Pub Date : 2013-12-01DOI: 10.13029/JKAPS.2013.19.2.73
Jongsoo Joo, H. Joo, I. H. Joo
Ketamine is a safe and effective drug for pediatric anesthesia, sedation and analgesia. We hoped to identify that surgeons could operate a pediatric hernia with the ketamine anesthesia without general anesthesia. The study was a consecutive case series of 2230 inguinal hernia patients aged 1 months to 17 years in a Joo's day-surgical clinic during 11-year period. The patients had pediatric inguinal hernia surgery without general anesthesia under the day-surgery system. We retrospectively analyzed the medical record of patients who were registered with the Diagnosis Related Group (DRG) system. All patients received ketamine (5 mg/kg) and atropine (0.01 mg/kg) intramuscularly before surgery. After anesthesia, we injected 1～2 % lidocaine (Less than 5 ml) subcutaneously at the site of incision and started operation. The surgical method was the high ligation method of the hernia sac.) In total 2230 patients, male were 1756 and female were 474. 2076 patients were a unilateral inguinal hernia at the time of surgery and 154 were bilateral hernia patients. Less than three months, depending on the age of the patients was 391, and less than 12 months the patient was 592 people (26.5 %). After surgery, there were no accidents or long term complications associated with ketamine anesthesia. We think the surgeon can safely do the pediatric inguinal hernia surgery using ketamine and lidocaine without anesthesiologist through 11 years of our surgical experiences.
{"title":"Pediatric Inguinal Hernia Surgery 2,230 Cases Performed with Ketamine and Lidocaine","authors":"Jongsoo Joo, H. Joo, I. H. Joo","doi":"10.13029/JKAPS.2013.19.2.73","DOIUrl":"https://doi.org/10.13029/JKAPS.2013.19.2.73","url":null,"abstract":"Ketamine is a safe and effective drug for pediatric anesthesia, sedation and analgesia. We hoped to identify that surgeons could operate a pediatric hernia with the ketamine anesthesia without general anesthesia. The study was a consecutive case series of 2230 inguinal hernia patients aged 1 months to 17 years in a Joo's day-surgical clinic during 11-year period. The patients had pediatric inguinal hernia surgery without general anesthesia under the day-surgery system. We retrospectively analyzed the medical record of patients who were registered with the Diagnosis Related Group (DRG) system. All patients received ketamine (5 mg/kg) and atropine (0.01 mg/kg) intramuscularly before surgery. After anesthesia, we injected 1～2 % lidocaine (Less than 5 ml) subcutaneously at the site of incision and started operation. The surgical method was the high ligation method of the hernia sac.) In total 2230 patients, male were 1756 and female were 474. 2076 patients were a unilateral inguinal hernia at the time of surgery and 154 were bilateral hernia patients. Less than three months, depending on the age of the patients was 391, and less than 12 months the patient was 592 people (26.5 %). After surgery, there were no accidents or long term complications associated with ketamine anesthesia. We think the surgeon can safely do the pediatric inguinal hernia surgery using ketamine and lidocaine without anesthesiologist through 11 years of our surgical experiences.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115461883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-01DOI: 10.13029/JKAPS.2013.19.2.66
D. H. Yoon, S. Nam
{"title":"Laparoscopic Surgery for Intussusception in Children","authors":"D. H. Yoon, S. Nam","doi":"10.13029/JKAPS.2013.19.2.66","DOIUrl":"https://doi.org/10.13029/JKAPS.2013.19.2.66","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126434777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-06-01DOI: 10.13029/JKAPS.2013.19.1.25
Jinyoung Park
Extragonadal germ cell tumors (GCTs) are thought to derive from primordial germ cell precursors that become sequestered during embryologic migration and survive in ectopic locations. Their anatomic location can vary widely, with tumors occurring along the body midline, following the course of embryonal germ cells. Preferred sites include the mediastinum, the sacrococcygeal and pineal regions, the neck, and the retroperitoneum. Intraabdominally located extragonadal GCTs are extremely rare, with only a few cases reported in the English literature. We describe here an 18-month-old girl with an intraabdominal mixed GCT and liver metastasis, who was treated by surgical excision and postoperative chemotherapy.
