Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial

Purpose@#The purpose of this randomized controlled trial was to compare the effects of abdominal binder after laparoscopic cholecystectomy. @*Methods@#From August to December 2020, 66 patients who were set to undergo cholecystectomy were selected for a prospective trial at Kangbuk Samsung Hospital, Seoul, Republic of Korea, and their clinical characteristics and postoperative surgical outcomes were evaluated. Among 66 patients, 33 patients belong to the abdominal binder group and the other 33 patients belong to the control group. @*Results@#The average hospital stay was 2.46 ± 1.29 days, and was not significantly different between the two groups. The average postoperative pain score (visual analogue scale, 0–10) 12, 24, and 48 hours after surgery were not significantly different. However, the degree of comfort score was significantly higher for the control group patients (2.56 vs. 3.33, p < 0.001). Time to the first ambulation, walking ability, return of bowel function, time to full diet resumption, and the numbers of analgesics and antiemetics administered were not significantly different between the two groups. @*Conclusion@#No postoperative recovery benefit and no reduction in hospital stay was found in patients who used an abdominal binder while undergoing laparoscopic cholecystectomy. Statistically, between the group that used the binder and the one that did not, no significant differences in surgical outcome nor postoperative outcome were observed. The only exception was that the degree of comfort score was significantly higher in the control group. Therefore, in terms of patient benefit and convenience, wearing an abdominal binder after laparoscopic cholecystectomy is not recommended.

Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial

Purpose@#The purpose of this randomized controlled trial was to compare the effects of abdominal binder after laparoscopic cholecystectomy. @*Methods@#From August to December 2020, 66 patients who were set to undergo cholecystectomy were selected for a prospective trial at Kangbuk Samsung Hospital, Seoul, Republic of Korea, and their clinical characteristics and postoperative surgical outcomes were evaluated. Among 66 patients, 33 patients belong to the abdominal binder group and the other 33 patients belong to the control group. @*Results@#The average hospital stay was 2.46 ± 1.29 days, and was not significantly different between the two groups. The average postoperative pain score (visual analogue scale, 0–10) 12, 24, and 48 hours after surgery were not significantly different. However, the degree of comfort score was significantly higher for the control group patients (2.56 vs. 3.33, p < 0.001). Time to the first ambulation, walking ability, return of bowel function, time to full diet resumption, and the numbers of analgesics and antiemetics administered were not significantly different between the two groups. @*Conclusion@#No postoperative recovery benefit and no reduction in hospital stay was found in patients who used an abdominal binder while undergoing laparoscopic cholecystectomy. Statistically, between the group that used the binder and the one that did not, no significant differences in surgical outcome nor postoperative outcome were observed. The only exception was that the degree of comfort score was significantly higher in the control group. Therefore, in terms of patient benefit and convenience, wearing an abdominal binder after laparoscopic cholecystectomy is not recommended.

A Case of Melanonychia Striata Caused by Congenital Melanocytic Nevus / 대한피부과학회지

A number of conditions can cause melanonychia striata, but its main importance is that it may indicate the presence of a subungual melanoma. A biopsy of the nail matrix can be performed to rule out melanoma, but nail matrix boipsies sometimes result in a permanent nail deformity. Since the incidence of melanoma in children is quite small, there is some controversy as to whether this procedure should routinely be performed in the pediatric age group. We report a 7-year-old boy with melanonychia striata resulting from a congenital melanocytic nevus.

A Case of Thin Acral Lentiginous Melanoma with Lymph Node Metastasis and Regression / 대한피부과학회지

Contrary to general perception, thin acral lentiginous melanoma can metastasize. Sentinel lymph node metastases are found in a significantly greater proportion of patients with thin melanoma showing histological evidence of regression. In these cases, metastatic melanoma within lymph nodes may stimulate an immune response, resulting in regression of the primary lesion. However, a small number of thin acral lentiginous melanoma without regression also metastasize. We report a case of thin acral lentiginous melanoma with lymph node metastasis showing regression.

A Clinical Study of Skin Diseases on Genitalia / 대한피부과학회지

BACKGROUND: Genital skin diseases are common, yet there has been insufficient clinical investigation of these conditions. OBJECTIVE: This study was performed to investigate the epidemiological aspects of genital skin diseases, and to highlight the clinical features of common dermatoses of the genitalia. METHOD: We retrospectively reviewed data of 84 patients biopsied for genital skin lesions at Maryknoll Hospital between September 1991 and August 2004. RESULTS: The ratio of males to females was 2: 1 (56: 28). The most frequent genital skin diseases present were lichen simplex chronicus, condyloma accuminata, irritant contact dermatitis, lichen sclerosus et atropicus and calcinosis cutis in decreasing order of frequency. Of the 84 cases, 42 had patches or plaques, 36 had papules or nodules and 16 had vesicles, erosions or ulcers. CONCLUSION: Our results were similar to other studies in some cases and different from others in other cases. Further investigation with a larger group of patients is necessary to better understand the epidemiology of genital skin diseases.

A Case of Cactus Bristle Dermatitis in a Patient with Leprosy

No abstract available.

