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      • KCI등재

        복강경불임술의 임상적 관찰 ( 제1호 )

        박인재(IS Park),김현준(HC Kim),성구(SK Park),송인철(IC Song) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.3

        저자는 1974년 5월 1일 부터 11월 30일까지 국립의료원 산부인과를 방문한 불임수술희망자중 복강경불임술을 시행한 147명에 대하여 조사분석하여 다음과 같은 결과를 얻었다. 1) 연령분포는 31-35세군이 79례(53.7%)로 수위이었고 26-30세군이 37례(25.2%)로 차위이었다. 11) 합병증으로 난간막출혈 9례, 그리고 피하기종이 3례있었다. One hundred forty seven cases of Laparoscopic tubal sterilization wre performed by means of fulguration and resection under mostly general anesthesia or local anethesia in a small number of caes during 19 months period from May 1 1973 to Nov, 30 1974. One incision and three burn technique were applied in this study. Age distribution showed the highest incidence in the age group of 31 to 35 years and average age was 32.6 years with the youngest age 19 years and the oldest 42. The number of children at Laparoscopic sterilization reported 3 kid in 40.4% of all cases and 2 kids in 23.8% respectively. The interval between the last delivery and Laparoscopic sterilization ranged 1 to 3 years in 45.6% of all cases. General anesthesia was used for 126 caese (82.7%) local anesthesia for 18 cases (12.3%) and combined local and general anesthesia for 3 cases (2.0%) Three to five liters of CO2 gas consumed for pneumoperationeum in more than half of all cases. It took less than 30 minutes to complete Laparoscopic tubal sterilization in 79.0% of all cases. Hospital stay required less than 24 hours in 80.2% of all case mostly in case of general anesthesia. Twelve cases (8.2%) of previous appendectomy were submitted to Laparoscopic tubal sterilization without considerable technical difficulty. Other episodes of previous Laparotomy were excluded for the indication of Laparoscopic tubal sterilization Laparoscopic tubal sterilization coincidence with artificiall abortion were carried out in 63 cases As the complications 9 cases of mesosalphingeal hemorrhage 7 cases of tubal hemorrhage and 3 cases of subcutaneous emphysema were encountered, but no intensive medical care was required in any cases.

      • KCI등재

        지상아를 동반한 쌍태임신의 1례

        박인재(IS Park),조무호(MH Cho),구제춘(JC Koo) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.1

        본원 산부인과에서 임신 제36주의 쌍태임산부에서 제2아가 지장아였던 1예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Fetus Papyraceus in multiple pregnancy is a rare complication. If one fetus of multiple pregnancy will be died in uterus usually before the second trimester and retained until the end of the pregnancy, compressed between the uterine wall and the membrane of the living child, become a fetus papyraceus. Recently, authers have a case of fetus papyraceus in fraternal twin pregnancy at our dept. of Obstet. & Gynec. A case of fetus papyraceus is presented with brief literatures.

      • KCI등재

        두흉복부 유합 중복기형 1예

        김광철(KC Kim),박인재(IS Park),김두호(DH Kim) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.11

        A case report of a Cephalothoraco-Ventropagus with two sets of upper and lower extremities delivered through the vagina at the 32 weeks of gestation.

      • KCI등재

        난소갑상선종의 1예

        김상태(ST Kim),박인재(IS Park),흥원(HW Park),이동화(DH Rhee) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.4

        42세의 여성의 좌측난소에 발생한 난소갑상선종 1례를 보고하고 문헌적 고찰을 하였다. The benign cystic teratoma of ovary is not infrequent but the pure from of struma ovarii is rare . Authers reported a case of pure form of struma ovarii originated from the left ovary of a house-wife which showed dermoid cyst with prominent teratoid thyroid tissue element, and neither malignant change nor thyrotoxic symptoms were seen.

      • KCI등재

        쌍태임신에 관한 임상적 고찰

        김성심(SS Kim),김현찬(HC Kim),배평원(PW Bae),김순애(SA Kim),영주(YJ Park),박인재(IS Park),찬무(CM Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.5

        A clinical review of 239 twin deliveries at National Medical Center for 15 years from 1959 to 1973 was presented . 1. The frequency of twin birth was one in 71 births. 2. The youngest was twenty-one year old woman and the oldest was forty eight year old one in twin delivery, Average age was twenty-nine years. And in primipara 31.8 percent of twin delivery occured. 3. Delivery after 37th week of gestation occured in 76.5% and the babies weighting over 2500 gm. revealed 47.7% . And Apgar socre 7-10 was shown in 88% of the first twin and in 87.0% of the second. 4. In presentation cephalic presentation of the first twin revealed 75.8% and in approximately 70 % of vertex-breech combinations ,the first twin presented by the vertex. 5. Diagnosis of twin pregnancy before labor was made in 71.6% of 239 twin delivery 6. Sponaneous delivery of both babies occurred in 55.6% and operative delivery was performed in 44.4%. 7. Twenty four cases of cesarean section 10.0 % was encounted its main indication being such as repeat cesarean sections, fetal distress secondary inertia and eclampsia. 8. In 15.5% of the cases manual removal of the plaenta was perfomred. 9. About 1% of congenital anomaly was seen 10. Two cases of maternal deaths were encountered.

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