• Title/Summary/Keyword: Prolapse

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Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

  • Moon, Hee;Park, Youngrye;Kim, Mili;Lee, Seonah
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.297-306
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    • 2021
  • Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.001). Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions and medical treatments to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

Surgical Treatment of the Prolapse of Bladder with Viginal Prolapse in Large Breed Dogs (대형견에서 방광탈과 함께 발생한 질탈의 외과처치)

  • 김남수;강지훈;박영재;이종일;이철호;최인혁
    • Journal of Veterinary Clinics
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    • v.21 no.3
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    • pp.319-322
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    • 2004
  • Two bitches were presented to the Teaching Animal Hospital, Chonbuk National University with vagina prolapse along with prolapse of the bladder. Case 1 was a 2 years old, 38.5 kg, female Tosa dog which had slight shock and depression. She had a labor pain vagina prolapse since last 3 days. Case 2 was a 2 years old, 25 kg, female Rottweiler dog which was presented with the similar clinical signs with case 1. In both the dogs we performed plain radiography, CBC, blood chemistry and urine analysis. In case 1, we performed cesarean section along with the repositioning the vagina and the bladder. We found 13 fetuses among which 7 were alive. In case 2, we also performed cesarean section and recovered the fetuses. There were 7 fetuses but only one was alive. Among the 6 dead fetuses 3 were congenitally deformed. Then we reduced prolapsed vagina and bladder, and repositioned them. After that we performed ovariohysterectomy. Both the bitches become recovered from the prolapse of the vagina and bladder and there was no recurrence of the condition.

Surgical Management of Rectal Prolapse in an Elk Bull

  • Hyohoon Jeong;Young-Sam Kwon
    • Journal of Veterinary Clinics
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    • v.40 no.1
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    • pp.73-77
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    • 2023
  • Rectal prolapse is encountered in all domestic animal species but clinical report regarding the condition in the elk is limited. A 10-year-old elk bull weighing 400 kg was referred to the Large Animal Hospital of Kyungpook National University with clinical signs including intermittent tenesmus related to rectal prolapse and anorexia for the previous 5 days. Type II rectal prolapse was diagnosed based on the history and clinical signs. An emergency resection and anastomosis including a purse string suture was performed under general intravenous (IV) anesthesia in field to prevent injury of the patient and the staff. The patient recovered uneventfully after the surgery without excitement. A systemic antibiotic and an anti-inflammatory drug were given to prevent postoperative complication and relieve pain. The follow up on the patient after 4 weeks of the surgery showed that the prolapse recurred due to intermittent straining after 2 weeks of the surgery. The patient was on the glucocorticoid for the following 3 days but was finally euthanized owing to the exacerbation of the prolapse 1 week after the recurrence. This report describes a rare case of rectal prolapse in an elk bull and the clinical outcome of the surgical repair in detail.

Vaginal prolapse by ovarian follicular cysts in a female Jin-do dog

  • Kim, Bang-Sil;Kim, Hee-Su;Kim, Ki-Chul;Park, Chul-Ho;Oh, Ki-Seok;Son, Chang-Ho
    • Korean Journal of Veterinary Research
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    • v.48 no.2
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    • pp.223-225
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    • 2008
  • A six-year-old, female Jin-do dog was referred for the recurrence of vaginal prolapse. Less than 7 months previously, the dog with the vaginal prolapse had been treated with hormone therapy because ultrasonography had identified a single follicular cyst in the left ovary. Three months after the first visit, the dog came into heat and the vaginal prolapse recurred. Ultrasonography showed multiple follicular cysts in both ovaries and radioimmunoassay detected a plasma estradiol-$17{\beta}$ concentration of 13.3 pg/ml. Treatment involved the repositioning of the vaginal prolapsed, ovariohysterectomy and the resection of the protruding tissue. The dog had been completely recovered two months later after the treatment.

The Trend of Clinical Research on Treatment for Pediatric Inguinal Hernia and Pediatric Rectal Prolapse - Focusing on Recent Studies in the China National Knowledge Infrastructure (CNKI) - (소아 서혜부 탈장(脫腸)·탈항(脫肛) 치료에 대한 중의학 연구동향 - 2000년 이후 발표된 RCT 논문을 중심으로 -)

