Clinical Analysis of 36 Appendectomies in Pregnant Women

Appendicitis is the most common acute abdominal condition that requires an operation during pregnancy. Variable clinical presentations in pregnant women make the diagnosis of acute appendicitis difficult, delay operative intervention, and cause many fetal or maternal complications. From January 1990 through December 1996, 36 appendectomies were performed on pregnant women at our hospital. This is a retrospective analysis of our cases compared to control group. 1. Thirty six pregnant women (0.1 %) from all labor cases during this period underwent appendectomies, representing 10.3 % of all appendectomies in women of childbearing age. 2. The age distribution was 21-25 (38.9 %), 26-30 (55.6 %) and 31-35 (5.5 %) years, which was similar to the age distribution of the non-pregnant group. 3. Acute appendicitis during pregnancy was most common in the spring. 4. No significant difference in the occurrences of various symptoms between the pregnant and the non-pregnant groups was observed. 5. The pregnant patients visited our hospital earlier, but underwent operations later, than the non-pregnant women. (p 0.05) 8. No significant differences between the pregnant and the non-pregnant groups were noticed in terms of operation time and types of anesthesia. (p > 0.05) 9. The wound infection rates were similar for the pregnant (16.7 %) and the non-pregnant (17.4 %)groups, but there were 3 fetal losses (8.3 %)from pregnant patients after their appendectomies. 10. The mean hospital stay was longer for the pregnant patients (7.6 days) than for the non-pregnant group (6.2 days).

A Clinical Analysis of 2,500 Cases of Thyroid Nodules in the Korean People / 대한내분비학회지

Background: Thyroid nodules are one of the most clinical problems encounted by physieian. Palpation, radianuclide imaging, and sonography do not deterrnine whether a thyroid nodule is benign and malignant. So, the purpose of this study is to investigate how many thyroid cancer consist in thyroid nodule by using the fine needle aspiration(FNA) technique. Methods: With a disposable #23 gauge needle attached to 5rnl disposable plastic syringe was inserted at the thyroid nodules of the patients after rectinilinear thyroid scanning or ultrasono- graphy. All cells aspirated from the thyroid nodules were smeared on the 3 slide glasses and then, 2 slide glasses were immersed in 95% ethanol for Papanicolaou staining and one slide was air dried m room temperature for Giemsa staining. After complete staining the cytologic diagnosis of all slide glasses were reviewed by general light mi~eroscope. Results: Approximately, three-quarters(73.0%) of thyroid nodules aspirated by FNA were diagnosed as benign or inflammatory nodules, rnalignant neoplasia including follicular neoplasia 12.5%, and indeterminate cases 14.5% of thyroid nodules. Conclusion: Fine needle aspiration(FNA) has become the diagnostic procedure of choiee in the evaluation of the nodular thyroid disease because of its easiness, safety, cost effectiveness, and high diagnostic accuracy. Malignant neopleasia including follicular neopleasia were found 12.5% of thyroid nodules in Korean, aspirated by FNA which was same category in prevalence rate compared to known abroad results(8~20%).

A clinical analysis of fine needle aspiration biopsy cytologic diagnosis on thyroid nodules / 대한내분비학회지

No abstract available.