개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 41 - 50 (10page)
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초록· 키워드
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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.
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.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Rodriguez-Hermosa JI / 2008 / Obturator hernia: clinical analysis of 16 cases and algorithm for its diagnosis and treatment / Hernia 12 : 289 ~ 297
3. [단행본] - Zinner MJ / 1997 / Maingot's Abdominal Operations. 10th ed / Appleton & Lange : 540 ~ 542
4. [학술지(정기간행물)] - 박찬용 / 2009 / 감돈 폐쇄공 탈장: 자연 정복된 폐쇄공 탈장에서 탈장교정술의 필요성 / 대한외과학회지 76 (3) : 192 ~ 198
5. [학술지(정기간행물)] - Kammori M / 2004 / Forty-three cases of obturator hernia / Am J Surg 187 : 549 ~ 552
6. [학술지(정기간행물)] - Haraguchi M / 2007 / Obturator hernia in an ageing society / Ann Acad Med Singapore 36 : 413 ~ 415
3. [단행본] - Zinner MJ / 1997 / Maingot's Abdominal Operations. 10th ed / Appleton & Lange : 540 ~ 542
4. [학술지(정기간행물)] - 박찬용 / 2009 / 감돈 폐쇄공 탈장: 자연 정복된 폐쇄공 탈장에서 탈장교정술의 필요성 / 대한외과학회지 76 (3) : 192 ~ 198
5. [학술지(정기간행물)] - Kammori M / 2004 / Forty-three cases of obturator hernia / Am J Surg 187 : 549 ~ 552
6. [학술지(정기간행물)] - Haraguchi M / 2007 / Obturator hernia in an ageing society / Ann Acad Med Singapore 36 : 413 ~ 415
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