Doo`s SACSIH Operation방법에 의한 새로운 자궁적출술

다국어 초록 (Multilingual Abstract)

Hysterectomy has been one of the most frequent surgical operations since Freund succeeded in it for the first time in 1878. Diseases for which hysterectomy is found efficaciuous are uterine myoma(40-60%)and other disease such as DUB, Endometriosis Adenomyosis PID,etc. There have been the 239 cases of hysterectomy due to benign uterine disease in 1992 at the department of Obstrics and Gynecology, Chonbuk National University Hospital and it is supposed that there are tens of thousands of women in thirties and forties who go through hysterectomy each year. It is mostly young women in thirties and forties who go though the operation: more than 70%, and they afterwards reported psychological conflict and sexual disssatisfaction stemming from loss of their uterus. I modified Kurt Semm`s CASH and devised a different surgical operation to work out women`s problems after hysterectomy. What characterizes Doo`s SACSIH(Subtotal-abdominal-Cylindrical resection of-Squamocolumnar junction in-Intracervical-Hysterectomy) operation is, fist, that while CASH is done under laparoscopy Doo`s SACSIH operation is, considering edonomical, technical as pect involved in operation, done under laparotomy and, second, to remove cylindrically transformation zone and endocervical columnar epitheelium, using the instrument I devised by modifying Semm`s and therby making it more convenient for use and, third, to remove uterus in upper one-third cervix and make a stump out of the remaining cervix composed of pure fibromuscular tissues. Doo`s SACSIH operation still has strength that the existing sub-total hysterctomy has had and will, at the same time, eliminate the possiblity of getting stump cancer that can be developed after the operation. The twenty-nine patients have been operated by Doo`s SACSIH operation method between the 18th of November of 1992 and the 12nd of May of 1993 and the results have been highly satisfactory.