Long-term outcomes of single-port laparoscopic myomectomy using a modified suture technique

( Mina Kang ),( Jihye Kim ),( Tae-joong Kim ),( Jeong-won Lee ),( Byoung-gie Kim ),( Duk-soo Bae ),( Chel Hun Choi ) 대한산부인과학회 2020 Obstetrics & Gynecology Science Vol.63 No.2

Objective To evaluate the long-term outcomes, including the pregnancy outcome and recurrence rate after single-port laparoscopic myomectomy (LM) using a modified suture technique with a Hem-o-lok clip (Choi’s LM) and conventional 4-port LM. Methods A retrospective study of patients who underwent Choi’s LM (n=55) and 4-port LM (n=102) in a single institutional hospital was conducted. Patients with <3 symptomatic myomas sized <10 cm each and operated on by a single surgeon were included. Recurrence was confirmed when a myoma measuring ≥3 cm was detected. Results The patients in both groups had similar demographic characteristics. Single (76.4% vs. 62.7%) and intramural (52.7% vs. 56.9%) tumors were commonly detected in both groups in the mean diameter (6.8±1.5 cm vs. 7.0±1.6 cm; P=0.40). In Choi’s LM, 16 patients (29.1%) needed an additional port; those who were nulliparous and/or had a large leiomyoma more frequently required an additional port (P=0.023 and 0.04, respectively). During a median follow-up period of 69 months, 17 patients (7.1% vs. 14.6%) had recurrence. The size of dominant myomas at recurrence was significantly smaller in patients who underwent Choi’s LM (3.4±0.7 cm vs. 5.7±2.4 cm; P=0.004). All 13 patients in both groups who successfully conceived had a full-term delivery. No major complications occurred during pregnancy. Conclusion Although an additional port was frequently used, the long-term outcomes of patients who experienced recurrence and pregnancy after Choi’s LM were acceptable. Considering its usability, Choi’s LM is feasible for the treatment of uterine leiomyoma.

근대 통도사 승려들의 시문 창작과 그 의미

최두헌(Choi, doo-hun) 동양한문학회(구 부산한문학회) 2021 동양한문학연구 Vol.58 No.-

통도사는 많은 고승들이 머물면서 시문학을 꽃피웠던 곳이다. 특히, 조선 중․후기 喚惺 志安(1664~1729)이 주석하면서 초석을 이루었고 그 영향이 법손들에게 이어져 19세기에 들어와서는 시가 일상의 유희로 자리 잡게 된다. 이 글은 1914년과 1932년에 각각 제작된 『聖海禪師壽宴詩』와 『金剛山錄抄案』을 통해 근대 통도사 승려들의 시문활동을 살피는 데 목적을 두고 있다. 『聖海禪師壽宴詩』는 근대 통도사의 중흥조인 성해 남거 선사의 수연을 맞아 제작된 축시집으로, 성해의 原韻詩를 중심으로 전개된다. 참가한 인물들은 당대 고승들과 통도사 및 인근 말사들의 강원․학림 승려들, 문인․예술가 등이다. 특히, 훗날 항일운동에 나선 재가 및 승려들의 오랜 시들을 확인할 수 있어 의미가 크며 한편으로 통도사 항일운동이 이 시집의 발간을 시작으로 태동되었다는 점에 있어 그 의미가 크다고 할 수 있다. 『金剛山錄抄案』은 구하 천보가 1932년 수연을 맞아 금강산 장안사에서 여름 안거를 보내게 되는데 이때, 금강산 구석구석을 유람하면서 보고 느낀 바를 기록한 일기체 형식의 여행록 혹은 관상록이다. 고려 말 이후 현재까지 금강산 관상에 대해 僧․俗을 망라하고 5개월이라는 긴 기간의 기록을 전한 것은 이 자료가 유일하다. 특히, 승려의 눈에 비친 금강산에 대한 신앙적 인식과 불교 유물에 대한 관심을 사실적으로 전달한 것이 이 자료의 특징이라 할 수 있다. Tongdosa is the place where the greatest number of monks of all time stayed and bloomed poetry. Particularly, in the mid and late Joseon Dynasty, Hwanseong Jian(1664~1729) joined a Buddhist monastry and found his peace, and greatly influenced Tongdosa where his disciples stayed, and then in the 19th century, poetry became daily amusement.high priest The purpose of this article is to examine the composition and contents of 『SeonghaeSeonsa Suyeonsi』 and 『Geumgangsan Yeochoan』 which were produced in 1914 and 1932 and are currently being handed down to Tongdosa. These are very important clue to examine how actively Tongdosa monks have written poems since the late 19th century. 『 SeonghaeSeonsa Suyeonsi is a collection of congratulatory poems for 60th birthday of Seonghae Namgeo, a restorer of the modern Tongdosa Temple, and was composed of poems by monks, writers, and artists of the time. It is based on Seonghae’s original poet and also has many poets of independence activists who later devoted themselves to the people. So it is an important clue to examine the independence movement history of Tongdosa as much as the external meaning to celebrate 60th birthday of Seonghae. 『Geumgangsan Yeochoan』 is a diary-style record of of every corner of Geumgang Mountain when Guha Cheonbo lived in Jangansa Temple in the summer to mark his 60th birthday in 1932. This data is the only one that has been recorded and reported about the scenery of Geumgang Mountain for such a long period of five months since the end of Goryeo Dynasty. In particular, it is characterized by a realistic message of religious awareness of Geumgang Mountain and interest in Buddhist relics reflected in the Buddhist monk s eyes. The prologue and Epilogue of this book was written by Choi Wol-bong and Baek Choi-seung and they played a very important role in the history of the Korean Buddhist independence movement. So it is expected to be valuable materials for studying the independence activities of Tongdosa Temple or Guha, along with the 『SeonghaeSeonsa Suyeonsi』.

