Decompression effect after Carpal Tunnel Release using the Limited Proximal One-incision Technique / 대한정형외과학회잡지

PURPOSE: Carpal tunnel decompression using the limited one incision technique in carpal tunnel syndrome is difficult to evaluate in terms of postoperative improvement and complications. We analyzed the clinical efficacy by defining the effect of decompression after carpal tunnel release using the modified limited proximal one-incision technique. MATERIALS AND METHOD: Symptoms and signs (pain, paresthesia, Phalen test and Tinel sign) were analyzed in 35 patients, 63 hands, which were followed up for a year or more, among patients who had been operated upon using the limited proximal one-incision technique from January, 1994 to June, 1999. RESULT: Pain was relieved two weeks after the operation. Paresthesia, two-point discrimination, Phalen test, and Tinel sign improved progressively postoperativley. According to the Cseuz criteria, 53 hands (84%) were estimated to degreesgood "12 months after operation. CONCLUSION: The carpal tunnel can be released using a limited proximal one-incision technique, has few complications and produces results comparable with standard classical decompression or the endoscopic carpal tunnel release. Patient satisfaction was good at 12 months postoperatively. We suggest that carpal tunnel syndrome requires long-term follow-up and analysis.

Surgical Treatment of Thymoma / 대한흉부외과학회지

Between January 1986 and December 1995, 24 patients were treated surgically for thymoma. There were 17 males and 7 females, and their ages ranged from 23 to 69 years old and mean age was 49 years. Thymomas were associated with fourteen my asthenia gravis, and classified histologically as lymphocytic in 12 patients, mixed in 8, epithelial in 4, and classified clinically as stage I in 11, stage II in 4, stage III in 8 and stage VI in 1 patient. Eleven patients with non-invasive thymoma had received surgical resection, and 10 out of 13 patients with invasive thymoma were able to undergo complete resection. A partial resection or tissue biopsy followed by radiation or chemotherapy was done with the remaining three patients. Three died, four had improvement of symptom, two had relapse and fifteen had no symptom during follow up ranged from 25 days to 60 months. In fourteen cases of thymoma with myasthenia gravis, one died due to myasthenic crisis, two showed symptom aggravation, six had less medical treatment and five patients had medical treatment as same as dosage received preoperatively.

Surgical Treatments of Complicated Tracheobronchial Stenosis after Insertion of Self Expandable Metallic Stents: 2 Cases Reports / 대한흉부외과학회지

Although most of the patients with endobronchial tuberculosis have some degree of bronchial stenosis, more aggressive treatment is needed to restore the patency of the involved tracheobronchial tree for some patients not responding well to antituberculous chemotherapy combined with steroids. In our first case, we resected stenotic trachea in a 42 years old women who showed overgrowing granulation tissue through the modified Gianturco stent wire which was previously inserted and anastomosed end to end. Another case was a 37 years old male with left main bronchial restenosis complicated after inserting a Strecker stent and sleeve left upper lobectomy was performed.

Surgical Treatments of Complicated Tracheobronchial Stenosis after Insertion of Self Expandable Metallic Stents: 2 Cases Reports / 대한흉부외과학회지

Although most of the patients with endobronchial tuberculosis have some degree of bronchial stenosis, more aggressive treatment is needed to restore the patency of the involved tracheobronchial tree for some patients not responding well to antituberculous chemotherapy combined with steroids. In our first case, we resected stenotic trachea in a 42 years old women who showed overgrowing granulation tissue through the modified Gianturco stent wire which was previously inserted and anastomosed end to end. Another case was a 37 years old male with left main bronchial restenosis complicated after inserting a Strecker stent and sleeve left upper lobectomy was performed.