성의 에스트로젠 대체 요법시 격월 투여된 황체호르몬 병합요법이 혈중 지질대사에 미치는 영향
문영진,황윤영,김경태,이재억,신중식,김승룡,조수현,문형 대한폐경학회 1999 대한폐경학회지 Vol.5 No.2
"Objective: To determine the effects of progestin therapy on the levels of serum lipid and lipoprotein when it was received monthly and bimonthly during estrogen replacement therapy in postmenopausal women. Study design: Eighty-one postmenopausal women received oral hormone replacement therapy either monthly or bimonthly, In study group, 33 women received conjugated equine estrogen (CEE) 0.625mg for every 60 days combined with medroxyprogesterone acetate (MPA) Smg for every 14 days. In control group, 48 women received CEE 0.625mg for every 30 days combined with MPA Smg for every 14 days. Pre- and Post-treatment evaluation of serum levels of total cholesterol, triglyceride, high-density lipoprotein (HDL) cholesterol, and low-density lipoprotein (LDL) cholesterol were compared after one-year treatment. Results: Twenty among 33 women and 17 among 48 women were followed up for over one year. Post-treatment evaluation of serum lipid profiles in study and control group revealed increase in triglyceride (10.7% vs, 2.8%) and deaease in total cholesterol (4.7% vs. 7.5%), in HDL cholesterol (0.3% vs. 9.9%), in LDL cholesterol (10.5% vs. 9.9%). But, there were no significant statistical differences between two groups. Conclusions: There was no influence in serum lipid and lipoprotein levels by bimonthly treatment of MPA compared with monthly treatment. Therefore, this combination hormone regimen can be recommended for use in hormone replacement therapy. "