거골 골절의 수술적 치료

최호림,이장근,최훈휘,최성우 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 거골 골절 수술적 치료 후 임상 결과를 분석하여 얻은 결과를 보고하며 향후 적절한 치료 방침을 결정하는데 도움이 되고자 한다. 대상 및 방법 : 1990년 3월부터 2000년 11월까지 본원에서 거골 골절로 치료한 환자 60례중 수술적 치료후 1년 이상 추시가 가능하였던 34례의 수술 전,후 및 추시 방사선 사진과 의무 기록지를 후향적으로 분석하였으며 현 환자의 상태는 외래 진료를 통한 직접 면담이나, 서면 또는 전화를 이용한 질문표에 대한 답변 등을 이용하여 분석하였다. 임상 결과의 판정은, 동통과 파행, 거골하 관절 및 족근 관절에서의 운동 범위등, 네 가지 요소에 따라 판정하는 Hawkins 평가 방법을 이용하였다. 결 과 : 총 34례중 25례(74%)에서 양호 이상의 만족스러운 임상 결과를 보였으나, 분쇄 정도가 심하여 조기에 정확한 해부학적 정복을 얻지 못했거나 주위 조직의 심한 손상 또는 타과적 손상이 동반되어 치료가 지연된 경우에서는 만족스럽지 못하였다. 무혈성 괴사는 Hawkins 징후가 보이지 않았던 8레중 6례에서 발생하였으며, 보존적 치료를 시행하여 만족할만한 임상 결과를 얻을 수 있었다. 결론 : 거골 경부 골절 치료후 임상 결과는 가능한 조기의 관혈적 정복을 통한 정확한 해부학적 정복 및 내고정이 무엇보다 중요하다고 생각되며, 더불어 적극적인 재활치료의 여부도 예우에 큰 영향을 줄 수 있다. 수술적 도달법에 의한 차이나 사용된 내고정물에 의한 임상 결과의 차이는 보이지 않았다. 무혈성 괴사 유무와 임상 결과는 반드시 일치하는 것은 아니었다. Purpose : To evaluate the clinical results and develop guidelines for surgical treatment of talus fracture. Materials and Methods : Among the 60 cases that were treated during March 1990 to November 2000, 34 cases were treated operatively and followed up for more than one year( range : 1~4.4 years). They were analyzed retrospectively with questionnaire directly or by telephone interview, radiograms and medical records. Clinical results were evaluated by Hawkins' scoring system. Results : 25 out of 34 cases showed satisfactory results. Unisatisfactory results were seen in cases that we couldn't achieve anatomical reduction due to severe communication, and also in case of delayed treatment due to severe communition, and also in case of delayed treatment due to associated trauma and soft tissue injury. Six out of 8 cases that showed no Hawkins' sign developed avascular necrosis. However, satisfactory results were achieved through conservative treatment. Conclusion : Satisfactory results could be achieved through early anatomical reduction and rigid internal fixation followed by aggressive rehabilitation. There was no differences in clinical results either by the surgical approach or method of internal fixation. Avascular necrosis was not essentially related to the clinical results.

후두 편성세포암종에서 Bromodeoxyuridine(Brdu) labeling index의 의의

최종욱,허경희,김경현,민헌기,최건 한국의학사 1997 診斷과治療 Vol.17 No.2

LPC열의 상관 차원에 의한 화자인식

최성재,이헌규 경원전문대학 2000 論文集 Vol.22 No.-

The thesis is about the methods of speaker recognition by applying strange attractor of linear prediction coefficient series to speaker recognition. We have accomplished speaker recognition experiments by utilizing strange attractor of time series as well as of linear prediction coefficient series. The results were 94% recognition ratios. Therefore, the strange attractor of linear prediction coefficient series was more appropriate characterized parameter in increasing speaker recognition ratios.

