Changing Trends in Surgical Approaches of the Hysterectomy: 3408 cases Vaginal Hysterectomy-The University of Hallym Hospital's Experience in Korea / 대한산부인과학회잡지

OBJECTIVE: The purpose of our study evaluate to assess the feasibility and safety of performing vaginal hysterectomy on our experience. METHODS: Between 1990 year and 1997 year, 3408 women underwent vaginal hysterectomy without laparoscopic assistance at Hallym University Hospital in Korea. All hysterectomies(abdominal & vaginal) were reviewed and these were compared with all hysterectomy cases from most recent year available for complete analysis. RESULT: 1. In 1990 yrs~1997 yrs, vaginal hysterectomies compromised 51%(vaginal hysterectomy [below VH]: 268 / total abdominal hysterectomy [below TAH]: 258; 1990), 55%(VH: 254/TAH: 212; 1991), 60%(VH: 346/TAH: 227; 1992), 64%(VH: 341/TAH: 190; 1993), 72%(VH: 434/TAH: 168; 1994), 75%(VH: 489/TAH: 156; 1995), 76.%(VH: 632/TAH: 196; 1996), 78%(VH: 657/TAH: 190;1997), a high increased rate of vaginal hysterectomy significantly. 2. The average age of patients was 41.9+/- 8.18(26~84) years old and 25 nullipara and 274 primiparas and 3109 multiparas. The mean parity was 2.74+/-0.36. 3. The common surgical indications were uterine myoma(53.9%), prolapse of uteri(23.3%), CIN II-III or microinvasive cervical cancer(6.5%), others(16.3%) 4. The average time of operation(hysterectomy and colporrhaphy) was 78.3+/- 14.2 min(40~230). 5. The average weight of uterus was 166.5+/- 111.4 gm(60~1130 gm), 34.0% was done morcellation. 6. 5.7% of operated women had previous abdominal operaton (without tubal ligation). 7. The common associated procedures were posterior colporrhaphy(47.4%), anteroposterior colporrhaphy(45.6%), adnexectomy(4.9%), other(2.1%). 8. The mean blood loss was 280+/- 104.4 ml and 12.4% of operated women were need of transfusion. 9. The minor complication rate was 10.6% e.g. urinary retention(5.3%-179cases), abdominal bleeding (including conversion TAH) (0.3%-9cases), pelvic hematoma(0.3%-11cases), post operation fever(2.8%-94cases), mortality cases none. 10. The mean hospital days were 7 days(4~20) CONCLUSION: In our experience the following conclusions have been reached that vaginal hysterectomy is usually well tolerated by most women, a safe operation with few complications and without notable blood loss and without the need of expensive laparoscopic equipment. The incidence of vaginal hysterectomy is characterized by pronounced fluctuations suggested that no valid general guidelines have yet been established for the indication via vagina of surgical treatment. The incidence of vaginal hysterectomy correlates with the experience of individual surgeon strongly. Vaginal hysterectomy remains the method of choice for removal of the uterus in the absence of absolute contraindication.

A Study of Interleukin -8 in the Peritoneal Fluid of Patients with Endometriosis / 대한산부인과학회잡지

No abstract available.

The Effect of The IOL Position Studied by Using Scheimpflug Camera to The Postop Astigmatism

Management of surgically induced astigmatism is the major problem for surgeons implanting intraocular lenses. Besides corneal astigmatism, the fixation status of the intraocular lens(IOL) may contribute to postoperative astigmatism. This study was undertaken to analyze whether the variable factors such as fixation status, IOL type, and capsulotomy method affect tilting and decen tration of IOL. The tilting angle and decentration of the IOL were measured by image-processing technique using computerized Scheimpflug camera. The average tilting angle was 4.30 +/- 2.21 degree. The average decentration was 0.44 +/- 0.36mm from the corneal center. Based on these data, the astigmatic error induced by the tilting and/or decentration of the implanted IOL was calculated as within 0.1 diopter. Haptic fixation and designs were statistically significant for IOL posit ion but tilting and decentration were not significantly associated with capsulotomy method, agegroup, sex, and postoperative day.

Biometric Analysis of the Normal Aged Eye with Photodocumentation Method

The biometric analysis of the normal aged eye with photodocumented method (using EAS-lOOO Scheimpflug camera) was performed in 109 eyes. We measured anterior chamber depth, corneal thickness, corneal radius, lens thickness and biometric lens analysis according to the age. The lens thickness increased annually (O.O1mm) with age and the anterior chamber depth reversely decreased. The biometric analysis can provide normal critariae values about the effect of anticatar acto us drugs in long-term follow up study and the relationships between normal aged lens and highly risk groups in the cataract prevalence study.