Résumé
OBJECTIVE: The goal of this study was to evaluate the clinical course of total hysterectomized patient with benign gynecologic disease using minilaparotomy. METHODE: 45 benign gynecologic diseased patients who hysterectomized with Pfannelstiel's skin incision and PCA (patient controlled analgesics). 30 patients were laparotomized, and 15 patients were minilapartomized. We analyzed the data of this patients for age, parity, duration of operation, the weight of the uterus, change of the hemoglobin, removal time of foley catheter, starting time of regular diet, initial time of ambulation and discharge date. RESULT: Minilaparotomy hysterectomized patients have lesser bleeding and show more rapid recovery of bowel movement and bladder function. And they experience lesser pain than the other group. CONCLUSION: Minilaparotomy is a safe and feasible route of hysterectomy for a selected group of patients.
Sujets)
Femelle , Humains , Cathéters , Régime alimentaire , Maladies de l'appareil génital féminin , Hémorragie , Hystérectomie , Laparotomie , Parité , Anaphylaxie cutanée passive , Peau , Vessie urinaire , Utérus , Marche à piedRésumé
OBJECTIVE: The aim of this study is to improve the pregnancy outcome and evaluate the prognostic factor after McDonald operation of IIOC patients. METHODS: From January 1, 1995 to December 31, 1999, 230 cases of IIOC were admitted and treated with McDonald operation at department of Obstetrics and Gynecology, Medical college of Catholic university. Among these patients, 187 cases were analyzed. We classified the above patients into 4 groups by gestational weeks of the operation (1st group before 14weeks, 2nd group 14+1-16weeks, 3rd group 16+1-18weeks, 4th group after 18weeks), and we analyzed the mean age of the patients, parity, indications, operation time, delivery methods and fetal survival rate on each groups. RESULTS: The fetal survival rate was 76.08%,and duration of pregnancy was 21.65weeks+/-6.39 in the 1st group, 78.5%, 19.24weeks+/-6.367 in the 2nd group, 88.2%,18.25weeks+/-5.15 in the 3rd group, 75.67%, 12.12weeks+/-7.19 in the 4th group. The 3rd group shows higher fetal survival rate with significantly. CONCLUSION: We can have higher fetal survival rate and prolongation of duration of pregnancy in the IIOC patients when we do the McDonald operation in the 16+1-18th gestation weeks.
Sujets)
Femelle , Humains , Grossesse , Col de l'utérus , Gynécologie , Obstétrique , Parité , Issue de la grossesse , Taux de survieRésumé
OBJECTIVE: The aim of this study is to improve the pregnancy outcome and evaluate the prognostic factor after McDonald operation of IIOC patients. METHODS: From January 1, 1995 to December 31, 1999, 230 cases of IIOC were admitted and treated with McDonald operation at department of Obstetrics and Gynecology, Medical college of Catholic university. Among these patients, 187 cases were analyzed. We classified the above patients into 4 groups by gestational weeks of the operation (1st group before 14weeks, 2nd group 14+1-16weeks, 3rd group 16+1-18weeks, 4th group after 18weeks), and we analyzed the mean age of the patients, parity, indications, operation time, delivery methods and fetal survival rate on each groups. RESULTS: The fetal survival rate was 76.08%,and duration of pregnancy was 21.65weeks+/-6.39 in the 1st group, 78.5%, 19.24weeks+/-6.367 in the 2nd group, 88.2%,18.25weeks+/-5.15 in the 3rd group, 75.67%, 12.12weeks+/-7.19 in the 4th group. The 3rd group shows higher fetal survival rate with significantly. CONCLUSION: We can have higher fetal survival rate and prolongation of duration of pregnancy in the IIOC patients when we do the McDonald operation in the 16+1-18th gestation weeks.