  • Park, So Hyun;Kim, Ye Ji;Lee, Sun Haeng;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.34 no.2
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    • pp.40-56
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    • 2020
  • Objectives The purpose of this study is to analyze recent clinical studies on traditional Chinese medicine (TCM) treatment for pediatric inguinal hernia and pediatric rectal prolapse in China, and to seek better methods to treat and to study for Inguinal hernia and Rectal prolapse in Korea. Methods We searched the clinical studies from the China National Knowledge Infrastructure (CNKI) that were published between January 2000 to February 2020 by key words '疝气', '直腸脫出', '直腸脫垂', '脫肛', '小腸疝', '腹股溝疝', '儿童', '小儿', '少儿', '幼年', '治療', '中医治療', '中藥', '中医藥', '顆粒', '膠囊', '自擬', '湯', '丸', '散', '方'. We analyzed the literatures in regards to the treatment methods and results. Results Among the 193 searched studies, 10 randomized controlled trials were selected and analyzed. In most of the studies, the effectiveness of the traditional Chinese medicine (TCM) treatment on inguinal hernia and rectal prolapse was significantly high. Conclusions Based on the results of the clinical studies from China, use of the TCM for the treatment of inguinal hernia and rectal prolapse has been shown to be effective in relieving symptoms. Also, based on the result of this study, it will be possible to widen the scope of the TCM treatment on inguinal hernia and rectal prolapse. Additional clinical studies and experimental studies are needed to be performed to solidify these findings. The TCM has been shown as an effective treatment for pediatrics as well. These research results can be utilized in other clinical studies and in treatment.

A Case of Rentention Sutures of Vaginal Prolapse in a Dairy Cow (유우의 질탈교정술의 일예)

  • Cho Myoung-Rae
    • Journal of Veterinary Clinics
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    • v.9 no.1
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    • pp.311-316
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    • 1992
  • Four retention sutures were used to correct the vaginal prolapse in a dairy cow. The methods used were two modified Caslick operation of vulva using absorbable(catgut chromic) and nonabsorbable(supramid) materials, and a modified mattress closure and a modified Buhner method of vulva using trocar and wire insulated by vinyl. The lasting periods for retention of bovine vaginal prolapse by the suture methods described above, were 12 days, 49 days, 39 days and 62 days respectively.

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Uterine Prolapse in a Korean Black Goat

  • Oh, Ara;Shin, Sang Tae
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.307-309
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    • 2017
  • A postpartum total uterine prolapse in a 2-years old Korean black goat was presented. This paper reports the clinical management of the case. The everted uterus was carefully assessed and gross debris were gently removed and disinfected with dilute povidone iodine solution. The prolapsed uterus was replaced with epidural anesthesia and retention suture was placed on the vulva. Broad spectrum antibiotics, calcium gluconate, and supportive therapy were administered. The patient made complete recovery.

Literary Study on the BojungiggiTang and prolapse (가미보중익기탕(加味補中益氣湯)과 자궁하수(子宮下垂)의 활용(活用)에 관한 고찰(考察))

  • Song, Jong-Seok;Yoo, Dong-Youl
    • Journal of Haehwa Medicine
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    • v.14 no.2
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    • pp.205-212
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    • 2005
  • Korea has recently seen reduction in Gihyeolbujog(氣血不足)-related woman disease due to low birth rate and elevated nutritional intake. In particular Uterine Prolapse usually result from malnutrition in days of need and also from earlier resumption of social activity after childbirth. Nowadays some women still develop Uterine Prolapse, of which the reasons are earlier resumption of social activity after childbirth, malnutrition due to harsh diet, contaminated food, and Gihyeolbujog by stress. This research has determined that GamibojungiggiTang would be effective for the treatment of those diseases. This research found that the combination of BojungiggiTang with Sugjihwang(熟地黃)and Noggaggyo(鹿角膠), which were used for Sinsubujog(腎水不足) and IghyeolbojeongJe(益血保定劑). Respectively, produced satisfactory treatment outcomes for prolapse.

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Postpartum Uterine Prolapse in a Bitch (분만 후 발생한 자궁탈 증례)

  • Kim, Hye-Jin;Kim, Hyun-Wook;Choi, Ji-Hye;Jang, Jae-Young;Choi, Hee-Yeon;Seo, Jee-Min;Lee, Min-Jung;Kim, Tae-Eun;Lee, Byeong-Chun
    • Journal of Veterinary Clinics
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    • v.25 no.1
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    • pp.37-39
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    • 2008
  • A 2-year-old, intact female, mixed breed dog with depression, anorexia, poor mothering, and uterine prolapse was referred to the Haemaru Referral Animal Hospital. The prolapse(Y-shaped uterus) was detected on the fifth day of normal parturition(eight live pups). Depending on physical examination, bilateral uterine horns and uterine body were prolapsed into the vagina. The ovariohysterectomy was performed after the uterus with manual reduction through the vulva. In this case, uterine prolaspe was occurred in a primiparous bitch has been through normal parturition.