• Advances in pediatric surgery
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• 제1권2호
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• pp.107-114
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• 1995

Three hundred and twenty-seven patients of 2,046 inguinal hernia cases Primarily repaired at Hanyang University Hospital had the history of incarceration or presented as incarcerated inguinal hernia on admission. Incidence of incarceration of all male hernias was 14.2%(234 patients) and 22.7%(93 patients) of all female cases. Incarceration occurred in 17.3% of all right hernia cases and in 13.7% of all left hernia cases. The incarceration occurred 52.6% of the hernia patients in the first month of life, 27.3% in the first year, 26.7% in the second year and 7.8% after 2 years of age. Strangulated inguinal hernia occurred in 8 patients: five patients had ovaries involved, two patients intestines, and one patient omentum. Emergency operations were performed on 66 patients(20.2%) because incarcerated hernia could not be reduced by taxis. At the time of operation, the hernia sacs were empty in 140 of 327 patients and the remainders contained omentum(50), small intestine (44), appendix and/or cecum(28), sigmoid colon(2), ovary and/or tube(66), and omental cyst(1). An elective hernia repair should be performed promptly after presentation of the hernia, especially before 2 years of life because of high incidence of incarceration. In this study, of 327 incarcerated hernia, 187 patients(57.2%) did not have prior history of incarceration and incarceration developed more than 7 days after hernia onset in 95.6%. If the hernia repairs had been performed within 7 days after hernia onset, about half of the incarceration might have been prevented.

• 대한관절경학회지
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• 제17권1호
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• pp.66-70
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• 2013

반월상 연골판의 판상 파열은 흔히 관절 내 전위에 의한 증상을 유발하여 수술적 치료를 요하며 특히 파열된 분절이 관절낭 내로 감돈될 경우 자기공명영상 검사 및 관절경수술 시 파열 부위 진단에 실패할 우려가 있으며, 임상적인 특징과 치료에 대해서는 보고된 바 없다. 저자들은 관절낭 내 감돈된 내측 반월상 연골판 판상 파열에 대한 치험 2예를 보고하는 바, 특징적인 임상 양상의 확인을 통한 이와 같은 병변에 대한 의심이 정확한 수술 전 진단에 있어 중요함을 강조하고자 한다.

• 대한족부족관절학회지
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• 제10권2호
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• pp.279-283
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• 2006

Irreducible dislocation of great toe interphalangeal joint with incarcerated sesamoid is a rare condition, with only a few cases reported in literature. We describe two cases of dislocation of interphalangeal joint which were diagnosed by plain radiographs and three dimensional computed tomography (3D-CT) and successfully treated with open reduction without excision of sesamoid through dorsal approach along with literature pertinent to this condition.

• Advances in pediatric surgery
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• 제20권2호
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• pp.58-61
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• 2014

Palpable inguinal mass in children should be differentiated from inguinal hernia, hydrocele, lymph node, and tumor. Though using ultrasonography, fatty tumor would be misdiagnosed as incarcerated inguinal hernia containing fatty component. We experienced the huge inguinal lipoblastoma in 5-year-old girl mimicking recurrent incarcerated hernia. Laparoscopic exploration revealed it was not incarcerated hernia but well demarcated bulging mass from abdominal wall. Mass was about $10{\times}4{\times}3cm$ and extended from internal inguinal ring to saphenous opening. It was near total excised because of right external iliac vein injury. Pathologically, it was proven as lipoblastoma containing mature adipocyte with lipoblast and fibrous septa. Postoperatively, we noticed a segmental thrombotic occlusion of external iliac vein. After 1 year, she has no symptom related to occluded vessel. The remained lipoblastoma showed no interval change. Even lipoblastoma has a good prognosis with low recurrence rate, we need careful follow-up.

• Journal of Veterinary Science
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• 제23권3호
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• pp.42.1-42.6
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• 2022

A 1-year-old male Persian cat was presented for castration. Liver incarcerated in a peritoneopericardial diaphragmatic hernia (PPDH) was diagnosed through pre-anesthetic tests. Multiple homogeneous hyperechoic nodules in the hepatic parenchyma were identified using ultrasound. The nodules showed decreased attenuation compared with normal hepatic parenchyma, and the herniated hepatic parenchyma showed increased arterial and decreased portal enhancement on computed tomography. From the histopathology, we diagnosed hydropic degeneration with portal fibrosis and myelolipoma. This report presents diagnostic imaging features of hepatic myelolipoma incarcerated in a PPDH in a cat. When perfusion of the hepatic parenchyma is altered, surgical treatment should be considered.

