• 제목/요약/키워드: prolapse

검색결과 110건 처리시간 0.032초

승모판 폐쇄부전에 대한 판막성형술의 성적: 10례 보고 (Reconstructive Surgery for Mitral Incompetence Report of 10 Cases)

  • 오상준;김근호
    • Journal of Chest Surgery
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    • 제18권1호
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    • pp.62-68
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    • 1985
  • 10 patients with mitral regurgitation associated with various congenital cardiac anomalies were treated by reconstructive techniques in the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the period of 2 years from 1982 to 1984. There were mitral valvular cleft in one case, chordae tendineae rupture associated with congenital multiple cardiac-anomalies [VSD, PDA, prolapse of aortic non-coronary cusp through VSD] in one case, elongated chordae tendineae after removal of left atrial myxoma in one case, and mitral annular dilatation associated with VSD in 3 cases, large PDA in 2 cases, aortic regurgitation [bicuspid valve] in one case, and unknown origin in one case. Owing to the various pathology above mentioned, reconstructive surgical approach to mitral incompetence is accordingly complicated and a combination of the following different procedures were properly used case by case, that is, suture of chordae tendineae, shortening of elongated chordae tendineae, closure of VSD, ligation of PDA, aortic valvuloplasty, mitral annuloplasty with mattress suture, etc. All patients were survived and they have been excellent postoperative results.

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대동맥판 폐쇄부전을 동반한 심실중격결손의 외과적 치료 (Surgical Treatment of Ventricular Septal Defect Associated with Aortic Insufficiency)

  • 허동명
    • Journal of Chest Surgery
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    • 제24권2호
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    • pp.135-142
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    • 1991
  • From January 1980 to December 1989, thirteen patients underwent operation for ventricular septal defect associated with aortic insufficiency in Kyungpook national university hospital. Ten male and three female patients ranged in age from 3 years to 25 years, with an average age of 11.5 years. Aortic cusp prolapse was found in eight cases[61.5%]. The aortic regurgitation was classified by Sellers` method with grade I in 2 cases, grade II in 9 cases, and grade III in 2 cases. Direct suture or patch repair of ventricular septal defect was performed through the right ventricle. Eight cases were treated only by closure of VSD, 3 cases by plication, but two of the letter were reoperated due to the persistent of aortic regurgitation and fungal endocarditis respectively. Aortic valve replacement were performed in 2 cases at the first operation. There was only one late death[7.7%], which was caused by postoperative fungal endocarditis. Follow-up for twelve patients except one death were followed up for 3 months to six years after operation. Residual aortic regurgitation was noted in six cases[46.2%], but the postoperative course of them were uneventful.

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부인과질환(婦人科疾患)의 외치료법(外治療法)에 관한 연구(1);생식기(生殖器) 병증(病症)을 중심으로 (A Study of External Treatment on the obstetric and gynecologic diseases(1);The part of genital organic diseases)

  • 허경자;김은하;이병욱
    • 대한한의학원전학회지
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    • 제20권2호
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    • pp.31-51
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    • 2007
  • External treatments have various curative effects. According to the existing researches, We have read that many external treatments have been related to obstertic and gynecologic diseases. But systemic description is very rare about external treatment of obstertic and gynecologic diseases. Therefore we would like to describe that. We have found out many sentences that have been related to external treatments about genital organic diseases disease. Comparatively often had been refered diseases are Uterine Prolapse(陰脫), Erosion of Vulva(陰瘡), Puritus Vulvae(陰痒), Mass in Abdomen and Coldness of Genitals(陰冷).

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피열부 점막 과잉으로 인한 상기도 폐색 2예 (Airway Obstruction Caused by Redundancy of Arytenoid Mucosa: A Case Report)

  • 정기홍;이창준;이동훈;이준규
    • 대한기관식도과학회지
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    • 제17권2호
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    • pp.112-115
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    • 2011
  • Several reports have investigated airway obstruction caused by redundancy of arytenoid mucosa. Flexible laryngoscope examination revealed prolapse of the mucosa overlying the arytenoid. Usually, pharyngeal or laryngeal microscopic procedures can successfully treat the redundancy of arytenoid mucosa. We experienced two cases of airway obstruction caused by redundancy of artenoid mucosa and report it with review of literatures.

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광범위 경중격 좌심방절개술에 의한 승모판막치환술 (Mitral Valve Replacement Via an Extended Transseptal Approach)

  • 정수상
    • Journal of Chest Surgery
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    • 제28권6호
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    • pp.579-582
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    • 1995
  • The extended transseptal approach to the mitral valve replacement has been used for 30 patients. There were 19 women and 11 men. Twenty five patients had rheumatic heart disease, 4 had degenerative valve ,and 1 had valve prolapse. Fifteen of 30 patients had other associated procedure; 10 had aortic valve replacement; 5 had tricuspid annuloplasty. There were no postoperative complications associated with the approaches, ie, no bleeding, no sinus node dysfuction, and no atrioventricular conduction disturbance. Despite division of the sinus node artery, preoperative atrial rhythms[3 sinus rhythms and 27 atrial fibrillations were not changed during postoperative period. The extended transseptal approach provides good mitral valve exposure without inherent complications, and is superior to that of standard approach, so we use it routinely for mitral valve procedure.

