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Vaginal Approaches Using Synthetic Mesh to Treat Pelvic Organ Prolapse
채희동,문제원 대한대장항문학회 2016 Annals of Coloproctolgy Vol.32 No.1
Pelvic organ prolapse (POP) is a very common condition in elderly women. In women with POP, a sacrocolpopexy or a vaginal hysterectomy with anterior and posterior colporrhaphy has long been considered as the gold standard of treatment. However, in recent decades, the tendency to use a vaginal approach with mesh for POP surgery has been increasing. A vaginal approach using mesh has many advantages, such as its being less invasive than an abdominal approach and easier to do than a laparoscopic approach and its having a lower recurrence rate than a traditional approach. However, the advantages of a vaginal approach with mesh for POP surgery must be weighed against the disadvantages. Specific complications that have been reported when using mesh in POP procedures are mesh erosion, dyspareunia, hematomas, urinary incontinence and so on, and evidence supporting the use of transvaginal surgery with mesh is still lacking. Hence, surgeons should understand the details of the surgical pelvic anatomy, the various surgical techniques for POP surgery, including using mesh, and the possible side effects of using mesh.
채희동,장명훈,이현수 대한건축학회 2001 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.21 No.1
The purpose of this study is to develop the process to support and evaluate experts' decision malting on vertical transportation planning in high-rise building constructions. Experts generally carry out the vertical transportation planning by heuristic methods, so there is a possibility that their decisions failed. The failure of the vertical transportation planning can be result in much loss of time and cost. The process presented in this paper evaluates experts' alternatives, organizes the results of the vertical transportation plan, and then leads to the systematic flow of materials and crews.