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Korean Journal of Obstetrics & Gynecology 2008;51(8):892-899.
Published online August 1, 2008.
Analysis of clinical factors influencing on the operation time of classical intrafascial supracervical hysterectomy (CISH).
Sung Jong Lee, Dong Bin Kim, Sang Wook Yi
1Department of Obstetrics and Gynecology, College of Medicine, Catholic University, Korea. orlando@catholic.ac.kr
2Department of Obstetrics and Gynecology, Wonju Medical Center, Gangwon Province, Korea.
3Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Gangneung, Korea.
Abstract
OBJECTIVE
The purpose of this study was to find clinical factors affecting the operation time of the classical intrafascial supracervical hysterectomy (CISH) performed on patients with uterine disease. METHODS: From January 2001 to December 2006, a total of 148 patients were reviewed and 130 patients with CISH were entered into the study. We investigated clinical factors, such as age, parity, BMI, height, weight, transverse diameter of uterus, previous operation number, operation assistant, period in sequence of operation date, pathology of uterus and operation time of surgery. The statistical assessment was used to find out the main factor determining the operation time of CISH. RESULTS: The mean operation time of CISH was 135.5 minutes and the mean transverse diameter of uterus was 7.2 cm. The main indications for CISH were uterine myoma or adenomyosis with dysmenorrhea, menorrhagia and vaginal bleeding. The operation time of CISH was affected by the transverse diameter of uterus and period which was categorized in sequence of operation date. CONCLUSION: Mainly, pre-operative ultrasonographic evaluation of uterine transverse diameter could predict the operation time of CISH.
Key Words: CISH, Myoma, Adenomyosis, Uterine transverse diameter, Operation time


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