A Case of Nodular Morphea with Linear Arrangement / 대한피부과학회지

Nodular morphea, also known as keloidal morphea, is a rare variant of scleroderma, characterized by the presence of nodular lesions resembling keloids. Histological findings are highly variable; from characteristics of hypertrophic or keloid scarring to those of scleroderma or mixed form. A 13-year-old girl was presented with asymptomatic brown or ivory colored mottled sclerotic patch with purple colored firm papules in a linear distribution on her right thigh for 2 years. She was healthy, otherwise. Histopathological findings showed morphea on patch lesion and keloid on nodular lesion.

Two Cases of HLA-B59(+) Stevens-Johnson Syndrome (SJS)-Toxic Epidermal Necrolysis (TEN) Associated with Methazolamide Treatment / 대한피부과학회지

Methazolamide is a sulfonamide derivative and carbonic anhydrase inhibitor used to lower intraocular pressure in glaucomatous eyes. Stevens-Johnson syndrome (SJS)-toxic epidermal necrolysis (TEN) associated with methazolamide treatment has been reported in Korean and Japanese patients. We report two cases of SJS-TEN associated with methazolamide treatment. The result of HLA typing of our two patients was a positive reaction for HLA-B59, which is specific to Koreans and Japanese. This suggests a possible relationship between genetic background and SJS-TEN associated with methazolamide treatment. Therefore, methazolamide should be prescribed with caution to Korean or Japanese patients.

A Case of Prurigo Pigmentosa Supposedly Relevant to the Swimming Suit / 대한피부과학회지

Prurigo pigmentosa is a rare and recurrent inflammatory dermatosis characterized clinically by severe pruritic erythematous papules and reticulated pigmentation symmetrically distributed on the trunk and neck in young adolescent females. The pathogenesis remains unclear but environmental factors such as friction from the clothing and para-amino compounds used in manufacturing of clothing have been suspected. We report a case of prurigo pigmentosa that was supposedly relevant to the swimming suit and treated with dapsone and minocycline resulting in significant clinical improvement.

Expression of the ED3 Antigen and its Upregulation after Cyclophosphamide Treatment on Basal Epithelial Cells of Rat Stratified Squamous Epithelium / 대한해부학회지

Sialoadhesin (Sn) expression has been demonstrated on murine and rat macrophages in lymphatic organs and is recognized by the monoclonal antibody (mAb) ED3 in the rat. Sialoadhesin (Siglec-1), the ED3 antigen in the rat, is a subtype of sialic acid -binding Ig-like lectins (Siglecs) that bind specifically to sialic acid-containing structures such as selectins and was originally identified as the sheep erythrocyte receptor (SER) responsible for sialic acid-dependent binding of native sheep erythrocytes (SE) to resident murine bone marrow macrophages in rosetting assays. The aim of the present study was to investigate the expression and potential function of sialoadhesin in the stratified squamous epithelium of the rat tongue, esophagus and skin. The expression of sialoadhesin was demonstrated by immunohistochemical analysis with the mAb ED3. This study demonstrated not only the presence of sialoadhesin on the basal epithelial cells of the stratified epithelium in normal rat tongue, esophagus and skin but also its upregulated expression on these cells in CY-treated rats. The results of the present study shed some light on the potential function of sialoadhesin in the basal epithelial cells of the stratified epithelium. Further studies may provide more insight into the role of sialoadhesin in the epithelial stem cells.

A Case of Dystrophic Calcinosis Cutis in a burn scar / 대한피부과학회지

Calcinosis cutis is the deposition of insoluble calcium salts in the skin. Dystrophic calcinosis cutis is diagnosed when calcium is deposited in the previous damaged tissue and the values of calcium and phosphorus levels are normal. We report a case of dystrophic calcinosis cutis in a 32-year-old man. He had experienced a burn accidentally on the left anterior thigh at 2 years old. About 1 year ago, an ulcer developed on the burn scar. He found the chalky material in an ulcer and removed it, then the ulcer healed. But, new ulcers developed in a linear pattern. Histopathologically, amorphous eosinophilic materials that were black with Von Kossa stain were deposited in the dermis.

A Case of Blastomycosis-like Pyoderma / 대한피부과학회지

Blastomycosis-like pyoderma is an uncommon vegetating tissue reaction, often secondary to a bacterial infection occurring in patients with a compromised immune system. We describe a clinically blastomycosis-like pyoderma on the right ankle and knee in a patient with iatrogenic Cushing syndrome, hypertension, hypercholesterolemia and congestive heart failure.

A Case of Dermatomyositis Associated with Esophageal Cancer showing Vesicular and Bullous Lesions / 대한피부과학회지

Dermatomyositis is a rare inflammatory myopathy with characteristic skin manifestations and muscular weakness. Vesicle or bulla formation in the dermatomyositis is rare and probably related to the presence of an internal malignant process. We report a case of dermatomyositis associated with esophageal cancer in a 72-year old man who had vesicles and bullae on his arms. He had erythema and edema on the face, chest, abdomen, back and legs for 20 days. Tense vesicles and bullae were found on his forearms and hands. Diagnosis of dermatomyositis was established by clinical manifestations, muscle enzyme study, electromyogram and histopathological findings of the skin. Adenocarcinoma of esophagus was found by gastroendoscopy. He was treated with total esophagectomy and topical steroid, but died of pneumonia and septicemia.