{"title":"Extragonadal Intraabdominal Mixed Germ Cell Tumor with Liver Metastasis: Successful Treatment and Long-term Follow-up","authors":"Jinyoung Park","doi":"10.13029/JKAPS.2013.19.1.25","DOIUrl":"https://doi.org/10.13029/JKAPS.2013.19.1.25","url":null,"abstract":"Extragonadal germ cell tumors (GCTs) are thought to derive from primordial germ cell precursors that become sequestered during embryologic migration and survive in ectopic locations. Their anatomic location can vary widely, with tumors occurring along the body midline, following the course of embryonal germ cells. Preferred sites include the mediastinum, the sacrococcygeal and pineal regions, the neck, and the retroperitoneum. Intraabdominally located extragonadal GCTs are extremely rare, with only a few cases reported in the English literature. We describe here an 18-month-old girl with an intraabdominal mixed GCT and liver metastasis, who was treated by surgical excision and postoperative chemotherapy.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122684238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-06-01DOI: 10.13029/JKAPS.2013.19.1.1
Jt Oh, Doe-Young Kim, S. C. Kim, I. Kim, Hye-Sun Kim, H.Y. Kim, S. Nam, Konggyun Park, W. Park, Js Park, Jm Seo, N. Lee, Lee, S. Lee, Sang-Seop Lee, S. Chung, S. Jung, Jh Chung, Kj J. Choi, Sh Choi, Sjn Choi, Y. M. Choi, Seungsuk Han, Jae Shik Hong
{"title":"Biliary Atresia -A Survey by the Korean Association of Pediatric Surgeons in 2011-","authors":"Jt Oh, Doe-Young Kim, S. C. Kim, I. Kim, Hye-Sun Kim, H.Y. Kim, S. Nam, Konggyun Park, W. Park, Js Park, Jm Seo, N. Lee, Lee, S. Lee, Sang-Seop Lee, S. Chung, S. Jung, Jh Chung, Kj J. Choi, Sh Choi, Sjn Choi, Y. M. Choi, Seungsuk Han, Jae Shik Hong","doi":"10.13029/JKAPS.2013.19.1.1","DOIUrl":"https://doi.org/10.13029/JKAPS.2013.19.1.1","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"716 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133085253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-06-01DOI: 10.13029/JKAPS.2013.19.1.32
Jeongwoo Lee, Eunyoung Jung, W. Park, Soon-Ok Choi
{"title":"Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction","authors":"Jeongwoo Lee, Eunyoung Jung, W. Park, Soon-Ok Choi","doi":"10.13029/JKAPS.2013.19.1.32","DOIUrl":"https://doi.org/10.13029/JKAPS.2013.19.1.32","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121921527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-01DOI: 10.13029/JKAPS.2012.18.2.75
M. S. Shin, Mi Jung Lee, Myung-Joon Kim, Young Ju Hong, H. Chang, S. Han, J. Oh
{"title":"Significance of Contrast Enema in One-stage Transanal Endorectal Pull-through Operation for Hirschsprung Disease","authors":"M. S. Shin, Mi Jung Lee, Myung-Joon Kim, Young Ju Hong, H. Chang, S. Han, J. Oh","doi":"10.13029/JKAPS.2012.18.2.75","DOIUrl":"https://doi.org/10.13029/JKAPS.2012.18.2.75","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127887599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-01DOI: 10.13029/JKAPS.2012.18.2.68
Jihee Hwang, D. Kim, S. Kim, I. Kim
{"title":"Clinical Experience with Colonic Atresia","authors":"Jihee Hwang, D. Kim, S. Kim, I. Kim","doi":"10.13029/JKAPS.2012.18.2.68","DOIUrl":"https://doi.org/10.13029/JKAPS.2012.18.2.68","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125759853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-01DOI: 10.13029/JKAPS.2012.18.2.59
Hongki Gwak, Soo-Min Jung, S. Lee, Jeong-Meen Seo
{"title":"Comparison between Laparoscopic and Open Nissen Fundoplication in Pediatric Patients","authors":"Hongki Gwak, Soo-Min Jung, S. Lee, Jeong-Meen Seo","doi":"10.13029/JKAPS.2012.18.2.59","DOIUrl":"https://doi.org/10.13029/JKAPS.2012.18.2.59","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127438087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-01DOI: 10.13029/JKAPS.2012.18.2.83
Kyu-Chul Kang, Young-Min Park, Haesoo Koo, K. Choi
{"title":"A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby","authors":"Kyu-Chul Kang, Young-Min Park, Haesoo Koo, K. Choi","doi":"10.13029/JKAPS.2012.18.2.83","DOIUrl":"https://doi.org/10.13029/JKAPS.2012.18.2.83","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"94 6 Pt 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129517728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.13029/JKAPS.2012.18.1.1
Jong Kyu Kim, G. T. Noh, S. Min, K. Choi
{"title":"A Study on the Factors that Influence the Surgical Outcomes of Choledochal Cyst in Children","authors":"Jong Kyu Kim, G. T. Noh, S. Min, K. Choi","doi":"10.13029/JKAPS.2012.18.1.1","DOIUrl":"https://doi.org/10.13029/JKAPS.2012.18.1.1","url":null,"abstract":"","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"210 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131865095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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