ABSTRACT
We reviewed 40 patients with cervical discs operated from Jan. 1990 to Jun. 1994. The most common presenting complaints were radiating pain to one upper extrimity and the most frequent site of operation or involvement was the C5-6 level. Postoperative complications were encountered in 6 cases;Graft extrusion in one, donor site pain in three, and hoarseness in two cases. All postoperative complications were resolved within 3 monhs. In 95% of the patients, the outcome were excellent or good based on Odom's criteria. The duration of symptomes and the character of disc(soft or hard) did not affect the prognosis of outcome. All patients with radiculopathy have improved except two patients who had myelopathy instead they had persistent preoperative symptoms.
Subject(s)
Humans , Hoarseness , Postoperative Complications , Prognosis , Radiculopathy , Spinal Cord Diseases , Tissue DonorsABSTRACT
After removal of a large arteriovenous malformation which was fed by middle cerebral artery and posterior cerebral artery and drained toward superior sagittal sinus, transverse sinus in the left parieto-occipital area, post-operative angiography showed a small residual arteriovenous malformation. The patient was recommended follow-up angiography instead of immediated operation. Angiography was performed one year later and it showed no residual arteriovenous malformation which was thought to be occluded spontaneously.
Subject(s)
Humans , Angiography , Arteriovenous Malformations , Follow-Up Studies , Middle Cerebral Artery , Posterior Cerebral Artery , Superior Sagittal SinusABSTRACT
A clinical observation was made on 35 patients with renal tumor who had been admitted to the Department of Urology, Kyungpook University hospital during the period from January, 1975 to December, 1979. The following results were obtained; 1) The incidence of renal tumor among total 1, O29 inpatients was 3.4% and 16.3% among the 214 genitourinary tumors. The most prevalent age group was fifth decade. There were 22 men and 13 women, for a ratio of 1.7`1. 2) histopathological analysis showed renal cell carcinoma in 16 cases, transitional cell carcinoma in 5 cases and Wilms` tumor in 4 cases, in order of frequency. 3) The most frequent symptoms and signs were palpable mass in 51.4%, flank pain in 45.7% and gross hematuria in 42.8%, but these were seen as the classical symptom triad in 11.4% of the patients. 4) Renal angiography was performed in 14 patients with renal tumor. 7 renal cell carcinomas, 2 Wilms` tumors, 3 transitional cell carcinomas and 2 renal cysts were accurately diagnosed. S) At the time of diagnosis distant metastases were found in 6 patients with renal cell carcinoma. 6) Treatment of renal tumors consisted of surgery and adjuvant radiation and/or chemotherapy. In renal cell carcinoma 3 simple nephrectomies, 9 radical nephrectomies and l pedicle ligation only were done. Post-operative radiation or chemotherapy was performed in 2 cases. It patients with Wilms` tumor 1 simple nephrectomy, 3 radical nephrectomies were performed and in all the patients combined radiation and/or chemotherapy after surgery were Jone for cure of tumor. In 5 patients with transitional cell carcinoma, 2 patients underwent simple nephrectomy and 3 patients nephroureterectomy with bladder cuff resection.
Subject(s)
Female , Humans , Male , Angiography , Carcinoma, Renal Cell , Carcinoma, Transitional Cell , Diagnosis , Drug Therapy , Flank Pain , Hematuria , Incidence , Inpatients , Ligation , Neoplasm Metastasis , Nephrectomy , Urinary Bladder , UrologyABSTRACT
Seventy six patients with renal injury admitted to the Department of Urology, Kyungpook National University Hospital during the least 6 and a half years were reviewed with particular attention to diagnosis and management. The injuries in this series were classified as minor, major and critical injuries according to Hodges classification. 32 patients were classified into minor injury, 41 patients into major injury and 3 patients into critical injury. Excretory urography was obtained in 75 patients and renal angiography only in 6 patients. 31 patients with minor injury were treated conservatively. Conservative management was done in 23 of 41 patients with major injury and the remaining 18 patients were managed surgically. 15 of 18 patients treated surgically in major injury were managed with conservative surgery (renorrhaphy in 9, partial nephrectomy in 5 and symphysiectomy in 1) and remaining 3 patients with nephrectomy. In major injury, 7 out of 23 patients treated conservatively and 3 out of 9 patients managed with renorrhaphy required nephrectomy subsequently due to complicating illness.
Subject(s)
Humans , Angiography , Classification , Diagnosis , Nephrectomy , Urography , UrologyABSTRACT
A rare case of benign hemorrhagic renal cyst ruptured into the pyelocaliceal system, which occurred in a 44-year-old male, is presented. The literature is reviewed briefly.
Subject(s)
Adult , Humans , Male , HemorrhageABSTRACT
An unusual case of tumor arising in huge vesical diverticulum combined with benign prostatic hyperplasia in a 63 year old male is presented with brief review of literatures.