• Title/Summary/Keyword: Perineum

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Proximal-type Epithelioid Sarcoma Involving Perineum - Case Report - (회음부를 침범한 근위형 유상피육종 - 증례보고 -)

  • Park, Yong-Koo;Park, Ho-Chul
    • The Journal of the Korean bone and joint tumor society
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    • v.7 no.2
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    • pp.64-67
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    • 2001
  • Epithelioid sarcoma has been well characterized as a distincitve entity. In the classic form, it occurs in the distal extremities of young adults. However, in the proximal form, it was found mostly in the pelvis, perineum, and genital tract of young to middle-aged adults. Morphologically, the tumor cells had promient epithelioid or rhabdoid features with marked cytologic atypia, and grew in a multinodular pattern. Immunohistochemically, cytokeratin, epithelial membrane antigen, and vimentin were positive in the tumor cells. This reports dealt with 32-year-old male lesion on his perineum. The tumor shows typical features of proximal type epithelioid sarcoma. We also discussed pathological differential diagnosis and prognosis on this particular disease.

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Positive Effects of Perineum Moxibustion on Gynecological Problems of Infertile Women

  • Mok, Eun-Sang
    • Development and Reproduction
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    • v.20 no.1
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    • pp.41-49
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    • 2016
  • Moxibustion, which has a more than 4,000-year long history of use in East Asia, has been widely used for gynecological diseases. To investigate the effects of perineum (CV1) moxibustion on gynecological function, infertile women of childbearing age applied CV1 moxibustion for 30 days on a fixed schedule. The subjects had on average $2.4{\pm}1.1$ cases of infertility-related disabilities. After CV1 moxibustion treatment, on average, the subjects showed improvements in $1.5{\pm}1.0$ cases of their gynecological problems. In addition, 14.7% of the subjects got pregnant within $29{\pm}1.4$ days after the treatment. This result shows that application of moxibustion on the CV1 and uterus is an effective treatment for gynecological diseases and that it can improve the function of gynecologic organs.

Clinical trial of Aromatherapy on Postpartum Mother′s Perineal Healing (아로마테라피가 산모의 회음부 치유에 미치는 효과)

  • 허명행;한선희
    • Journal of Korean Academy of Nursing
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    • v.34 no.1
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    • pp.53-62
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    • 2004
  • Purpose This study was designed to verify the effect of aromatherapy on a postpartum mother's perineal healing. Method The research design was a clinical trial. The methods of aromatherapy were applied sitz bath or soap application using essential oils with Lavender, Myrrh, Neroli, Rose, Grapefruit, Mandarin, Orange, and Roman Chamomile. The subjects of this experiment were postpartum mothers who delivered vaginally with an episiotomy. They were allocated to one of three groups; the aroma-sitz bath group, aroma-soap application group or control group. To evaluate the effect of aromatherapy, the perineal healing status was measured using the REEDA scale and smears of episiotomy wound were obtained. The data were analyzed by repeated measures of ANOVA, ANCOV A, x$^2$- test, and multiple response analysis via SPSS program. Results The REEDA scale was significantly low in the experimental group at postpartum 5th and 7th days (P=.009, P=.003), respectively. Most were observed ‘few’(5-10 bacteria per field) bacteria in the smears of episiotomy wound. The one bacteria was identified in the 50.8% of subjects in pretest and two bacteria in the 60.3% in posttest. Most frequently identified bacteria were Escherichia coli and Enterococcus faecalis. Conclusion In conclusion, these findings indicate that postpartum aromatherapy for perineal care could be effective in healing the perineum perineal care could be effective in healing the perineum.

Case of Aggressive Angiomyxoma of the Vagina (질에 발생한 공격성 혈관점액종 1예)

  • Jo, Hyang-Jeong;Kim, Byoung-Ryun;Cho, Hae-Joong;Hong, Gi-Youn;Moon, Hyung-Bae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.209-211
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    • 2008
  • Aggressive angiomyxoma is a rare neoplasm that arise from soft tissue of the perineum and usually affects young woman. It has a high risk of local recurrence due to infiltrative lesion. This tumor should be distinguished from benign and malignant tumor or tumor like lesion of the perineum. We experienced a case of an aggressive angiomyxoma on soft tissue of the vaginal wall in 43-year-old woman and reported it with a brief review of literature.

