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주종수,이규태 대한외상학회 1993 大韓外傷學會誌 Vol.6 No.2
Trauma is the most frequent cause of morbidity and mortality in childhood. Recently, the abdominal trauma in childhood steadily increased in number each year. Such trauma may also cause bowel perforation, either in isolation or together with other visceral injuries, and emergency operation is indicated in these cases. While principles of operative management are unchanged in the childhood, cause of injury, clinical manifestation, diagnostic difficulties and mortality may differ from that of adult. This report is based on an analysis of 18 operated cases of G-I tract perforation due to blunt trauma in children which were operated at Department of Surgery, Basan Paik Hospital, College of Medicine, Inje University during the period of 12 years from Jan. 1980 to Dec. 1991. The results are summarized as follows ; 1) The peak age of incidence was between 6 and 10-year, comprising 55.6% of all cases. 2) There were 12 males and 6 females, a sex ratio 2 to 1. 3) The seasonal distribution showed the highest incidence in Spring involving 9 cases, comprising 50.0% of all cases. 4) The cause of blunt trauma was traffic accident, fall-down, kicking, etc. Most common cause of trauma was traffic accident involoving 9 cases(50.0%) 5) The hemoglobin levels showed 10-15mg% in 17cases(94.4%), and WBC counts revealed over 15,000/mm in 14cases(77.8%). 6) The majority(12 cases) of all operated patients(18cases) were operated within 24 hours after injury. 7) As to the organs were injuried and the frequency of involvement, small bowel was most freqnently injuried in 14 cases(77.8%), followed by stomarh 3 cases, duodenum 1 case. 8) 12 cases had associated injury, and among that 4 cases had more than two associated in juries. 9) Operative management was performed by simple closure in 13 cases (72.2%), resection and end-to-end anastomosis in 5 cases (27.8%). 10) Complication was occurred in 7 cases, followed by wound infection 2 cases, pulmonary complication 2 cases, intestinal obstruction 2 cases, sepsis 1 case. 11) Death occurred in 1 case, and the cause of death was result from combined head injury.
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트리플 카우-히치 방법을 이용한 인공수정체의 공막고정술
주종수,이유경,노창래,변용수,주천기,Jongsoo Joo,You Kyung Lee,Chang Rae Rho,Yong-Soo Byun,Choun-Ki Joo 대한안과학회 2011 대한안과학회지 Vol.52 No.11
Purpose: To report the results of scleral suture fixation using a hydrophilic acrylic intraocular lens (IOL) with 3 hollow haptics through a small corneal incision, the Triple Cow-Hitch Method. Case summary: Three-point suture fixation of a XL Stabi ZO IOL was performed in 5 eyes of 5 patients with aphakia after penetrating keratoplasty (PKP), vitrectomy and subluxated lens extraction. Postoperatively, the corrected distance visual acuity and spherical equivalent improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Conclusions: In this preliminary study, the triple cow-hitch method of suturing a hydrophilic acrylic IOL is an alternative to the conventional 2-point scleral fixation of sutured IOLs. J Korean Ophthalmol Soc 2011;52(11):1370-1376
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케타민과 리도카인으로 시행한 소아 탈장 수술 2,230명
주종수,주현호,주인호,Joo, Jong Soo,Joo, Hyun Ho,Joo, In Ho 대한소아외과학회 2013 소아외과 Vol.19 No.2
Ketamine is a safe and effective drug for pediatric anesthesia, sedation and analgesia. We hoped to identify that surgeons could operate a pediatric hernia with the ketamine anesthesia without general anesthesia. The study was a consecutive case series of 2230 inguinal hernia patients aged 1 months to 17 years in a Joo's day-surgical clinic during 11-year period. The patients had pediatric inguinal hernia surgery without general anesthesia under the day-surgery system. We retrospectively analyzed the medical record of patients who were registered with the Diagnosis Related Group (DRG) system. All patients received ketamine (5mg/kg) and atropine (0.01mg/kg) intramuscularly before surgery. After anesthesia, we injected 1~2% lidocaine (Less than 5ml) subcutaneously at the site of incision and started operation. The surgical method was the high ligation method of the hernia sac.) In total 2230 patients, male were 1756 and female were 474. 2076 patients were a unilateral inguinal hernia at the time of surgery and 154 were bilateral hernia patients. Less than three months, depending on the age of the patients was 391, and less than 12 months the patient was 592 people (26.5%). After surgery, there were no accidents or long term complications associated with ketamine anesthesia. We think the surgeon can safely do the pediatric inguinal hernia surgery using ketamine and lidocaine without anesthesiologist through 11 years of our surgical experiences.
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주종수(Jong Soo Joo),감봉수(Bong Soo Gam) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
The congenital absence of the vagina results from failure of the vaginal plate to develop. The treatment of vaginal agenesis have many techniques of vaginal reconstruction. The ileal graft, one of the vaginal reconstructions, is that the ileum was resected about 10 cm in length and the mesentery was resected for blood supply of ileal graft. The resected ileum with mesentery was transported the space which was dissected between the bladder and the rectum already. The ileal graft was repaired the two end margins that the proximal portion was connected to the uterus and the distal portion was connected to the external orifice of vulva. This technique was known that was simple surgical technique, good functional result and little complication. In May 1987, at Gynecologic department of Inje University, the 13 year-old female was diagnosed imperforate hymen was done the hymenotomy two times. But she was not improved the lower abdominal pain and distension. So she was transfered to surgical department that was suspected vaginal defect. On exploration, she was confirmed complete vaginal agenesis without cervix. Therefore she was done surgical intervention-the ileal graft. We reported that this procedure was good result.
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