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Your search keyword '"Jung, Gyoohwan"' showing total 33 results
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33 results on '"Jung, Gyoohwan"'

10. Comparison of the wound healing and complications of zipper type closure adhesive tape and stapler for surgical wound suture: A randomized control, single‐centre, open‐label trial.

Author

Jung, Gyoohwan, Song, Sang Hun, Kim, Bo Ri, Shin, Jae Moon, Huh, Chang‐Hun, and Lee, Sangchul

Subjects
WOUND healing, RESEARCH funding, STATISTICAL sampling, POSTOPERATIVE pain, PROSTATE tumors, TREATMENT effectiveness, RANDOMIZED controlled trials, SCARS, DESCRIPTIVE statistics, SURGICAL equipment, PROSTATECTOMY, LONGITUDINAL method, SUTURING, ROBOTICS, SURGICAL instruments, COMPARATIVE studies, SURGICAL site, SUTURES
Abstract

Xkin closure is a newly developed medical suture device for lacerations and surgical wounds that can reduce scarring, pain and the risk of infection compared with conventional sutures or staplers. A randomized controlled study was performed to compare the wound healing effects and complications of Xkin closure with stapler closure. Fifty patients who underwent robot‐assisted radical prostatectomy for prostate cancer were randomly assigned. Only the wound above the navel, which was extended to take out the prostate was targeted. The wound was examined at 2, 6 and 12 weeks after surgery, and the modified Vancouver Scar Scale (mVSS), scar height and side effects were assessed with a 3D skin analyser. Forty‐six patients (23 Xkin, 23 Stapler) were analysed. The mVSS scores, vascularity and pliability were significantly lower in the Xkin group compared with the stapler group at the 12‐week follow‐up. No significant differences in the maximum peak and depth of the scars were detected between the two groups using 3D photographs at 12 weeks. Xkin is an effective wound closure method for improving scar outcomes. This method is expected to be widely used for surgical wounds and lacerations caused by trauma in daily life. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Optimal management of renal cell carcinoma in octogenarians: Retrospective analysis using updated Korean Renal Cell Carcinoma (KORCC) database

Author

Kim, Jung Kwon, primary, Jung, Gyoohwan, additional, Kwak, Cheol, additional, Jeong, Chang Wook, additional, Kang, Seok Ho, additional, Hong, Sung-Hoo, additional, Kim, Yong-June, additional, Chung, Jinsoo, additional, Hwang, Eu Chang, additional, Kwon, Tae Gyun, additional, and Byun, Seok-Soo, additional

Published
2023
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21. Endoscopic Botulinum Toxin Injection for Refractory Enuresis Based on Urodynamic Assessment

Author

Jung, Gyoohwan, Im, Young-Jae, Jang, Gwan, Suh, Jun Kyo, and Park, Kwanjin

Subjects
Endoscopic injection, medicine.medical_specialty, Urology, Botulinum toxin injection, Refractory, Botulinum toxin, Enuresis, Medicine, Nonmonosymptomatic, business.industry, medicine.disease, Diseases of the genitourinary system. Urology, Urodynamics, Neck of urinary bladder, medicine.anatomical_structure, Neurology, Overactive bladder, Sphincter, Original Article, RC870-923, Neurology (clinical), medicine.symptom, business, medicine.drug
Abstract

Purpose: This study aimed to determine the urodynamic characteristics of refractory enuresis and explored whether those characteristics can be managed through differential endoscopic injections with botulinum toxin.Methods: In total, 27 patients with nonmonosymptomatic enuresis who showed no response after conservative treatment for more than 12 months were included. The patients then underwent a videourodynamic study and received a differential endoscopic injection of botulinum toxin on the same day. Reduced capacity, detrusor overactivity, and bladder neck widening were the 3 major abnormal findings assessed during the filling phase, while sphincter hyperactivity was the only abnormality assessed during the emptying phase. An intravesical or intrasphincteric injection of botulinum toxin was attempted according to the videourodynamic study findings. Follow-up was conducted at 1, 3, 6, and 12 months after treatment.Results: The median age was 10 years (range, 7–31 years). Although 19 and 8 patients had a preoperative diagnosis of overactive bladder or dysfunctional voiding, respectively, the urodynamic diagnosis was different in more than half of the patients. Those showing detrusor overactivity benefited from intravesical botulinum toxin injection, whereas those with only sphincter hyperactivity benefited from both intravesical and intrasphincteric injections. Treatment resistance to botulinum toxin seemed to be attributable to bladder neck widening. Time had no apparent effect on efficacy, which persisted 6 months after the injection. More than 80% of the patients maintained the benefits of the injection after 1 year.Conclusions: Videourodynamic studies were useful for identifying the reasons underlying refractory nonmonosymptomatic enuresis and helpful for determining the appropriate site of botulinum toxin injection.

Published
2021

33. Comparative analysis of mortality and progression to end-stage renal disease between surgically induced and medical chronic kidney disease: A study using the National Health Insurance customized database.

Author

Jung G, Park S, Kim H, Lee J, and Jeong CW

Subjects
Humans, Risk Factors, Carcinoma, Renal Cell complications, Carcinoma, Renal Cell surgery, Kidney Failure, Chronic surgery, Renal Insufficiency, Chronic complications, Kidney Neoplasms complications, Kidney Neoplasms surgery, Cardiovascular Diseases
Abstract

Purpose: We aimed to compare the mortality rate and the risk for progression to end-stage renal disease (ESRD) and cardiovascular disease (CVD) between patients who underwent surgery for localized renal cell carcinoma (RCC) and those with chronic kidney disease (CKD) without surgery by investigating the National Health Insurance Service., Materials and Methods: The surgical group (CKD-S) included patients who underwent radical or partial nephrectomy for RCC from 2007 to 2009. Grades of surgical CKD were classified according to the estimated glomerular filtration rate (eGFR) measured at a health screening within 2 years after surgery. The nonsurgical group (CKD-M) was graded according to the eGFR in the 2009-2010 health screenings. We performed 1:5 propensity score matching for age, gender, diabetes, hypertension, Charlson comorbidity index, smoking, alcohol consumption, baseline eGFR, and body mass index., Results: A total of 8,698 patients (CKD-S, n=1,521; CKD-M, n=7,177) were analyzed. The CKD-M group was at higher risk for progression to ESRD (hazard ratio [HR] 1.90, 95% confidence interval [CI] 1.04-3.44, p=0.036) and CVD (HR 1.17, 95% CI 1.06-1.29, p=0.002) than the CKD-S group. In the group of patients with grade 3 disease or higher, the CKD-M group was at significantly higher risk for progression to ESRD (HR 2.21, 95% CI 1.47-3.31, p<0.001), CVD (HR 1.32, 95% CI 1.20-1.45, p<0.001), and overall mortality (HR 1.50, 95% CI 1.21-1.86, p<0.001)., Conclusions: The risk for progression to ESRD, CVD, or mortality in patients with CKD-S may be lower than in patients with CKD-M., Competing Interests: The authors have nothing to disclose., (© The Korean Urological Association.)

Published
2023
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