복식 및 질식자궁절제술의 비교관찰 = Comparison of abdominal and vaginal hysterectomies

다국어 초록 (Multilingual Abstract)

Two hundred patients who had undergone hysterctomy by the Department of Obsterics and Gyunecology, Seoul Eulgi General Hospital during the three years of 1970-1972, have been made subject of observation and study for indication, complications and choice of operational methods. the study has proved much helpful in determing the merits and demerits involved in each different way of operation as well as in deciding if the operation is optional or not. Out of 200, 100 were for abdominal hysterectomy while the other 100 for vaginal hysterectomy. These two groups were subjected to a observation. The age ranging from 31 to 49 formed the largest group in both case ; the youngest being 26 and the oldest 66. For both groups, Myoma was the biggest cause of the operational indication, whereas that of abdominal hysterctomy was found to be the chronic PID, ectopic pregnancy, meaometrorrhagia in this order. The cause of vaginal hysterectomy, on the other hand, was found to be the chronic cervicitis, and uterine bleeding in this order. Of the total operations that are made subject of this study, 14 are the cases of operation for sterilization. The abdominal hysterectomy patients were generally worse in their condition than those patients who underwent the vaginal hysterectomy, requiring more emergency operations than what wa required for vaginal hysterectomy. However those patients of vaginal hysterectomy showed relatively better general conditions, rendering the operation optional in greater number of cases. In most cases, abdominal hystercetomy was performed under general anesthesia, while vaginal hysterectomy under spinal anesthesis. As to the complications, fever was 50% for both group and urinary tract complications 34% the two most outstanding complications observed. Other complications include wound infections hematomas, intestinal obstruction, thrombophlebitis. etc One patients of abdominal hystercetomy had died of the acute renal failure.