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Department of Obstetrics and Gynecology, Choong-Ang University, Medical School, having conducted 80 cases of cesarean hysterectomy, present here the result of clinical analysis as follows. 1) The ratio of cesarean hysterectomy to a total delivery was a remarkably high one, 5.21%, among which 31 cases of placental complication occupied 38.75% at most and 9 cases of infected uterus, 11.2% in the next frequency. 2) Out of 80 cases of cesarean hysterectomy were 17 cases (21.25%) elective, 63cases (78.75%) indicated. Or 34 cases (42.5%) elective, 46 cases (57.5%) mandatory. It is thought that the absolute indication of cesarean hysterectomy lies in the mandatory cases over the indicated ones. 3) 28 cases (35%) were complicated by pyrexia. 57 cases (71.25%) spent less than 10 days in the hospital. The literatures show no considerable difference concerning these respects between cesarean hysterectomy and cesarean section with tubal ligation. 4) To illustrate some of the major complications required reoperation after cesarean hysterectomy, we dealt with 1 cases of broad ligament hematoma, 1 of retroperitoneal abscess and 1 of vaginal cuff bleeding, all of which were given complete healing. 5) The incidental intra-operative injury to the bladder and urinary tract being commonly issued in the literature, was satisfactorily preventable by peeling off the paracervical tissue with Huwer`s intracervical procedure. 6) The fact that unduly prolonged catheter retention more than 2 days was needed in 9 cases (11.2%) and urinary symptoms were manifested in 6 cases (7.5%), is an sample evidence that the intracervical operative technique presumably does not accompany any detrimental histological damage to the nick of bladder and upper urethra. 7) The whole blood was tranfused in 52 cases, the average being 2.2 pints. The significant lower value of post-operative hematocrit than that of pre-operative one is supposedly attributable to the pre-operative blood loss (45 cases) rather than to the operation per seeing that the intra-operative blood loss exceeding the amount of 500cc. was noted only in 9 cases. 8) Out of 80 cases of cesarean hysterectomy, 76 cases were performed in total and 4 in subtotal, 2 of 76 total hysterectomies carried out with the cervix fully dilated were later found later found incomplete in the removal of cervix uteri.
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