• Title/Summary/Keyword: abdominal

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Experiences of Abdominoplasty without Undermining (박리없는 복부성형술의 경험)

  • Sim, Hyung Bo;Yoon, Sang Yup
    • Archives of Plastic Surgery
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    • v.33 no.3
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    • pp.303-307
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    • 2006
  • No one technique provides an optimal outcome for all body contouring patients. There are many surgical options for abdominoplasty. Among these, this abdominoplasty without undermining consists of liposuction around abdominal subcutaneous fatty tissue, excision of lower abdominal flap. The procedure allows aggressive thinning and sculpting of abdominal flap. This operation minimizes the dead space, which often leads to postoperative complications, and preserves neurovascular supply to the abdominal skin. From 1999 to 2004, 18 patients underwent the abdominoplasty without undermining, resulting in high satisfaction rates with no significant complications, such as, pulmonary embolism and deep vein thrombosis. Patients could return to normal activity within a week. This abdominoplasty without undermining is an effective and safe alternative with low complication rate and enhances aesthetic results compared to traditional abdominal surgery.

Survey of Abdominal Fat Necrosis on Cattle in Southern Kang-won (강원 남부지역 도축우의 복부 지방괴사병 발생 실태 조사)

  • 박영남;박순성;조인화;정행준;이정현;박양주;이유섭
    • Korean Journal of Veterinary Service
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    • v.17 no.3
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    • pp.198-207
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    • 1994
  • 4, 919 Samples of the slaughtered cattle(female) were investigated the abattoir in southern Kangwon to reveal the incidence rates of abdominal fat necrosis from June to December 1993. The results obtained were summarized as follows ; 1. The incidence rate of abdominal fat necrosis investigated from 4, 919 samples was 4.39%. 2. It revealed that the incidence rate of abdominal fat necrosis increased gradually with the advance in the age, 2.5% in below 5 years, 6.0% in 6 years, 7.2% in 7 years, 8.5% in 7 years, 8.9% in older than 9 years and that incidence rate of the sites of lesion, pericolonic fat 84.7%, perirectumic fat 48.6%, perirenal fat 37.9%. mesenteric fat 24.0%, others 7.8%. 3. The size of necrotic fat were $2{\times}3cm{\sim}10{\sim}18{\times}15{\sim}25cm$ in average and color was yellowish white or milk white.

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Acute Left-sided Appendicitis with Intestinal Malrotation in a Child (장회전 이상을 동반한 좌복부 급성 충수염)

  • Jun, Hak-Hoon;Son, Suk-Woo
    • Advances in pediatric surgery
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    • v.12 no.2
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    • pp.257-261
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    • 2006
  • Appendicitis is a common disease in children. But left lower abdominal pain in acute appendicitis is a rare clinical feature. A 6 year-old-girl complained of left sided abdominal pain for 2 days. Past medical history was not contributory. Abdominal tenderness and guarding in left lower quadrant were noticed. Abdominal sonography and abdominal computed tomography scan demonstrated reversed position between superior mesenteric artery and vein, and a mass in the left lower quadrant abdomen suggesting appendicitis. Acute appendicitis in left lower quadrant, associated with intestinal malrotation, was found at laparatomy.

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Effects of Shirhyung-Tang in Two Stroke Patients with Pseudomembranous Colitis (장염을 동반한 뇌졸중환자의 시령탕을 이용한 호전 2례)

  • 노기환;정기현;조기호;김영석
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.179-188
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    • 2001
  • Diarrhea is the frequent passage of loose, watery stool (frequency: ${\geq}4/day$, weight: ${\geq}250g/day$) Most antibiotics can cause inflammatory change of the colon or Pseudomembranous colitis (PMC). Typical presentations of PMC are watery diarrhea, abdominal pain, fever, leukocytosis ($12,000~20,000/\textrm{mm}^3$), hypoalbuminemia, hypovolemia and recent or concurrent use of antibiotics. Diagnostic methods of PMC are stool assay, sigmoid scopy, abdominal CT, abdominal US, etc. The age-related susceptibility noted with PMC is impressive but unexplained. Two stroke patients had diarrhea, abdominal pain, fever hypoalbuminemia and a history of recent or concurrent use of antibiotics. By use of Shirhyung- Tang, we could improve clinical symptoms (diarrhea, abdominal pain, fever hypoalbuminemia, etc.) and so report clinical course of two stroke patients with antibiotics-associated PMC.

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Differential diagnosis of abdominal masses in children (소아 복부 종괴의 감별진단)

  • Sung, Ki Woong
    • Clinical and Experimental Pediatrics
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    • v.51 no.8
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    • pp.787-791
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    • 2008
  • Enlargement of organs or other solid tissues usually presents as an abdominal mass. Often, abdominal masses in children are found by an unsuspected parent or by a physician during a routine examination. Most masses have no specific signs or symptoms. Abdominal masses in children require immediate attention. History and physical examination may provide clues to the diagnosis. Ultrasound examination is the most useful screening test in most cases and may identify the organ involved and clarify whether the mass is solid or cystic. CT may be necessary to make a more precise diagnosis, especially solid masses. MRI is occasionally is helpful for specific abnormalities.

