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조출현 ( Chool Hyun Cho ),조윤영 ( Yoon Young Cho ),김진 ( Jin Kim ),유석동 ( Seok Dong Yoo ),인태효 ( Tae Hyo In ),박종배 ( Jong Bae Park ),강행지 ( Haeng Ji Kang ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
The mature cystic teratoma of the omentum is a very rare tumor. It is generally believed that autoamputation and reimplantation of an ovarian tumor is the most common etiology of omental teratoma. Abdominal pain is the main presenting symptom of these tumors. A 41-year-old woman was admitted for pelvic mass. At laparotomy, a 8.5×7.0×7.5㎝ mass was found in the pelvic cavity, attached to the omentum with adhesion to bladder. The histopathologic diagnosis was mature cystic teratoma in conjunction with the cyst wall is diffusely necrotic and calcified with hairs. The absence of the left ovary suggested that the tumor underwent autoamputation and reimplantation on the omentum. We report the case with a brief review of literature.
복강경을 이용한 자궁근종 절제술의 임상적 효용성에 관한 연구
조백설 ( Baik Seol Cho ),강귀언 ( Gui Eon Kang ),이홍주 ( Hong Jue Lee ),천상훈 ( Sang Hoon Cheon ),조출현 ( Chool Hyun Cho ),김성희 ( Seong Hee Kim ),이정한 ( Jung Han Lee ),조삼현 ( Sam Hyun Cho ),김승룡 ( Seung Ryong Kim ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
Objective: The objective of this study is to evaluate the safety and the clinical efficacy of the laparoscopic myomectomy through analyzing several operation factors. Methods: There were 185 cases of laparoscopic myomectomy between January 2004 and December 2008 at the department of obstetrics and gynecology in Hanyang University Guri Hospital. Retrospectively many factors of the operation were analyzed. The factors include the size, number and type of the myoma, BMI (body mass index), operation method, operation time, and complication and the prognosis of the operation. Results: For the type of myomas, 115 (62.2%) cases were intramural myomas, 38 (20.5%) cases were subserosal types and 32 (17.3%) cases were mixed types. The average diameter of the biggest myoma was 6.67±0.16 cm (range, 2.5~15 cm) and the average number of the myoma was 2.07±0.15 (range, 1~15). Previous operation history and pelvic adhesion did not show correlation with the operation time. The size, type and number of myoma and the operation methods showed correlation with the operation time. According to myoma size and number, we divided the cases into two groups, low risk group (122 cases) and high risk group (63 cases). The analysis showed that post-operation hemoglobin drop (2.89±0.10 g/dL vs. 4.03±0.23 g/dL) and blood transfusion amount (2.89±0.10 pints vs. 4.03±0.23 pints) as well as the operation time (137.58±4.37 min vs. 193.73±9.88 min) showed noticeable increase in the high risk group. Conclusion: This statistics show that laparoscopic myomectomy is now being applied to patients with larger and more myomas. Factors affecting operation time were the weight of myomas, number of myomas, type of myomas, number of trocars and methods of resected myomas removal. Also, operation time and post-operative hemoglobin drop increased in the high risk group.
허인석 ( In Seok Her ),이정환 ( Jung Hwan Rhee ),조출현 ( Chool Hyun Cho ),김진 ( Jin Kim ),최인덕,강행지 ( Heang Ji Kang ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.2
Ovarian pregnancy is comparatively rare form of ectopic pregnancy. Although earlier diagnosis is now possible due to the availability of quantitative β-hCG measurement and the development of transvaginal ultrasonograghy, it is mostly difficult to diagnosi