Nan-Song Chou

Chi Mei Medical Center

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Wu‐Wei Lai

National Cheng Kung University Hospital

Mu-Yen Lin

National Cheng Kung University

Nan‐Hua Chou

Kaohsiung Veterans General Hospital

Jian-tao Wu

Ming-Ho Wu

Tainan Municipal Hospital

Ming-Ho Wu

Tainan Municipal Hospital

Bor‐Chih Cheng

Tungs' Taichung MetroHarbor Hospital

Wen‐Pin Chen

University of California, Irvine

Minjiao Wu

Zhejiang Taizhou Hospital

Cheng‐Chung Tsai

Kaohsiung Veterans General Hospital

Cooperative Institutions

National Cheng Kung University

National Yang Ming Chiao Tung University

National Cheng Kung University Hospital

Kaohsiung Veterans General Hospital

National Taipei University

Tainan University of Technology

Chia-Yi Christian Hospital

National Yang Ming University Hospital

National Taiwan University Hospital

China Medical University

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Prevention and management of strictures after hypopharyngocolostomy or esophagocolostomy

The Annals of Thoracic Surgery (1994)

Ming-Ho Wu Wu‐Wei Lai Mu-Yen Lin Nan-Song Chou

Median sternotomy

10.1016/0003-4975(94)91081-2

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Citations (17)

Acutely Ruptured Abdominal Aortic Aneurysm: Experience in Chi Mei Hospital

Formosan Journal of Surgery (2004)

Nan-Song Chou Nan‐Hua Chou Hung‐Jung Lin Zhih‐Cherng Chen Bor‐Chih Cheng

Objectives: The aim of this study was to identify the clinical features of, and analyze the cause of successful operative therapy in, patients with acutely ruptured abdominal aortic aneurysm (AAA) in southern Taiwan. Methods: Patients with an acutely ruptured AAA who reached hospital alive between 1995 and 2001 were selected and analyzed retrospectively. Results: Sixteen patients with an acutely ruptured AAA were identified and operated on. None had a known history of AAA. Abdominal pain and lower back pain are the two most common manifestations. There were thirteen men and three women. The mean age was 68.3 years (range: 52-84). The mean urine output during the operation and day one after the operation were 2.3±1.7 ml/minute and 1106±434 ml/24 hours, respectively. The median interval between symptom onset and hospitalization was seven hours, and that between hospitalization and operation was three and a half hours. Four patients died during hospitalization (hospital mortality rate: 25%). Of them, two patients died of hypovolemic shock during the operation and the other two died of multiple organ failure (MOF) 34 and 93 days after the operation respectively. Conclusions: The urine output could herald the severity of shock and imply the prognosis. Rapid diagnosis, appropriate resuscitation, and operation without any delay to minimize the extent of ischemic damage to vital organs could prevent postoperative MOF and decrease postoperative death. To control bleeding immediately after exploration for avoiding intraoperative hypovolemic shock could decrease intraoperative death.

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Massive Hemoptysis Caused by a Ruptured Subclavian Artery Aneurysm

CHEST Journal (1993)

Ming-Ho Wu Wu‐Wei Lai Mu-Yen Lin Nan-Song Chou

Hemothorax

Left subclavian artery

Left lung

Bronchial artery

Parenchyma

10.1378/chest.104.2.612

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Citations (7)

Bronchial Rupture Caused by Blunt Chest Injury

Annals of Emergency Medicine (1995)

Mu‐Yen Lin Ming-Ho Wu C.Steve Chan Wu‐Wei Lai Nan-Song Chou

Pneumomediastinum

Thoracostomy

Chest injury

Sternoclavicular joint

Hemothorax

10.1016/s0196-0644(95)70302-0

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Citations (17)

Congenital tuberculosis: a case report.

PubMed (1990)

Jyh‐Horng Wang Wen‐Pin Chen Wen‐Jue Soong Ignatius Tak-sun Yu Nan-Song Chou

Congenital tuberculosis is a rare disease, difficult to be correctly diagnosed from clinical manifestations alone without maternal tuberculous history. In this article we report a neonate who exhibited abdominal distension and bloody diarrhea simulating neonatal sepsis and necrotizing enterocolitis. Exploratory laparatomy was performed for the markedly distended abdomen and deteriorated condition. Calcified lymph nodes over mesentery and spleen were found, and biopsy was done to show caseous tubercles. However, this neonate deteriorated rapidly and died one day after operation. Autopsy revealed generalized discrete miliary tubercles over the lungs, liver, spleen, pancreas, adrenal glands, thyroid and lymph nodes.

Miliary tuberculosis

Abdominal distension

Mesenteric lymph nodes

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Intrathoracic migration of Kirschner wires.

PubMed (1994)

Nan-Song Chou Minjiao Wu Chi-Yuan Chan Wesley Lai Mu Lin

Kirschner wire

Thoracotomy

Thorax (insect anatomy)

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Citations (40)

Intestinal Obstruction in Patients with Previous Laparotomy for Non-Malignancy

Journal of the Chinese Medical Association (2005)

Nan‐Hua Chou King‐Tong Mok Shiuh-Inn Liu Being‐Whey Wang Cheng‐Chung Tsai

Background: Intestinal obstruction is one of the most common surgical emergencies. The aim of this study was to identify important management information from the evaluation of patients with intestinal obstruction who had undergone previous laparotomy for non-malignancy. Methods: Data from 176 patients with previous laparotomy for non-malignancy, and who were operated on for intestinal obstruction, were collected and analyzed retrospectively. Results: Gastroduodenal operations, appendectomy, and obstetric/gynecologic procedures were the 3 most common previous abdominal surgeries. More than half of all bowel obstructions developed within 10 years after previous laparotomy, and particularly within the first 5 years. Most obstructions were related to adhesion, although their etiologies were diverse. The rate of bowel strangulation was much higher in patients with internal herniation, volvulus, intussusception, closed loop, and diaphragmatic hernia than in patients with simple adhesion, bezoar, tumor, and inflammation (48.3% vs 12.2%). The surgical mortality rate correlated significantly with bowel strangulation: the overall rate was 6.8%, that in patients with strangulation was 18.8%, and that in patients without strangulation was 4.2%. Conclusion: The etiologies of intestinal obstruction were not only significantly related to bowel strangulation, but were also an important determinant of therapeutic strategy.

Etiology

Surgical emergency

Internal hernia

10.1016/s1726-4901(09)70169-8

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Citations (5)

Modified Senning procedures for simple transposition of the great arteries.

PubMed (1995)

Y Yang Ching‐Wei Luo Jian-tao Wu Nan-Song Chou

Junctional rhythm

Sinus (botany)

Transposition (logic)