A Study on the Installation Planing of Sanitary Ware (남성용 소변기 설치계획에 관한 연구)

  • 이용의
    • Korean Institute of Interior Design Journal
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    • no.18
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    • pp.3-8
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    • 1999
  • In accordance with the growing up to a fine-built national physique on national economic rapid growth, It should be made a partial amendment on the Installation planing of sanitary ware. If users who regard have no problem as using facilities in a unisex toilet, It'll be not only falling down the separation of toilet booth with substantial sanitary problems step by step as follow. 1. The urinal should be pay due regard to such a shape which intercepts stream before the point of dispersion and variations in splash effects according to angles between stream and contact urinal surface with deferent of age and health of users 2. Urinal should be fit for the perineum height of male and so It could be install differently according to the Anatomical Percentile of users.

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Childbirth outcomes and perineal damage in women with natural childbirth in Korea: a retrospective chart review (자연주의 출산한 여성의 출산실태와 회음부 손상: 일개 자연주의 출산병원 의무기록을 중심으로)

  • Kim, Kyung Won;Lee, Sunhee
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.379-387
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    • 2021
  • Purpose: This study aimed to determine the actual state of childbirth in Korean women with natural childbirth and the degree of damage to the perineum during childbirth. Methods: This retrospective study analyzed the medical records of mothers who had natural childbirth at a hospital in Seoul, Korea in 2018. Data from 358 women with cephalic births at greater than 37 gestational weeks were analyzed. To determine natural childbirth characteristics and the degree of damage to the perineum, descriptive statistics were done. The difference in the degree of perineal injury according to obstetric characteristics was analyzed using independent t-test and one-way analysis of variance. Results: The mean age was 33.18±3.68 years, and 49.2% were primiparas, while 39% gave birth with a doula. The degree of perineal damage differed by age (F=9.15, p<.001), parity (t=19.13, p<.001), number of births in multiparity (F=3.68, p=.027), previous vaginal delivery in multiparity (F=3.00, p=.032) and birthing posture (F=7.44, p<.001). Having received therapeutic procedures (t=-4.62, p<.001), specifically fluid administration (t=-2.72, p=.007), oxygen supply (t=-2.76, p=.006) and epidural anesthesia (t=-2.77, p=.006) were statistically significant for perineal damage. There were no differences, however, by gestational period, doula use, water room use in labor, baby head circumference, or birth weight. Conclusion: Study findings suggest that support for older women, primiparas, and those who require therapeutic procedures may help to decrease the possibility of perineal damage during childbirth. As perineal damage was also associated with birthing posture, this should be considered when providing intrapartum nursing care.

Urachal remnant in a Dog (개에 발생한 요막관 잔존)

  • 김상기
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.197-199
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    • 2004
  • A 2-month-old intact female English Cocker Spaniel weighting 2.8 kg was presented with pollakiuria and urinary incontinence. On the inspection, moisture around the perineum and hindlegs was observed with a mild urine odor. No other abnormalities were detected on physical examination. Retrograde vaginourethrography revealed the urachal remnant. The vesicourachal diverticulum was surgically removed without complications.

Blockade of Ganglion Impar and Superior Hypogastric Plexus Block for Perineal Cancer Pain -Case report- (회음부 암성통증에 대한 외톨이 신경절 블록과 상 하복 신경총 블록 -증례 보고-)

