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RISS 인기검색어
- 검색키워드
- 저자 : 유지만(Jee-Man You) (검색결과 2 건)
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유지만(Jee Man You),이정균(Jeung Kyun Lee),박원철(Won Cheul Park),강동백(Dong Baek Kang),윤성언(Sung eun Yoon),윤기중(Ki Jung Yoon) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.2
Purpose: This study was performed to evaluate the contribution of appendiceal computed tomography (CT) in the more accurate diagnosis of acute appendicitis and decrease in the rate of negative appendectomies. Methods: Between May and August 2005, 146 patients with right lower quadrant (RLQ) abdominal pain and tenderness were diagnosed using appendiceal CT. The appendiceal CT scans were performed with contrast media in the abdominal and pelvic areas. 7 ㎜ slice scans were taken both before and after the contrast media injection, with a time delay. The control group was comprised of 99 patients, who were also checked by abdominal CT or ultrasonography, between December 2004 and April 2005, with the data analyzed retrospectively. Results: In the study group, 85 of the 146 cases were diagnosed with acute appendicitis on appendiceal CT, and had undergone an appendectomy, including 42 men (mean age 39.9 yr) and 43 women (mean age 44.6 yr). The sensitivity and specificity of appendiceal CT in acute appendicitis were 95.3 and 98.4%, respectively. There were 4 (4.7%) negative appendectomy cases; 2 in men and 2 in women. The control group conprised of 47 men and 52 women. There were 13 (13.1%) negative appendectomy cases; 4 in men and 9 in women. Conclusion: The routine use of appendiceal CT, in patients with RLQ abdominal pain and tenderness, resulted in a significant decrease in the negative appendectomy rate.
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성인에서 부분 마취하에 시행된 무긴장 탈장교정술의 비교
유지만(Jee-Man You),이광만(Kwang-Man Lee),최운정(Un-Jong Choi) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.1
Purpose: The aims of this study were to evaluate the feasibility of local anesthesia in tension-free herniorrhaphy, using prosthetic mesh, and to directly compare PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> herniorrhaphy under local anesthesia. Methods: Patients with a groin hernia, who underwent tension-free herniorrhaphy (n=107) under local anesthesia between March 2003 and February 2006, were included. PHS<SUP>®</SUP> (n=63) and Perfix<SUP>®</SUP> (n=44) meshes were randomly used, with no difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups in relation to mean age, gender, number of combined diseases, body mass index (BMI), recurred hernia and types of hernia. Results: Intraoperative analgesics and/or sedatives were used in 55 patients (51.4%) where local anesthesia was insufficient. In a univariate analysis, the additional use of intraoperative analgesics and/or sedatives was related to the patient’s age and BMI. The patients at an older age and with a lower BMI were more tolerant to local anesthesia. However, only the BMI was found to be a statistically significant factor from the multivariate analysis. There was no significant difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups on the additional use of intraoperative analgesics and/or sedatives, the use of postoperative analgesics, length of hospital stay, complication and recurrence (P>0.05). Conclusion: With tension-free herniorrhaphy using the PHS<SUP>®</SUP> or Perfix<SUP>®</SUP> mesh, local anesthesia was acceptable and securable, regardless of the mesh type used. Among these patients, those at an older age and with a lower BMI were more tolerant to local anesthesia.
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