• 한국심리학회지 : 문화 및 사회문제
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• 제16권4호
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• pp.487-508
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• 2010

이 연구의 주된 목적은 보호관찰청소년과 일반청소년의 친구관계를 비교 분석하는데 있다. 분석대상은 총 510명으로서, 보호관찰청소년 253명(재범 51명, 초범 202명)과 범죄 경력이 없는 일반청소년 257명이었다. 분석결과, 보호관찰청소년과 일반청소년 모두 괴로울 때 친구에게 의논을 가장 많이 하였으며, 친구와 함께 있으면 편안하다고 지각하였고, 친구이기 때문에 무조건 신뢰하는 경향에서 공통점이 있었다. 그러나 친구와 구체적인 활동 장소 및 활동내용을 보면, 보호관찰청소년은 친구와 주로 PC방에서 게임을 하고, 일반청소년은 주로 학교에서 같이 노는 경우가 많다는 차이점이 있었다. 또한 보호관찰청소년은 일반청소년보다 퇴학된 친구 수, 보호관찰 받은 친구 수, 소년원 경력이 있는 친구 수가 더 많았다. 보호관찰 경력별로 보면, 재범집단이 초범집단보다 공범친구가 보호관찰을 받거나 소년원에 다녀온 횟수가 더 많았다. 보호관찰청소년과 일반청소년을 판별분석한 결과, 퇴학된 친구 수, 보호관찰 받은 친구 수, 소년원 경력이 있는 친구 수가 두 집단을 판별하는 매우 의미있는 변인으로 확인되었다. 또한 재범 및 초범 보호관찰청소년을 대상으로 판별분석을 한 결과, 퇴학된 친구 수, 보호관찰 받은 친구 수, 소년원 경력이 있는 친구 수만이 아니라, 공범친구의 보호관찰/소년원 경험 횟수도 의미있는 판별변인으로 포함되었다.

• Journal of Trauma and Injury
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• 제29권4호
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• pp.167-171
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• 2016

Irreducible traumatic knee dislocation is rare. The knee dislocation is classified depending on the incarcerated structures. Complete reduction is achieved by extracting the incarcerated structure. Several reports introduce the reduction of irreducible traumatic knee dislocation by open surgery or arthroscopy. This case describes irreducible posterolateral knee dislocation with interposition of the vastus medialis. Closed reduction failed in the emergency room, and complete reduction was attained by arthroscopically sectioning the muscle and fascia of the vastus medialis in the intercondylar notch.

• Journal of Yeungnam Medical Science
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• 제31권1호
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• pp.25-27
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• 2014

Patients treated with peritoneal dialysis have increased intra-abdominal pressure and a high prevalence of abdominal wall complications. Hernias can lead to significant morbidity in patients on peritoneal dialysis. Hernias are clinically important because of the risk of incarceration, strangulation and subsequent bowel obstruction, rupture, and peritonitis. In this paper, a case of incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis (CAPD) patient is reported. The small bowel obstruction improved after herniorrhaphy, and the peritoneal dialysis was resumed 2 weeks after the herniorrhaphy. The patient had been undergoing CAPD without technical failure until the 2 months follow-up after the herniorrhaphy. This case shows that early detection of incarcerated umbilical hernia and herniorrhaphy can prevent resection of a strangulated small bowel so that it can remain on CAPD without post-operative technical failure. Umbilical hernias should be carefully observed and intestinal obstruction should be considered when a CAPD patient with an umbilical hernia has abdominal pain.

• 한국가족복지학
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• 제62호
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• pp.171-206
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• 2018

이 연구의 목적은 부모의 수감사건을 자녀들이 어떻게 받아들이고 살고 있는지 그 적응과정의경험을 이해하고자 하는 것이다. 연구목적을 달성하기 위해 6명의 청소년 참여자를 선정하여심층면담을 진행하였고 이를 통해 수집한 자료를 가지고 사례별 분석과 사례 간 분석을 실시하였다. 전체 사례에서 나타난 주제는 '예고 없는 이별과 충격', '불행 중 다행', '서러운 내 신세', '멀고 먼 만남의 길', '희망을 주는 사람', '내 인생을 살아감' 등이었다. 연구결과를 바탕으로 수용자 자녀 지원과 권리 보장을 위한 정책과 실천지침을 논의하였고 연구의 한계 및 후속연구를 위한 제언을 하였다.

• Journal of Gastric Cancer
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• 제19권1호
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• pp.132-137
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• 2019

The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.