先天性 巨大結腸의 Soave 氏術式에 對한 臨床的 考察

金光演(Kwang Yun Kim),南相在(Sang Jae Nam),車貴鉉(Kwi Hyun Cha) 대한외과학회 1981 Annals of Surgical Treatment and Research Vol.23 No.8

신생아 장 폐색증

김택규(Taeg Kyu Kim),남상재(Sang Jae Nam),배원길(Won Kil Pae) 대한외과학회 1985 Annals of Surgical Treatment and Research(ASRT) Vol.29 No.3

Vibrio 균 증식에 있어서 sodium-citrate 의 영향

남상재,이강순 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

The efficiency of selective isolation of V. vulnificus with current various agar plate media seemed to be significantly poor. So far, TCBS agar been most widely used for Vibrio species. The fact that several ingredients of TCBS agar inhibit growth of other contaminated organisms and ultimately enhance selective growth of Vibrio species could also inhibit Vibrio vulnificus should not be oversighted. Moreover differentiation between V. vulnificus and V. parahaemolyticus by morphology of colony grown on TCBS found to be quietly difficult. On these regards, the effect of each ingredient of TCBS agar including sodium citrate on the growth of V. vulnificus was needed to examine carefully in order to develop a better selective medium for V. vulnificus. A good many characteristics could be found through this experiment and these data could be applied for developing new medium. 1. V. vulnificus once transformed from opaque colony to translucent colony by given growth condition (in broth culture) was never changed 2. The growth of V. vulnificus appeared to be inhibited on agar plate medium by addition of low concentration of sodium citrate. The more concentration of sodium citrate was in medium, the poorer growth of V. vulnificus was observed. 3. Ferric ammonium citrate alone did not affect the growth of V. vulnificus. 4. Ferric nitrate and sodium thiosulfate markedly inhibited the growth of V. vulnificus. Conclusively, for the purpose of the growth of V. vulnificus there should be some modification of ingredients of TCBS agar or a newly designed medium other than TCBS agar, especially in case of V. vulnificus.

유륜절개 접근법을 이용한 유방 축소술 : 중심피판경과 하부진피피판경의 비교

한상훈,조종한,이상민,남상재 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.4

After the introduction of the central parenchymal pedicle by Hester(1985) and the round-block technique by Benelli (1988), several variations of periareolar reduction mammoplasty have been used by many authors. Periareolar reduction mammoplasty is a less aggressive procedure than traditional techniques and it produces less conspicuous periareolar scars while maintaining an acceptable overall result. We experienced 120 cases (60 patients) of periareolar reduction mammoplasty during the period from May 1994 to February 1998. We present the analysis of 60 cases of periareolar reduction mammoplasty. Periareolar reduction mammoplasty utilizing central parenchymal pedicle was performed in the first 40 patients, while a procedure utilizing the inferior dermal pedicle was done in the next 20 cases consecutively. The range of follow-up was from 1 to 5 years. Complications such as nipple areolar complex necrosis and sensory changes were reduced when the inferior dermal pedicle used. There were 5 cases of nipple areolar complex necrosis and sensory changes were reduced when the inferior dermal pedicle used. There were 5 cases of nipple areolar complex necrosis (6.2%), including 1 case of near total necrosis in cases utilizing the central parenchymal pedicle. But in the technique using inferior dermal pedicle, there was no skin flap necrosis. The central parenchymal pedicle technique has several advantages such as a wide operation field permitting complete breast contouring and better mobility of the remaining breast tissue. However, inferior dermal pedicle technique has relative superiority over central parenchymal pedicle technique in terms of anatomical rationale, as well as in the rate of complications without causing limitations in breast mobility for contouring. Such complications as nipple areolar complex necrosis, skin flap necrosis and sensory change of nipple were reduced when the inferior dermal pedicle technique was used. It is much easier to preserve the 4th intercostal nerve to the nipple anatomically. Periareolar reduction mammoplasty utilizing the inferior dermal pedicle is thought to be a reliable, reproducible method.

Streptozotocin 誘發 過血糖症에 對한 實驗的 硏究

南相在,申仁澈 한양대학교 의과대학 1988 한양의대 학술지 Vol.8 No.1

Recently, corresponding to the lengthening of our life span, obesity which predisposes a person to diabetes mellitus have gradually been increased as well as the number of diabetes. Therefore, diabetes mellitus has been one of the most important problems in modern medical science. This study was conducted to ellucidate the effects of nicotinamide, nicotinic acid, L-cysteine, tolbutamide, diazoxide, D-glucose, D-mannose, 3-0-methyl-D-glucose and 2-deoxy-D-glucose on streptozotocin-induced diabetic mice. All drugs except streptozotocin dissolved in normal saline were injected intraperitoneally. Streptozotocin dissolved in acidified citrate buffer (pH4.5) was immediately injected intraperitoneally. Serum blood glucose level was determined 48 hours later. The results obtained from this study were as follows: 1. Serum glucose levels were elevated to 2 hours after administration of streptozotocin and decreasedto 10 hours after administration of streptozotocin. Serum glucose levels were elevated from 10 hours after administration of streptozotocin and maximum serum glucose level was achieved in 24 hours after admunistration of streptozotocin (430±31 mg/dl) and maintained the elevated state. 2. Nicotinamide protected almost completely against streptozotocin-induced hyperglycemia (92% inhibition of serum glucose levels in streptozotocin administered group). 3. 2-deoxy-D-glucose protected partially (67% inhibition of serum glucose levels in streptozotocin administred group) and 3-O-methyl-D-glucose protected almost completely against streptozotocin-induced hyperglycemia (97% inhibition of serum glucose levels in streptozotocin administered group). 4. 3-O-methyl-D-glucose and 2-deoxy-D-glucose were additive in teh portection against streptozotocin-induced hyperglycemia. 5. D-glucose, D-mannose, tolbutamide, diazoxide, L-cysteine and nicotinic acid did not protected the streptozotoin-induced hyperglycemia.

혈연간 생체 부분 간이식의 미세혈관수술적 고찰

이승규,이영주,박광민,박상훈,고경석,남상재,한상훈 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.5

Living-Related-Liver-Transplantation(LRLT) has been established as a reliable method of treatment for patients with end-stage liver disease when the scarcity of cadaveric organ donor was considered. But the hepatic artery is high at risk in thrombosis(HAT) following LRLT. So microsurgical technique was introduced in anastomosis of hepatic artery. This study was aimed at using microsurgical technique in LRLT and presenting some technical details of the procedures. From December 1994 to November 1997, a sereis of 41 LRLTs on patients with end-stage liver disease was performed with follow-up period of 5 to 40 months(mean,15.6 months). Organs were donated by living-related donors(n=36) and living-nonrelated ones(n=5). Hepatic artery was reconstructed with microsurgical technique by plastic surgeon. All hepatic arteries were patent intraoperatively and postoperatively except one case, which had leakage at anastomosed site on the postoperative fourth day. Hepatic artery is high at risk in thrombosis(HAT) following LRLT due to the caliber discrepancy and technical difficulties. To overcome these risks, microsurgical technique was introduced. The technique has greatly reduced arterial complication. However, there are some difficulties in microsurgery of LRLT, which are somewhat different from those in other microsurgery fields: the first difficulty is to obtain a good operative field and a sufficient view through the microscope. The second one is to overcome arterial caliber discrepancy. And the last is to achieve a stable posture in narrow and deep operating field against the respiratory movement and heartbeat. With the persistent team approach of plastic and general surgeons in the field of LRLT, we could have reduced the HAT and have had better outcome after LRLT.