A Case Report of Patient with Acute Appendicitis Diagnosed by Abdominal Ultrasonography (복부 초음파 검사로 진단받은 급성 충수염 환아 증례 보고)

  • Ryu, Su-Hyang;Kim, Oh-Young;Chae, Jung-Won
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.43-49
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    • 2010
  • Objectives: This study was to evaluate the effects of herbal medication and acupuncture therapy for children with acute appendicitis diagnosed by abdominal ultrasonography. Methods: Kamieuiyeeintang, a Korean Herb medicine, and acupuncture were given for four days. The abdominal ultrasonography and VAS scale were used to check the improvements. Results: Right lower abdominal pain, nausea and anorexia were totally gone after the treatments, and the abdominal ultrasonography showed normal. Conclusions: The result of this study showed that Kamieuiyeeintang medication and acupuncture treatment have cured acute appendicitis.

Diaphragmatic hernia [Morgagni hernia]: 2 cases report (횡경막 탈장증 [Morgagni 형]치험 2례)

  • 김은기
    • Journal of Chest Surgery
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    • v.16 no.2
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    • pp.221-225
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    • 1983
  • Morgagni, in 1760, 1st. described the findings of substernal herniation of abdominal contents into the thoracic cavity, based upon 25 postmortem dissections. Herniation through the foramen of Morgagni is the rarest occurrence of the congenital diaphragmatic hernias and is usually a few symptoms. With the increasing use of routine chest roentgenogram & the need to exclude the possibility of a mediastinal neoplasm, most such cases are brought to the attention of a surgeon. We had experienced 2 cases of Morgagni hernia, which one caused a simple mechanical intestinal obstruction & diagnosed as acute appendicitis with perforation & another one was diagnosed as mediastinal lipoma on routine chest X-ray film at arrival due to traffic accident. We had performed left paramedian abdominal incision as misdiagnosis of acute appendicitis with perforation and repair of the defect and returned transverse colon & stomach into abdominal cavity in one patient. And in another patient, we preferred to approach through right thoracotomy incision and then left upper paramedian abdominal incision and returned the omentum into the abdominal cavity. The post-operative courses were in uneventful and we report these cases and review and discuss the literatures.

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Inferior Mesenteric Plexus Block Performed in the Lateral Position (측와위에서 시행한 하 장간막 신경총차단)

  • Kim, Chun-Sook;Cha, Young-Deog
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.144-148
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    • 1995
  • Inferior mesenteric plexus block(IMPB) sa useful nerve block for the relief of intractable lower abdominal and pelvic pain caused by a lower abdominal visceral or a pelvic malignancy. IMPB has been performed in the prone position. But there are many patients who can't lie in the prone position, because ascites is frequently noticed in cancer patients and they also frequently received abdominal operations. We performed IMPB in the lateral position on two patients with lower abdominal pain, Case 1: A 77 year old female who had a right ovarian cancer with metastatic cancer of descending colon and rectum, experienced complete pain relief. Case 2: A 72 year old female who had a far advance pancreatic cancer with intestinal obstruction due to carcinomatosis received right and left celiac plexus block and right and left IMPB. The patient was satisfied with the result of these pain blocks. Conclusion; IMAPB performed in the lateral position on two patients with lower abdominal pain and their results were excellent for pain relief.

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Neurolytic Splanchnic Nerve Block for the Treatment of Upper Abdominal Pain (상복부 암성통증 환자관리에 있어서 내장신경통 차단술의 임상적 고찰)

  • Yoon, Young-Joon;Jin, Sang-Ho
    • The Korean Journal of Pain
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    • v.2 no.2
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    • pp.181-188
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    • 1989
  • Neurolytic splanchnic nerve block is an effective method for the relief of pain of upper abdominal cancer. Nine cases of intractable upper abdominal cancer pain were treated by splanchnic nerve block with absolute alcohol (25 ml) at the pain clinic of Kangdong Sacred Heart Hospital, Hallym University, during a 19 month period from March, 1988 to September, 1989. The group included six patients with stomach cancer, two patients with pancreatic cancer, and one patient with hepatobiliary cancer. We used fluoroscopy in all cases of alcohol spianchnic nerve block to determine both, the position of the needle tip, and the spread of the neurolytic solution. Of the 9 patients, 6 patients had excellent pain relief, and 3 patients who had combined upper abdominal and lower back pain had relieved upper abdominal pain only, but remaining lower back pain. Of the 9 patients', 5 patients had excellent pain relief through the patients remaining life (1-2 months) in which follow up was possible.

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A Clinical Case Study of Paralytic Ileus Patient Improved by Euphorbiae Kansui Radix(Gan-sui) (마비성 장폐색환자의 감수로 호전된 증례)

  • 한경석;박은경;박성식
    • The Journal of Korean Medicine
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    • v.21 no.1
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    • pp.103-108
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    • 2000
  • Paralytic ileus is one of the gastro-intestinal symptoms of a patient who is in the post-symptom period resulting from stroke. The purpose of this study was to examine the efficacy of Euphorbiae Kansui Radix(Gan-sui) for a patient who has suffered from severe paralytic ileus as post-symptoms caused by 3rd stroke. The subject was a 70-year-old woman who had been troubled with dyspepsia, abdominal flatus and other pains during the past 10 years, and whose symtoms worsened because of her recent 3rd stroke. At the time of admission, she complained of abdominal flatus, conspitation, quadri weakness(Lt>Rt) and dysathria. For the first 10 days after admission, she was treated with Oriental' Western Medicine, which failed to relieve any symptom. However, after taking Euphorbiae Kansui Radix(Gan-sui), gastro-intestinal vermicular movement improved, so the symptoms of abdominal flatus and conspitation disappeared. As a consequence, the accompanying paralytic ileus condition also improved.

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