임신을 동반한 단각 흔적 자궁의 파열 1 예

박준숙(JS Park),유정옥(JO Yoo),이지성(JS Lee),민부기(BG Min),박영선(YS Park),박영하(YH Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.7

흔적 자궁각을 동반한 자궁외임신 파열을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. One case of spontaneous rupture of pregnant rudimentary uterine horn was observed at the department of obsterics and gynecology of Eulji General Hospital and a brief review of literatures on the female genital anomalies is presented in this paper

자궁경관 임신의 1예

박영선(YS Park),신경철(KC Shin),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.3

자궁경관임신의 1례를 보고하였다. 본례는 22세의 미산부로 타의원에서 인공임신 중절수술을 시도하다 다량의 자궁출혈로 웅급 전원된 환자이며, 자궁전적출술을 하여 병리조직학적으로 자궁경관임신이라는 확지을 얻은 례이다. A case of cervical pregnancy which is in 22 year old nulliparous woman is presented with a brief review of literature.

4세여아의 난소에 발생한 내배엽동 종양 1예

박광선(KS Park),이의성(ES Lee),김영대(YD Kim),박영하(YH Park) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.10

The endodermal sinus tumor of the ovary constitutes a rare but well defined entirely in an otherwise extremely varied group of tumors arising from germinal tissue. Since these tumors are uncommon most series published has been small. Moreover it is difficult to judge the exact incidence of this tumor as it has been described under a wide variety of names. However, much of the confusion regarding to nomenclature and histogenesis of this tumor being cleared lately, mostly due to the work of Gunnar Telium and the tumor is now fairly well established as a definite entity. Rarity and characteristic histopathological features of this tumor prompted us to present this report.

측자궁마취의 임상적 고찰

정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.4

Paracervical block is effective in relieving painful uterine contractions in the first and second stages of labor, as was introduced by Rosenfeld in 1945. Paracervical block anesthesia is obtained by the deposition of the local anesthetic solution into the paracervical tissue. 92 patients were undergone paracervical block for clinical observation of anesthetic method, effect, duration, fetal heart rate, maternal complication and Apgar scores of neonates. The method used was multiple injections given into four paracervical areas, namely at 3, 4, 8 and 9 c`clock positions, The needle was inserted approximately 1 or 1.2cm., and 1% lidocaine was then injected. Complete relief of pain was obtained in 84 per cent and duration of action was average 30 or 40 minutes. Ten patients developed fetal bradycardia after paracervical block, but all neonates who had bradycardia were discovered to be in good condition, Apgar score being 7 or above in 5 minutes. Maternal complication involved were of littel significance. Paracervical block is simple, and it is safe for the mother and/or for the neonate.

비파열 흔적자궁각임신 1 례

이지성(JS Lee),오운영(EY Oh),김윤형(YH Kim),김상호(SH Kim),김창학(CH Kim),박영하(YH Park) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.6

비파열 흔적자궁각임신 A case of unruptured rudimentary uterine horn with 3 month gestation is presented with a brief review of literatures concerning uterine anmalies.

질식자궁적출술에 대한 임상적 관찰

경광수(KS Kyung),박영선(YS Park),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.3

1970년 10월 1일부터 1973년 2월 28일까지 29개월간 을지병원 산부인과에서 불임술을 받은 721예 중 질식자궁척출술 76예에 대한 임상적 관찰을 하여 다음과 같은 결론을 얻었다. 1) 자궁척출술에서 질식 62.7%, 복식 37.3%였다. 2) 년령 분포는 28∼56세로 평균 40.3세이며 40세 이하가 56.6%였다. 3) 평균 분만회수는 4.0회, 평균 유산회수는 2.8회, 평균 생존 자녀수는 3.6인이었다. 4) 질식자궁척출술의 부수적 적응질병은 자궁근종 20예(26.3%), 부정자궁출혈 15예(20.0%), 자궁경부본란예(13.1%)의 순이며 자궁내임신, 난소낭종이 각각 7예로 9.1%를 점하고 있다. 5) 마취는 전신마취 32예, 척수마취 40예, 전신마취와 척수마취를 병행한 예가 4예였다. 국 소마취의 예는 없었다. 6) 수술시간은 자궁척출술 단독에서 98분, 질회음부봉합술을 병행한 예에서 130분이 소요되 었는데 전례에서 자궁내용물 제거 및 소파술을 선행하였으므로 실제 수술시간은 약 15분 단 축되었으리라고 사료된다. 7) 난관난소절제술을 병행한 예는 14예(18.4%)이었고, 질회음봉합술을 병행한 예는 56예였 다. 8) 수술 중 출혈량은 62예(81.6%)에서 400cc 이내였고, 19예에서 수혈없이, 34예에서 1병으 로 충분하였다. 9) 이환률은 31.6%로 수술시간과 수혈량에 따라 증가하였다. 합병증의 대부분은 쉽게 치료되었고 그 예에서 개복하였으며 사망자는 없었다. 10) 유치 catheter는 전례에서 사용되었고 평균 기간은 2.5일이었다. 11) 척출술에 대한 병리조직학적 검사는 42예(53.0%)에서 이상소견을 보였다. 12) 본 수술은 불임술로서 우수하며 양성 및 악성자궁질환을 예방한다는 이점이 있으나 난 관결찰술에 비해 환자들이 잘 응하지 않고 있는 실정이다. The purpose of this study was to analyze the vaginal hysterectomy admitted to Eul-Ji Hospital during 29 months period of Oct. 1, 1970-Feb, 28, 1973. By analysis, 80 cases of vaginal hysterectomy of among 721 sexual sterillization in the same period, the following results were obtained. 1) The incidence of vaginal hysterectomy was 11.1% in total sexual sterillization, and 37.3% in hysterectomy. 2) In the age distribution, the majority was in 31-40 years age group, and 43 cases (56.6%) were under the 40 years old in age. 3) The average of the parity was 4.0. 4) The febrile morbidity was 31.6%, but less serious. 5) The complication was found in 23 cases, and one exploratory laparotomy was done. 6) The hospital stay after operation was 4-14 days. The average was 8.0 days.

