ABSTRACT
OBJECTIVE: The aim of this study is to extend the indications of hysteroscopic myomectomy. METHODS: Total 304 women who had undergone hysteroscopic myomectomy between February 2001 and March 2005, were selected. Clinical characteristics, laboratory data and postoperative results were analyzed. RESULTS: Mean size of myoma is 3.5 cm, mean op. time is 47 minutes, mean deficit of distension media is 193 cc, types of distension media is URIONE(R) and normal saline, average duration of hospitalization is 4.9 days, average changes of Hb. is 1.5 g/dL, complications of op. were happended in 14 cases, that is uterine perforation (n=8), hyponatremia (n=2), pulmonary edema (n=2), delayed bleeding (n=2). CONCLUSION: The indications of hysteroscopic myomectomy can be extended. In case that patient want to preserve the uterus, deep myometrial embedded or pure intramural myoma might be resected hysteroscopically by single- or multi-step procedure. Hysteroscopic myomectomy performed at observational period may be alternative to hysterectomy in selected cases. In case of recurrence, repeat procedure may reduce the chance of hysterectomy. Intraoperative ultrasonographic guidance is an important procedure in hysteroscopic myomectomy. It lower the complications and morbidity rate.
Subject(s)
Female , Humans , Hemorrhage , Hospitalization , Hyponatremia , Hysterectomy , Myoma , Pulmonary Edema , Recurrence , Uterine Perforation , UterusABSTRACT
Mature cystic teratoma of the ovary is the most common ovarian germ cell tumor and benign, but malignant transformation occurs in less than 2% of benign mature teratoma. Of the malignancies arising in teratomas, squamous cell carcinoma is the most common, however, carcinoid tumors or adenocarcinomas arising in mature cystic teratoma are uncommon, especially simultaneously. We present an unusual case of premenopausal woman having carcinoid tumor and mucinous adenocarcinoma simultaneously arising in ovarian muture cystic teratoma.
Subject(s)
Female , Humans , Adenocarcinoma , Adenocarcinoma, Mucinous , Carcinoid Tumor , Carcinoma, Squamous Cell , Mucins , Neoplasms, Germ Cell and Embryonal , Ovary , TeratomaABSTRACT
Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric/gynecologic procedures. Cesarean section scar endometriosis may be more common than reflected in the literature and has a distinct presentation and treatment. One patient with history of cesarean section presented with a painful, enlarging mass involving the cesarean section scar. The pain was cyclic and strongest just prior to menstruation. This patient was treated with surgical excision and specimens had endometriosis confirmed by histopathology. This case was reported with a brief review of the concerned literatures.
Subject(s)
Female , Humans , Pregnancy , Cesarean Section , Cicatrix , Endometriosis , Menstruation , Subcutaneous TissueABSTRACT
Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric/gynecologic procedures. Cesarean section scar endometriosis may be more common than reflected in the literature and has a distinct presentation and treatment. One patient with history of cesarean section presented with a painful, enlarging mass involving the cesarean section scar. The pain was cyclic and strongest just prior to menstruation. This patient was treated with surgical excision and specimens had endometriosis confirmed by histopathology. This case was reported with a brief review of the concerned literatures.
Subject(s)
Female , Humans , Pregnancy , Cesarean Section , Cicatrix , Endometriosis , Menstruation , Subcutaneous TissueABSTRACT
Two-hundred and twelve cases of pelviscopic operation were performed at Pusan St. Benedict Hospital from November, 1992 to December, 1995. The results were as follows; The common indications were ovarian cyst(32.2%), ectopic pregnancy(16.9%), and endometriosis(14.7%). Frequent types of surgery were salpingo-oophorectomy(22.6%), salpingectomy(10.8%), and oophorectomy(10.0%). The mean age of the patients was 33.4 years. The mean parity of the patients was 1.0. The mean duration of hospitalization was 4.8 days. The most common complication was hemorrhage at the trocar sites. In our conclusions, pelviscopic surgery made minimal postoperative hemorrhage with postoperative discomfort, low incidence of complications, and short duration of hospitalization. Pelviscopic surgery was useful and recommended for the treatment of gynecologic diseases.
Subject(s)
Female , Humans , Genital Diseases, Female , Hemorrhage , Hospitalization , Incidence , Parity , Postoperative Hemorrhage , Surgical InstrumentsABSTRACT
This study was performed to evaluate the diagnostic value of colposcopy by comparing colposcopic findings with cytology, histology of colposcopically directed biopsy and final biopsy result on hysterectomy. From January 1, 1988 to August 31, 1996, the colposcopic examinations was undertaken in 1200 patients, excluding grossly visible carcinoma of the cervix. The result were as follows : 1. Colposcopic examinations were satisfactory in 95.4% and unsatisfactory in 4.58%. 2. The accuracy rate of cytologic diagnosis was 73.1% and colposcopic impression was 93.1%. 3. The false negative rate of colposcopic impression was 2.6%, much less than 24,7% of cytologic examination. 4. The cytologic accuracy rate in cervicitis was higher than that of colposcopic impression but the accuracy rate of colposcopic impression in diagnosis of cervical intraepithelial neoplasia was higher than that of cytology. 5. Among 97 cases in which colposcopically directed biopsy were performed, more advanced lesion were disclosed in 12 cases(12.4%).