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KMID : 0358419740170020105
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Korean Journal of Obstetrics and Gynecology
1974 Volume.17 No. 2 p.105 ~ p.110
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Clinical Evaluation of Hysterectomy Cases
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이진호/Lee JH
이재억/송상환/Lee JA/Song SW
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Abstract
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A study was carried out to evaluate postoperative morbidity in 90 hysterectomies from May 1972 to August 1973 at the Dept. of Obstetrics and Gynecology, Hanyang University School of Medicine. Ninety cases include 67 abdominal hysterectomies, 4 subtotal abdominal hysterectomies, and 19 vaginal hysterectomies. Definition of postoperative morbidity was quoted from the definition of puerperal morbidity except for a condition that authors arbitrarily divided morbidity into group A(excluding first 24 hours postoperatively) and group B(excluding first 72 hours postoperatively). Results obtained were as follows : 1) Postoperative morbidity was 47%(43 cases) in group A 21%(19 cases) in group B. When 16 cases who were already infented or who had chances of infiction at time of operation were excluded, the morbidity in both groups was 41.8%(31 cases) and 16.2%(12 cases) respectively. 2) Postoperative morbidity fue to unknown cause was 10 cases in group A whereas group B had only one case. 3) Postoperative morbidity in abdominal hysterectomy and vaginal hysterectomy was 43% and 36% in group A, and 20% and 5.2% in group B respectively. 4) Urinary tract infection was the most common cause of morbidity and showed 13 cases in group A and 9 case in group B. 5) Postoperative morbidity in group B was mainly due to urinary tract infection, 9 out of 12 cases. Authors felt that for the evaluation of postoperative morbidity, excluding postoperative first 72 hours tends to give better insight.
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