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개방성 제장간막관 기형4예 보고 (Patent Omphalomesenteric Duct Remnants - Report of 4 Cases -)

  • 이우용;이석구;김현학
    • Advances in pediatric surgery
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    • 제3권2호
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    • pp.148-151
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    • 1997
  • The omphalomesenteric duct normally obliterates by the sixth week of intrauterine life. Incomplete obliteration results in various abnormalities which may be apparent in the newborn infant. These include fistula resembling ileum, a prolapsed loop of intestine through the umblicus and a fistula draining intestinal contents. The tract may contain ectopic tissue of stomach, colon or pancreas. Although this malformation should be recognizable at birth, 40 % of patients are not treated until after the first month of life. In the past 28 months since the Samsung Medical Center opened its doors to public, the authors have treated 4 cases of patent omphalomesenteric duct remnant including one case of T-shaped total prolapse of the duct and adjacent ileum. These cases will be discussed and the literature reviewed.

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항문직장기형 - 수술 후 관리 및 기능적 결과 - (Anorectal Malformation - Postoperative Care and Functional Results -)

  • 김재천
    • Advances in pediatric surgery
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    • 제12권1호
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    • pp.115-125
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    • 2006
  • Postoperative management of anorectal malformation consists of colostomy management and then management after definitive surgery. Colostomy management requires attention to certain details, i. e. complete decompression of the distal limb to avoid secondary megarectosigmoid and prevention and treatment of urinary tract infections in patients with rectourethral fistula. Management after definitive surgery requires the care of catheters placed in the rectourethral fistula or cloacal defect. Prevention and treatment of various complications after definitive operation, i. e. wound infection, anal stenosis or stricture, anal mucosal prolapse, and management of functional disorders, i.e. constipation, fecal incontinence and urinary incontinence are also necessary. In this review, recent trends for the prevention and treatment of the above mentioned problems after operation for anorectal malformation are presented.

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Diaphragmatic deformity in a cat mimicking a cardiac mass

  • Choi, Ran;Lee, Seung-Gon;Moon, Hyeong-Sun;Hyun, Changbaig
    • 대한수의학회지
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    • 제48권2호
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    • pp.209-213
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    • 2008
  • A four-month-old intact femlae Abyssinian cat was present for routine health evaluation, because her littermate was recently died of ventricular septal defect. Diagnostic imaging studies showed a large caudal paracardiac mass in thoracic radiography and homogenous mass adjacent to heart in the echocardiography. Further echographic study revealed that the mass was liver and the diaphragmatic line was intact. The positive contrast celiogram revealed that no extravasation of the contrast media across the diaphragm and the prolapse of diaphragm into the pleural cavity. Based on our diagnostic imaging studies, the case was diagnosed as diaphragmatic deformity in a cat mimicking a cardiac mass.

Occurrence of eye abnormality in cultured red seabream (Pagrus major) and induced hybrid, red seabream Pagrus major(♀) ${\times}$ black seabream Acanthopagrus schlegeli(♂)

  • Iraida, Germogenovna Syasina;Park, In _Seok
    • 한국어병학회지
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    • 제16권2호
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    • pp.75-80
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    • 2003
  • Red scabream, Pagrus major , is a valuable aquaculture species in Korea , but spontaneous eye abnormality occurred in cultured individuals . The incidence of eye abnormality was 4% in the group of cultured red scebream. The abnormality was characterized by unilateral and bilateral exophthalmos, opacity and lens pathology. Lense prolapse was found in two cases. Lenses in diseased fishes was considerably small in diameter and eyes were deformed as a whole. In the group of induced hybrid red scabream Pagrus major (♀) x black seabrearn Acanthopagrus schlegeli (♂), the incidence of eye abnormality wa~ the same 4%, but only opacity was registered. Opacity was also found in two of sixteen examined Wild-caught red seabrcam. Histopathological changes of lenses in cultured red seabreem included vecuolated cytoplasm of lens fibers, necrosis of fibers in central part of lens, folding and increase in thickness of lens capsule, and epithelial proliferation beneath the anterior lens capsule. In affected eyes no parasites or gas bubbles were found.

후두연하증의 분류와 치료 (Classification and Management in Patients with Laryngomalacia)

  • 박기철
    • 대한후두음성언어의학회지
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    • 제28권1호
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    • pp.20-24
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    • 2017
  • Laryngomalacia is the most common congenital anomaly that causes inspiratory stridor and airway obstruction in the newborn. Symptoms begin to appear after weeks of age, become worse at 4-8 months, improve between 8-12 months, and usually heal naturally at 12-18 months. Despite these common natural processes, the symptoms of the disease can be very diverse and, in severe cases, require surgical treatment. The diagnosis can be made by suspicion of clinical symptoms and direct observation of the larynx with the spontaneous breathing of the child. Typical laryngeal features include omega-shaped epiglottis, retroflexed epiglottis, short aryepiglottic fold, poor visualization of the vocal folds, and edema of the posterior glottis, including inspiratory supra-arytenoid tissue prolapse. In this review, we discuss the classification and treatment based on symptoms and laryngoscopic findings in patients with laryngomalacia.

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