Since Wertheim developed surgical technique of the radical hysterectomy with pelvic lymphadenectomy about, 1900, this procedure has been the first effective method available for the cure of cervical carcinoma. Although many retrospective studies
have
been published with varied results between radical hysterectomy and radiotherapy, the operation allows preservation of ovarian function as well as better vaginal integrity and health.
We had executed 125 cases of radical hysterectomy of the patients of cervical cancer stage Ib and IIa who were hospitalized in the Department of Obstetrics and Gynecology, School of Medicine, University of Kyung Hee during the term of from March
1,
1986
to December 31, 1993.
The purpose of this study was to analyze the postoperative complications and correlations associated with other factors.
@ES The results were as follows:
@EN 1. There was no operative death. The mean blood transfusion in radical hysterectomy was 6.7 pints of blood (whole blood, packed RBC and fresh frozen plasma). There was no significant correlation between the amount of blood transfusion and
febrile
morbidity(p=0.18999). Also there was no significant correlation between the amount of blood transfusion and recurrence of invasive cervix cancer(p=0.91644).
2. There was one case of ureterovaginal fistula (0.8%), 3 cases of vesicovaginal fistula(2.4%) and 3 cases of rectovaginal fistula(2.4).
3. Three of the 125 patients treated with radical hysterectomy experienced small bowel obstruction(2.4%).
4. There were one cases pneumonia(0.8%), 23 cases of UTI(18.4%), 6 cases of wound disruption or abscess(4.8%) and 2 cases of pelvic hematoma or cellulitis(1.6%). There was no significant correlation between the duration of indwelling foley
catheter
and
febrile morbidity(P=0.44538).
5. Twenty one patients experienced transient hepatic dysfuction after radical hysterectomy(16.8%). There was no correlation between operative time and transient hepatic dysfunction(P=0.85291). But there was some significant difference between
large
amount of blood transfusion(10 or more pints) and transient hepatic dysfunction(p=0.05284).
6. Fifty five patients experienced functional vesical disturbance(44.0%). There was no correlation between age of patients and functional vesical distrubance(p=0.96241).
7. Lymphocyst formation occured in 8 patents(6.4%). There was no correlation between time for removal of hemovac and lymphocyst formation(p=0.79487).
8. Of chronic postoperative complication, loss of bladder sensation(hypotony, atony) occured in 15 patients(12.0%). The pyelonephritis occured in 7 patients (5.6%). The leg or vulva edema occurred in 12 patients(9.6%). And four patients
experienced
postoperative ventral hernia(3.2%).
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