박찬용 교수

PURPOSE: To describe the clinical characteristics and outcomes after inguinal hernia repair in overweight and obese patients. METHODS: We retrospectively reviewed the medical records of 636 adult patients who underwent mesh plug inguinal hernia repair performed by one surgeon from November 2001 to January 2009.The clinical characteristics and surgical outcomes of the patients were analyzed. According to the body mass index, patients higher than 23 were defined as overweight and obese patient gro

Intestinal obstruction is a common surgical emergency. Transmesenteric hernia is an unusual cause of bowel obstruction that may result in irreversible damage of the bowel and a fatal outcome. Once incarceration of the bowel occurs, strangulation and gangrene follow immediately. The mortality rate associated with this condition is about 15%, but in the presence of gangrene of the bowel, the mortality rate is more than 50%. An accurate preoperative diagnosis of a transmesenteric hernia is very dif

Damage control surgery could be an option for airway injury with blood clotting problems due to massive bleeding after securing a patent airway.

Lumbar hernias are rare posterolateral abdominal wall defects. There are two types of lumbar hernia. One is a superior lumbar hernia through the deep superior orifice (Grynfeltt triangle), and the other is a lower lumbar hernia through the superficial lower orifice (Petit triangle). A lumbar hernia is often misdiagnosed as a lipoma, so a cautious clinical examination is very important. Reports of recurrent lumbar hernia are extremely rare in the literature. We experienced a case of recurrence in

INTRODUCTION: Diastasis of the pubic symphysis has been reported to occur in 13-16% of pelvic ring injuries. In Asians, there are only a few data showing the width of the pubic symphysis. The aim of this study is to see the width of pubic symphysis relating to age and sex in Koreans. METHODS: Width of pubic symphysis was measured in pelvis AP and pelvic CT of 784 peoples (392 males, 392 females). RESULTS: In supine AP, the width at the upper end was 4.8±2.5 mm (males; 3.46±1.38 mm, females; 4.04

We report on a 36-year-old man who presented to the emergency department with a self-inflicted neck stab injury. Initial vital signs were stable. Arterial blood test revealed pH 7.41, pCO 2 38 mmHg, pO 2 71 mmHg, and SaO 2 94%. On physical examination, a 10 cm length transverse laceration with a skin defect in the lower anterior neck was observed. Computed tomography (CT) angiography showed a soft skin defect in the anterior neck at Zone I, subcutaneous emphysema at the anterior neck and chest w

Iliac vein rupture after blunt trauma is extremely rare, but there are some case reports describing endovascular repair of this lesion. However, there is no case report describing insertion of a stent graft in a patient with return of spontaneous circulation (ROSC) after cardiac arrest. Here we report our experience of performing stent graft insertion on a patient with ROSC with left common iliac vein rupture.

Delayed rupture of post-traumatic pseudoaneurysms of the visceral arteries, especially the pancreaticoduodenal artery, is uncommon. Here, we describe a 55-year-old man hemorrhaging from a pseudoaneurysm of the inferior pancreaticoduodenal artery (IPDA). Computed tomography of the abdomen showed active bleeding in the IPDA and large amounts of hemoperitoneum and hemoretroperitoneum. Selective mesenteric angiography showed that the pseudoaneurysm arose from the IPDA, and treatment by angioemboliza

Cardiac rupture is a rare complication of CPR but is usually fatal when it occurs. Here we report a 59-year-old woman who developed cardiac rupture which was caused by a fracture of the sternum and ribs associated with closed-chest cardiac massage.

The internal jugular vein (IJV) very rarely gets ruptured by blunt trauma and is usually surgically repaired. Here, we report a case of successful nonsurgical treatment using external compression in patient with ruptured left IJV with multifocal active bleeding in neck computed tomography.

A 17-year-old man presented to the emergency department (ED) via another hospital after a motorcycle accident. Cardiopulmonary resuscitation (CPR) was performed 20 minutes before arrival to the ED. CPR was continued after arrival but the patient died without return of spontaneous circulation (ROSC). Laboratory

We report a case of damage control surgery (DCS) performed for abdominal compartment syndrome (ACS) due to delayed rupture of hepatic subcapsular hematoma, confirmed by initial abdominal computed tomography (CT) after blunt trauma. A 58-year-old man presented to the emergency department with a Glasgow Coma Scale Score 5 after a passenger traffic accident. Abdominal CT demonstrated a large crescent-shaped hepatic subcapsular hematoma (10 x 5 x 17 cm in size). During neurosurgery, ACS developed du

In this paper, we analyzed the characteristics of PD (Partial Discharge) that occurred in the S-LBS(Solid insulated Load Break Switchgear). The PD pulses generated by void, floating and vacuum leakage were measured by IEC60270 method. The PDIV(Partial Discharge Inception Voltage), phase, pulse magnitude and PD pattern were used for analysis and classification.