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폐쇄공 탈장 환자에 대한 경험 및 국내 보고 고찰 : Experiences on Obturator Hernia and Review of Korean Cases
DC Field | Value | Language |
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dc.contributor.author | 허승철 | - |
dc.contributor.author | 강성범 | - |
dc.contributor.author | 정중기 | - |
dc.contributor.author | 황기태 | - |
dc.contributor.author | 유승범 | - |
dc.contributor.author | 이택구 | - |
dc.contributor.author | 박규주 | - |
dc.date.accessioned | 2012-06-29T05:38:15Z | - |
dc.date.available | 2012-06-29T05:38:15Z | - |
dc.date.issued | 2010-01 | - |
dc.identifier.citation | JOURNAL OF THE KOREAN SURGICAL SOCIETY; Vol.78 1; 41-50 | ko_KR |
dc.identifier.issn | 2233-7903 | - |
dc.identifier.uri | https://hdl.handle.net/10371/77945 | - |
dc.description.abstract | Purpose: We performed this study to share experiences in the management of obturator hernia, which is a very rare disease among elderly women, because rarity of this disease will not approve an expert institute or surgeon and because the aging society, Korea, can increase the incidence. Methods: Patient characteristics, clinical manifestations and treatment results were retrospectively collected from the 12 obturator hernia patients since 2000 in the three hospitals of the authors. Twenty-one obturator hernia cases reported in the Korean literatures were reviewed. In addition, we analyzed clinical features and treatment results of the total 33 patients, collectively. Results: Most of the patients were elderly women except one Young, poorly nourished, male patient with pulmonary tuberculosis. Their mean age was 79.6 years. Sixty-four percent (21/33) of the patients had preoperative morbidity. Symptoms from the compression of the obturator nerve, which is an important Clue to the diagnosis, were observed in 67% (22/33). Interestingly, spontaneous or suspicious-spontaneous reductions were reported in 7 (21%) patients. Abdominal CT scan was the major tool for diagnosis. Abdominal approach alone could successfully manage most cases, though 84% (27/32) needed anastomosis of the bowel. Operative mortality was 2 of the 32 cases but morbidity was 44% of the 32 patients and the mean hospital period after operation was 21 days. Conclusion: Management of patients with obturator hernia connotes high morbidity and mortality. Sharing the experience of management, prompt diagnosis and Surgical management and proper peri-operative care as well as appropriate managing the families is essential for improved results. (J Korean Surg Soc 2010;78:41-50) | ko_KR |
dc.language.iso | ko | ko_KR |
dc.publisher | KOREAN SURGICAL SOCIETY | ko_KR |
dc.subject | Obturator hernia | ko_KR |
dc.subject | Mortality | ko_KR |
dc.subject | Morbidity | ko_KR |
dc.subject | 폐쇄공 탈장 | ko_KR |
dc.subject | 사망률 | ko_KR |
dc.subject | 이환율 | ko_KR |
dc.title | 폐쇄공 탈장 환자에 대한 경험 및 국내 보고 고찰 | ko_KR |
dc.title.alternative | Experiences on Obturator Hernia and Review of Korean Cases | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | Heo, Seung Chul | - |
dc.contributor.AlternativeAuthor | Kang, Sung-Bum | - |
dc.contributor.AlternativeAuthor | Chung, Jung Kee | - |
dc.contributor.AlternativeAuthor | Hwang, Ki-Tae | - |
dc.contributor.AlternativeAuthor | Lee, Taek-Gu | - |
dc.contributor.AlternativeAuthor | Park, Kyu-Joo | - |
dc.contributor.AlternativeAuthor | Ryoo, Seungbum | - |
dc.identifier.doi | 10.4174/jkss.2010.78.1.41 | - |
dc.citation.journaltitle | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
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dc.description.tc | 0 | - |
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