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KMID : 0358419940370091753
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Korean Journal of Obstetrics and Gynecology
1994 Volume.37 No. 9 p.1753 ~ p.1759
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Clinical Evaluation of Total Abdominal Hysterectomy
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동가진
한준열/전종태/배국환
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Abstract
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A clinical evaluation was attempted to analysis 912 women who underwent total abdominal hysterectomy at the department of Obstetric and Gynecology, Marynoll Hospital, Pusan, from January 1990 to December 1993.
@ES The results were as follows:
@EN 1. The most common age distribution was 40 to 49 years and 51.21% of patient(467cases)belonged to that age range.
2. The most common parity was para 2 which consitituted 37.39%(341 cases).
3. The most common symptoms & signs were palpable mass(23.74%)and followed by lower abdominal pain(18.87%) and vaginal bleeding(16.87%).
4. The uterine myoma was most commonly indicated for hysterectomy and constituted 51.54%(470 cases).
5. Anemia was found in 204 cases(22.37%).
6. Majority of cases were received abdominal hysterectomy including 21 cases of radical hysterectomy with pelvic lymphadenectomy.
7. Leiomyoma was the most common postoperative pathologic findings (49.67%) and followed by adenomyosis(30.04%).
8. The Overall complication rate of total abdominal hysterectomy was 22.95% and the most common complication was febrile morbidity in 7.12% of all cases.
9. Mean admission days were 8.57 days and 57.57% of patients(525 cases)discharged on the 8 the postop. Day.
10. Overall 39.15% of the patients underwent hysterectomy for appropriate, and 22.25% for inappropriate reasons.
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