Twenty patients underwent pelviscopic classical intrafascial SEMM hysterectomies(CISH) using multifire Endo GIA from March 1994 to December 1994 at the Department of the Obstetrics and Gynecology, Keimyung University.
CISH method is pelviscopic supracervical hysterectomy with transvaginal cylindrical coring out of the cervical tissue using CURT(Callibrated Uterine Resection Tool). The advantages of the CISH method using CURT may be the preservation of the
pelvic
floor organ and minimally invasive surgery.
Our method, which is multifire Endo GIA to transect the infundibulcpelvic ligament, makes facilitate the operating procedure and reduce the blood loss. The mean age of the patients was 41 years old. The indication of the surgery were uterine
myoma(12
cases, 60%), adenomyosis(8 cases, 40%). In the size of uteri, 8 gestational week-sized were 7 cases(35%) 10 gestational week-sized were 9 cases(45%), 12 gestational week-sized were 3 cases(15%), 14 gestational week-sized was 1 case(5%).
The mean hospitalization was 5.1% dyas and the mean estimated blood loss was 1.6gm/dl hemoglobin. The mean operating time was 186 minutes. Postoperative complication were as follows; cervical stump hematoma(1), cone site hemorrhage(2), trocar
puncture
site hematoma(2).
In conclusion. CISH operation using multifire Endo GIA not only makes the procedure safer for the patient but also facilitates surgery and reduces operating time of conventional CISH operation. The trauma to the patient is minimal, and organ
preservation and fundction are optimal.
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