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고윤희 ( Go Yun Hui ),김미라 ( Kim Mi La ),홍재식 ( Hong Jae Sig ),김주명 ( Kim Ju Myeong ),홍준식 ( Hong Jun Sig ),조준형 ( Jo Jun Hyeong ),윤재범 ( Yun Jae Beom ),주관영 ( Ju Gwan Yeong ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8
The increasing use of the laparoscopic surgery in the management of gynecologic disease resulted in an increasing incidence of complication and the development of new complications. Incisional hernia through laparoscopic trocar site is an unusual complica
자궁내막증에 의한 골반 통증을 호소하는 불임환자에서 골반경하 자궁천골인대 소작술 ( laparoscopic uterosacral nerve ablation ) 의 임상적 효용성
문명진(Myoung Jin Moon),김대곤(Dae Kon Kim),윤경호(Kyung Ho Yoon),홍준식(Jun Sig Hong),김연주(Yon Ju Kim),김혜옥(Hye Ok Kim),양광문(Kwang Moon Yang),최규홍(Kyu Hong Choi),유근재(Keun Jai Yoo) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
N/A Objective : The aim of this study was to evaluate the efficacy of laparoscopic uterosacral nerve ablation (LUNA) in infertile women with chronic pelvic pain and endometriosis. Method : Prospective randomized study was performed in 20 infertile women with endometriosis and chronic pelvic pain, who had undergone of laparoscopic uterosacral nerve ablation at Samsung Cheil hospital between April and September, 1998. Statistical analysis was perfomed using by DBSTAT (ver. 2.0). Result : The pelvic pain score of pre-operation was 3.72±1.07 (mean±SD) and it was significantly decreased to 1.83±0.85 at 1 month later and 1.93±0.92, 1.69±0.60, 1.56±0.62, 1.56±0.81 each in second, third, fourth and fifth month after operation. There was no correlation between pelvic pain and stage of endometriosis. Pregnancy rate was 65% after LUNA (twelve deliveries, one pregnancy is ongoing at IUP 24 weeks). Conclusion : Laparoscopic uterosacral nerve ablation would be effective for infertile women with endometriosis and pelvic pain.
김미라 ( Kim Mi La ),고윤희 ( Go Yun Hui ),조연진 ( Jo Yeon Jin ),백준길 ( Baeg Jun Gil ),우혁준 ( U Hyeog Jun ),홍준식 ( Hong Jun Sig ),조준형 ( Jo Jun Hyeong ),주관영 ( Ju Gwan Yeong ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
The retroperitoneal space of the posterior abdomen and the pelvic retroperitoneum contain the major neural, vascular and lymphatic supply to the pelvic viscera, the urinary system and colorectal system. A pain or mass in the pelvis may arise primarily from the reproductive organs, but it may just as easily arise from the retroperitoneal space, include the urinary tract and the gastrointestinal tract. Therefore, the gynecologic surgeon should be aware of the various conditions associated with retroperitoneal mass and the correct management of these disorders. Hydroureter may misdiagnose as a pelvic mass or retroperitoneal mass. The cause of hydroureter is mainly secondary obstruction such as malignancy, idiopathic retroperitoneal fibrosis and pelvic disease but primary obstructive megaureter should be considered. This report describes a case of marked hydroureter, misdiagnosed as a hydrosalpinx by ultrasound.