Si의 변형퍼텐셜 폴라론계에 대한 싸이클로트론 흡수곡선

최상돈,이재훈,남인호 경북대학교 산업기술연구소 1987 産業技術硏究誌 Vol.15 No.-

Choi-Chung's cyclotron resonance lineshape formula is applied to a deformation potential polaron system in Si. The result is in qualitative agreement with the experimental result of Kido et al.

상처치유시 Antisense TGF-β1 Oligodeoxynucleotides가 Inducible Nitric Oxide Synthase발현 조절에 미치는 영향

최병민,곽현정,전창덕,임정식,박석돈,정헌택 大韓免疫學會 1996 大韓免疫學會誌 Vol.18 No.4

Wound healing in the skin may be complicated by both microbial invasion and inflammation. Following injury, platelet degranulation releases a number of chemotactic factors including transforming growth factor (TGF-fl) and platelet derived growth factor (PDGF). TGF-19 is a cytokines that modulates many cellular function and gene expression. However, it is not known whether TGF-P could regulate inducible nitric oxide synthase (iNOS) gene expression during wound healing. Here we report that down regulation of TGF-Q gene expression by antisense oligodeoxynucleotides increase iNOS during wound healing. Our reverse transcription- polymerase chain reaction (RT-PCR) result has shown that antisense TGF-fil oligodeoxynucleotides (ODN) targeting the TGF-J11 translation initiation region markedly reduced TGF-(il mRNA levels in wounded skin. Also, marked reduction in TGF-fl1 mRNA after antisense treatment invited that the increment of iNOS mRNA in wounded skin. Therefore, our irnmunohistochemical studies revealed a "pattern of iNOS product in wounded skin treated antisense TGF-fl1 ODN that was similar to the pattern of RNA synthesis detected by RT-PCR. In conclusion, our results indicated that the regulatory actions of TGF fl1 on iNOS. might be involved in the initiation and faciliates the resolution of inflammation following wounding.

신생아 말초혈액 T 림프구의 아형 분석

최두영,김종덕,장선일,이신은,조성경,정헌택 최신의학사 1990 最新醫學 Vol.33 No.12

초임계 이산화탄소내에서 방향족탄화수소와의 삼성분계 혼합물에 관한 기액상평형

최태현,변헌수 여수대학교 1998 論文集 Vol.11 No.2

The high pressure vapor-liquid equilibrium data are essential in order to separate the mixture of toluene and p-xylene with supercritical carbon dioxide. The circulation type vapor-liquid equilibrium apparatus has been used during this research to get ternary data of toluene, p-xylene and carbon dioxide system. The ternary phase liquid-vapor equilibria of carbon dioxide, toluene and p-xylene were measured for pressures ranging from about 26 bar to the 100 bar at 100℃. The liquid phase composition of carbon dioxide and the sum of vapor phase compositions of toluene and p-xylene are increased as the pressure is increased.

흰쥐 내후야의 아미노산 함량에 대한 복측 또는 배측 뇌 해마 제거 영향

최석형,김종규,양훈모,민영기 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

This study was planned to analyze amino acids in the entorhinal cortex of dorsal and ventral hippocampectomized rats by high performance liquid chromatography (HPLC). Male albino rats were used. Under chloral hydrate anesthesia (20%, 2 ㎖/㎏ body weight), a hole was made in each parietal bone about 4 mm lateral to the sagittal suture, and 4 mm rostral to the lambda suture. The cortical tissue on each side was removed and, through this opening, the hippocampal tissue anterodorsal and posteroventral to the hippocampal flexures on both sides was removed by aspiration. This preparation served as the dorsal and the ventral hippocampal animals, respectively. The cortical control animal received the same surgery short of hippocampectomy. The normal rats served as normal control animal. One week later, the animals were sacrificed by decapitation in the cold room. Two to three milligrams of tissue was obtained from the entorhinal cortex in one side of the brain. The tissue samples were homogenized and centrifuged. Then content of each amino acid was measured by HPLC from the brain tissue. 1) The contents of aspartate were decreased significantly more in the dorsal and ventral hippocampal groups than in the normal and the cortical control groups, while there were no significant differences between the 2 hippocampal and 2 control groups. 2) The contents of glutamate were decreased significantly more in the dorsal hippocampal group than in the normal and the cortical control groups. The contents of glutamate were increased significantly more in the ventral hippocampal group than in the dorsal hippocampal, the normal control, and cortical control groups. while there was no significant difference between the 2 control groups. It is inferred from the above mentioned results that glutamate and aspartate of many amino acids may he used as a excitatory transmitter in entorhinal cortex, and that the dorsal hippocampus may be facilitatory to the entorhinal cortex, but the ventral hippocampus would be inhibitory/facilitatory to the cortex.