Journal of Yeungnam Medical Science

Original article

Clinical effectiveness of omental transposition in facilitating perineal wound healing after abdominoperineal resection: a systematic review: Sungjin Kim, Sung Il Kang, Sohyun Kim, Jae Hwang Kim; Yeungnam Univ J Med. 2021;38(3):219-224. Published online February 9, 2021; DOI: https://doi.org/10.12701/yujm.2020.00871

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Abstract PDF: Background
Omental transposition has been used to facilitate perineal wound healing in patients undergoing abdominoperineal resection (APR). However, there is no high-level evidence supporting the effectiveness of omental transposition in this regard. This study aimed to investigate the clinical efficacy of omental transposition in facilitating perineal wound healing after APR.
Methods
In this systematic review, we systematically searched the PubMed/MEDLINE, Embase, Scopus, Cochrane Library, and Web of Science databases for literature regarding the topic of our study. Studies published since the inception of each database were considered for review. The outcomes of interest were the perineal wound healing rate at 1 and 3 months postoperatively, perineal wound infection rate, and perineal wound healing period.
Results
Of the 1,923 studies identified, four articles representing 819 patients (omental transposition patients, n=295) were included in the final analysis. The wound healing rates at 1 and 3 months postoperatively in the omental transposition group (68.5% and 79.7%, respectively) did not significantly differ from those in the control group (57.4% and 78.7%, respectively) (p=0.759 and p=0.731, respectively). Perineal wound infection and chronic wound complication rates, including sinus, dehiscence, and fistula rates, also did not significantly differ between the omental transposition (8% and 7%, respectively) and control (11% and 7%, respectively) groups (p=0.221 and p=0.790, respectively).
Conclusion
Our results suggest that omental transposition does not affect perineal wound healing in patients who undergo APR.

Review Article

Treatment of Rectal Cancer: Sang Hun Jung, Jae Hwang Kim, Min Chul Shim; Yeungnam Univ J Med. 2007;24(2 Suppl):S283-295. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S283

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Abstract PDF: Treatment for rectal cancer continues to develop towards the improved local control and overall survival, maintaining quality of life, and preserving sphincter, genitourinary, and sexual function. Preoperative assessment for tumor depth, lymph node, and distant metastasis has an important role on treatment plan. Preoperative staging is used to determine the indication for neoadjuvant therapy as well as the indication for local excision versus radical cancer resection. Local excision is likely to be curative in patients whose tumor are confined to the submucosa without regional lymph and systemic metastasis. Total mesorectal excision (TME) and autonomic nerve preservation are standard procedure for advanced rectal cancer. In patients with advanced tumor stage (T3/T4 and/or N1) with no distant metastasis, preoperative chemoradiation followed by radical resection has become widely accepted recently.

Case Reports

Preduodenal Portal Vein Associated with Duodenal Obstruction: A case report.: Young Soo Huh, Jae Hwang Kim, Bo Yang Suh, Koing Bo Kwun; Yeungnam Univ J Med. 1990;7(1):211-214. Published online June 30, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.1.211

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Abstract PDF: Portal vein anomalies include absence, duplication, and malposition (preduodenal portal vein). Duplication of the portal vein or a preduodenal portal vein are hazards at the time of biliary or duodenal surgery, or liver transplantation. Preduodenal portal vein, which was first reported by knight in 1921, is extremely rare congenital anomaly and may cause duodenal obstruction. Recently, we experienced a case of preduodenal portal vein associated with dextrocardia, situs inversus, and duodenal obstruction in a 3 days old male newborn and report with review of the references.

Diagnosis of a Bleeding Meckel's Diverticulum Using (99m)Technetium Pertechnetate Scanning.: Young Soo Huh, Jae Hwang Kim, Koing Bo Kwun; Yeungnam Univ J Med. 1987;4(1):129-132. Published online August 31, 1987; DOI: https://doi.org/10.12701/yujm.1987.4.1.129

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Abstract PDF: Two cases of Bleeding Meckel's Diverticulum Using (99m)Technetium-Pertechnetate Scanning are presented. (99m)TC-pertechnetate was used in the diagnosis of Meckel's Diverticulum by Jewette et al in 1970 for the first time. The affinity of this isotope for the parietal cell of the gastric mucosa makes it ideal for delincating ectopic gastric tissue. It noninvasiveness can be used in early screening test of occult gastrointestinal bleeding in pediatric age group.

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