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6 cm 이상의 난소 유피낭종절제술에 있어서 골반경수술법과 개복수술의 비교 고찰
김은미(EM Kim),이지영(JY Lee),오성택(ST Oh) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1
Traditionally laparotomic cystectomy has been performed for large ovarian dermoid cyst, because the spillage of content was inevitable and the complete removal of spilled material in pelvic cavity was difficult. Therefore the method of pelviscopic cystectomy was modified to minimize the spillage of content for dermoid cyst over 6 cm in our hospital. The purpose of this study is to evaluate the efficacy of this pelviscopic cystectomy compared with traditional laparotomic cystectomy. Dermoid cysts over 6 cm were diagnosed by ultrasonography, MRI, CT and diagnostic laparoscopy. The duration of operation, postoperative recovery time and duration of hospital stays in 45 patients treated by modified pelviscopic cystectomy were compared with those in 27 patients treated by laparotomic cystectomy. The mean duration of operations was 1.37 ± 0.7 hours in laparotomy and 1.59 ± 0.4 hours in pelviscopy, so any significant difference was not found between these two groups. Postoperative complication due to spillage of content was not noticed in either laparotomy or pelviscopy. Recovery of gastrointestinal peristalsis was observed at postoperative 1.9 ± 0.8 days in laparotomy and 1.0 ± 0.5 days in pelviscopy. Therefore peristalsis of gastrointestinal tract was more rapidly recovered in pelviscopy than in laparotomy(p<0.01). Dis-appearance of major postoperative pain was observed on 2.7 ± 0.8 days after operation in laparotomy and 1.3 ± 0.4 days in pelviscopy, so postoperative pain was disappeared more rapidly in pelviscopy(p<0.01). The mean duration of hospital stay was 4.2 ± 0.4 days in pelviscopy, and it was significantly shorter than 5.5 ± 0.7 days in laparotomy(p<0.01). Therefore it was suggested that pelviscopic cystectomy, if it is modified to minimize peritoneal spillage of contents, was better than laparotomy even in dermoid cyst over 6 cm.
김은미(EM Kim),송태복(TB Song),김윤하(YH Kim),이지영(JY Lee),변지수(JS Pyun) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
This study was performed to assess the gastrointestinal function and patient acceptability of early oral feeding after cesarean delivery. From May 1997 to August 1997, eighty healthy women delivered by cesarean section were assigned alternately to either early initiation of oral feeding or conservative dietary management. In the early feeding group, the first postoperative oral feeding of regular hospital diet was provided within 8 hours after completetion of operation. In the conservative management group, the regular hospital diet was given only if the abdomen was not distended, bowel sounds were auscultated, and flatus had passed. The patient information and data on 1) the duration and amount of intravenous fluid administration, 2) the time of return to regular diet and first gas passage and 3) the rate of gastrointestinal complaints such as nausea, vomiting, or abdominal distension were recorded prospectively. The results were as follows; 1. The duration of intravenous fluid administration in the early feeding group (study group) was significantly shorter than those in the control group, 21.6±7.8 versus 32.2±9.0 hours (p<0.01). Therefore, the amount of iv fluid in the study group was significantly smaller than those in the control group, 3.4±1.3 versus 4.6±1.0 L (p<0.01). 2. Compared with the control group, the study group had a rapider return time to regular oral diet, 17.4±4.1 versus 37.6±11.4 hours (p<0.01). 3. Compared with the control group, the study group had a significantly shorter mean interval to first gas passage, 29.6±8.0 versus 33.6±8.6 hours (p<0.05). 4. The frequency gastrointestinal complaints such as nausea, vomiting, or abdominal distension did not show significant difference in both groups; 17.5% in the study group versus 15.0% in the control group.