질식난관결찰술의 임상적 고찰

이동경(TK Lee),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.4

질식난관결찰술의 임상적 고찰을 시행하여 보고하는 바이다. Vaginal tubal ligation is one of the most simple, practical and effective methods of permanent conception control for women who want to conclude their childbearing during not only a nonpregnant period but also an early trimester of pregnancy. The authors performed 72 tubal sterilizations during the period from September 1970 to December 1971, while in one case of those her medical record was lost. There were 8 abdominal tubal ligations performed on non-pregnants, 73 on women in the immediate postpartum period, and 27 vaginal hysterectomies with various surgical indications, during the same 16-month review period. Reviewing morbidities and complications of the 71 vaginal tubal ligations, the vaginal approach was associated with very little risk, and was better accepted by most patients dut to absence of the visible surgical scar and easier attitude toward the surgery than was the abdominal approach. Furthermore, the vaginal could be conveniently combined with the other vaginal surgeries such as interruption of early pregnancy, perineal repair, and so forth. It also seemed to be in any means economic benefit due to performance at once within shorter surgical duration of various combinations of several vaginal surgeries and shortened hospital stay. The vaginal, moreover, was found to be superior to the adbominal in the viewpoint of unwanted postoperative secondary psychologic gain. Comparison of vaginal tubal ligation vs. vaginal hysterectomy performed for permanent conception control was beyond the socpe of this review.

내장탈출 경험 2례보고 및 문헌고찰

송기선(KS Song),신영무(YM Shin),최병한(BH Choi),이관복(KB Lee),박영하(YH Park) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.10

이상 저술한 바에 의하여 몇가지으 귀결을 짓고자 한다. 첫째로, 수술전처치 및 신속한 수술 그리고 위루조성술등을 시행하는 것과 둘째로, 장운동이 돌아올 때까지 그리고 경구 급식이 만족할 때까지 꾸준히 관찰하며 정맥을 통한 적절한 수액 및 전해질 공급 그리고 영양 요법을 실시하는 것이 환아의 아ㅖ후에 크게 도움을 줄 것이며 마지막으로 우리나라에선 아직 silastic patch의 구입이 힘들고 여러난점이 많기 때문에 수지로 복강을 최대한으로 늘리고 피부층만을 박리하여 skin flap을 만들어서 복귀시키는 방법이 바람직하다고 생각된다. Gastroschisis is a rare congenital malformation which requires a surgical emergency in the newborn infants. The condition is characterized by a congenital evisceration of intraperitoneal contents through a full thickness defect in the abdominal wall adjacent to the umbilical cord. The defect is invariable to the right of the umbilicus and there is absence of the hernial covering sac. Recently we experienced two case of gastroschisis. These cases were treated surgically by primary closure of the abdominal wall defect using the technique for mobilizing skin flap. This report is concerned with our experience of the survival cases and briefly reviewed the embryology, pathology, associated abnormalities and the current concepts in the management of gastroschisis.

난소임신의 1예

임인호(IH Lim),김경준(KJ Kim),이박문(BM Rhee),박영하(YH Park) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.10

본 증례는 Spiegelberg씨 조건에 일치한 난소임신으로서 그 치험 1예를 보고하는 바이다. A case of ovarian pregnancy which fulfilled Spiegelberg’s criteria for the diagnosis of ovarian. Pregnancy in a 31 years old woman is presented.

원발성 난관암의 1예

최헌수(HS Choi),조만헌(MH Cho),박영선(YS Park),박영하(YH Park) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.9

본 산부인과에서 희귀한 것으로 알려진 원발성 난관암 2례를 다산부에서 발견 체험하였기에 문헌고찰과 더불어 보고하는 바이다. Primary carcinoma of the fallopian tube is extremely rare among female genital cancers. Two cases of primary papillary carcinoma of the fallopian tube were found postoperatively in 73 years old postmenopausal and 38 years old premenopausal women with great parity on both. We report of two cases of primary papillary carcinoma of the fallopian tube and represented with a brief review of literatures concerned.