  • Han, Seung-Yeon;Yoon, Duck-Mi
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.238-241
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    • 1999
  • Intractable pain arising from disorders of the viscera and somatic structures within the pelvis and perineum often poses difficult problems for the pain pratitioner. The reason for this difficulty is that the region contains diverse anatomic structures with mixed somatic, visceral, and autonomic innervation affecting bladder and bowel control and sexual function. Clinically, sympathetic pain in the perineum has a distinctly vague, burning, and poorly localized quality and is frequently associated with the sensation of urgency. Although various approaches have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. Historically, neurolytic blockade in this region has been focused mainly on somatic rather than sympathetic components. The efficacy of neurolytic ganglion impar block has been demonstrated in treating perineal pain without significant somatovisceral dysfunctions for patient with advanced cancer in 1990. The introduction of superior hypogastric plexus block in 1990 demonstrated its effectiveness in patients with cancer related pelvic pain. In our report, five patients had advanced cancer (rectal caner 3; cervix cancer 1; metastases to sacral portion of renal cell cancer 1). Localized perineal pain was present in all cases and was characterized as burning and urgent with 9~10/10 pain intensity. After neurolytic block of ganglion impar, patients experiened incomplete pain reduction (7~8/10), as determined by the VAS (visual analogue scale), and change in pain site. We then treated with superior hypogastric plexus block, which produced satisfactory pain relief (to less than 4/10), without complication.

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A Case of Perineal Hypospadias with Os Penis Deformity and Unilateral Cryptorchidism in a Boston Terrier (보스턴 테리어에서 발생한 음경골 이형성과 편측 잠복고환증을 가진 회음부 요도하열)

  • Park, Woo-Young;Bae, Chun-Sik;Kim, Hwi-Yool;Cho, Ki-Rae;Park, Woo-Dae
    • Journal of Veterinary Clinics
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    • v.26 no.2
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    • pp.185-188
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    • 2009
  • A six-month-old Boston terrier presented with an extruded penis caudally, incompletely formed preputial sheath, bifid scrotum, retained testicle and deformity of the os penis. On physical examination, the urethral orifice was located on the surface of the perineum and a fibrous band was observed running from the grans to the urethral orifice on the perineum. The dog also had urethritis that was infected by ascending bacteria entering through the contaminated urethral orifice. Corrective surgery was undertaken to excise the external genitalia and retained testicle. The prepuce, penis and retained testicles were successfully excised. After the urethral orifice was cleaned periodically and antibiotics were administrated, recurrent urethritis disappeared. Using this therapeutic regime it is not necessary to reconstruct the anomaly located urethral orifice, if the location of urethral orifice is not the cause of recurrent urethritis and urinary incontinence.

The first outbreak of lumpy skin disease in Jeollabuk-do, Korea (전북지역 사육 소에서 첫 럼피스킨 발생 보고)

  • Keum Sook Chu;Woo Ri Jung;Seung Hyuk Yang;Myung Chan Lee;Ku Rye Shon
    • Korean Journal of Veterinary Service
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    • v.46 no.4
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    • pp.339-348
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    • 2023
  • The outbreak of lumpy skin disease (LSD), caused by LSD virus (LSDV), in Jeollabuk-do was first confirmed at a Korean cattle farm in Buan-gun on October 24, 2023. Afterwards, thirteen cases (twelve cases in Gochang-gun and a case in Imsil-gun) were further confirmed, resulting in a total of fourteen cases over 25 days until November 17, 2023. Clinical examination were conducted on infected and co-habitting cattle from the LSD-affected farms with particular focus on the presence of nodules throughout the body such as head, neck, chest, femur, head, and perineum. As a results, abnormal clinical signs were observed in fifteen cows: loss of appetite in six cows, high fever in three cows, eye mucosal nodules in a cow, nasal mucosal nodules in six cows, nodules on perineum in five cows, scrotum nodules in two cows, papillary nodules in a cow, and/or skin nodules in eleven cows. By the PCR methods, the common gene of capripox virus and/or the specific gene of LSDV were detected in 35 of the 69 cows tested this study. In the Farm1, capripox virus-specific gene, LSDV wild strain-specific gene, and LSDV vaccine strain-spcific gene were simultaneously detected in affected cows, indicating the cattle farm was affected by various strain of LSDV. As a result of combining clincal examination and PCR test, it was found that clinically and subclinically infeted cows coexist in the LSDV-infected farms. These finding in this study will be a great help in diagnosis and prevention of the LSD in Korean cattle farms.