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팽기영 ( Ki Young Paeng ),김소영 ( So Young Kim ),윤철구 ( Chul Gu Yoon ),김민정 ( Min Joung Kim ),이진우 ( Jin Woo Lee ),김도강 ( Dou Kang Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
The ovarian hyperstimulation syndrome (OHSS) is a rare but serious complication of ovulation induction therapy with gonadotropin. The pathogenesis of OHSS is unclear, but the proposed mechanisms are the production of vasoactive substances that increase lo
박은경 ( Eun Kyung Park ),서미영 ( Mi Young Seo ),팽기영 ( Ki Young Paeng ),임채춘 ( Chae Chun Rhim ),김도강 ( Do Kang Kim ),남궁성은 ( Sung Eun Namkoong ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9
Mucocele arised at the vermiform appendix is uncommon, either benign or malignancy and their clinical presentation is not specific. The preoperative diagnosis is rare,^1 their diagnosis is an incidental event. Mucocele seems to be developed due to chronic obstruction of the lumen of the appendix. Higa and Cowerkers^2 classified 73 cases of mucocele into three clinicopathologic entities; focal or diffuse mucosal hyperplasia, mucinous cystadenoma, mucinous cystadenocarcinoma. Appendiceal mucoceles are rare lesions of the appendix, characterized by a gross enlargement of the appendix from accumulation of mucoid substance within the lumen. It is encountered in only 01-04% of all appendectomies with a female predominance and an average age at the time of diagnosis over 50 years. A case of appendiceal mucocle found during total hysterectomy is presented with a brief review of the leteratures.
양성 부인과질환 환자에서 다양한 자궁적출술 방법에 따른 임상경과의 비교
김현영,조현희,이윤진,권지영,김석원,팽기영,김장흡,김진홍 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.4
목적 : 소복부절개를 통한 자궁적출술의 방법이 기존에 사용되어왔던 각종 자궁적출술의 방법에 비해 어떠한 장점이 있는지를 알아보고자 한다. 연구 방법 : 양성의 부인과 질환으로 자궁적출술을 받은 환자 300명중 40명은 소복부반월형횡절개로 자궁적출술을 시행하고, 186명은 복부반월형횡절개를 통한 고전적 자궁적출술을, 28명은 복강경하 질식자궁적출술을, 46명은 질식자궁적출술을 시행한 후 각군의 특징과 수술후 회복정도를 비교하였다. 결과 : 소복부절개를 이용한 수술군은 수술군의 선택에 있어서는 기존의 고전적방법과 마찬가지로 질환군이나 과거수술력 등에 따른 한계가 없었으며, 수술후 임상경과는 복강경하 질식자궁적출술과 같은 빠른 회복의 장점을 가졌다. 결론 : 소복부절개를 통한 자궁적출술은 기존의 여러 자궁적출술의 방법에 따른 장점을 갖는 수술방법이다. Objective : To evaluate the clinical effectiveness of minilaparotomy total hysterectomy compared with other methods of hysterectomy ever used. Methods : Data of 300 women who had been done hysterectomy due to benign gynecologic disease were used for this thesis. Minilaparotomy hysterectomy was done for 40 women, classical transabdominal hysterectomy for 186 women, laparoscopic assisted vaginal total hysterectomy for 28 women and vaginal total hysterectomy for 46 women. Women's clinical data and clinical outcome were compared using Excel and SPSS. Results : Minilaparotomy hysterectomy has no limitation in choosing patient and adnexal surgery like classical transabdominal hysterectomy, and postoperative clinical course is so rapid similar with laparosocopic assisted vaginal total hysterectomy. Conclusion : Minilaparotomy hysterecomy is good choice for treatment of benign gynecologic disease.