복식전자궁 적출술에 대한 임상통계학적 관찰 = Clinical Survey on Total Abdominal Hysterectomy

다국어 초록 (Multilingual Abstract)

This study was attempted to analysis 386 consecutive abdominal hysterectomies, especially concerned with its indication and complication, from January 1, 1983 to December 31, 1987 at the department of Obstetrics and Gynecology of Inje Medical College Seoul Paik Hospital. The results were summarized as follows: 1. Age distribution was between 23 and 68 years with 40.8 years of mean age and the group of 40 to 49 years revealed highest incidence. 2. There couldn`t be found any relationship between the indication of surgery and the parity. 3. Irregular vaginal bleeding was the most common symptom and followed by menorrhagia. 4. 25.7% of all cases was anemic in preoperative check of hemoglobin level, and in 8.3% of all cases, correction of level was necessary. 5. The major indications for operation were uterine myoma, ovarian tumor, and cervical carcinoma was 9.1% of all cases. 6. Majority of cases were received abdominal hysterectomies, including 35 cases of radical hysterectomies with pelvic lymphadenectomy. One case of omentectomy was performed. 7. Postoperative pathologic examination revealed uterine myoma in 48.7% ovarian tumor in 15%, adenomyosis in 30.8%, and cervical dysplasia and carcinoma in 15.1%. 8. Overall complication rate of abdominal hysterectomy was 28%, which included febrile morbidity of 28.8%, anemia 26.4, and urinary tract infection of 13.6%.