A study was attempted to analyze 752 women underwent hysterectomy at Department of Obstetrics and Gynecology, Eul-ji General Hospital from Jan. 1992 to Dec. 1994. We pergormed 452 cases of total vaginal hysterectomy (TVH) and 300 cases of total
abdominal hysterectomy(TAH). The indications of TVH were myoma, prolapse uteri, CIS, and cervix dysplasia in order of frequency, while those of TAH were myoma, adnexal mass, cervix dysplasia and endometerial hyperplasia. There were significant
differences in the distribution of age, parity, body type and duration of operation between TVH and TAH groups. The mean age of TVH group was older than that of TAH group(47.04 vs 44.27; p<0.01) and the mean parity was also significantly higher
in
TVH
group than that of TAH group(3.1 vs 2.26; p<0.01). More obese indivisuals in body type were subjected to TVH than TAH(p<0.01). The average time (min) of operation was shorter in TVH group than that of TAH group(92.28 vs 103.68; p<0.01). The mean
days of
hospital stay were almost same in both TVH and TAH groups(9.5 vs 9.33; p=1757). The proportion of women having previous abdominal operation in TVH and TAH groups were 35.4% and 43% respectively. The common concurrent procedures in TVH group were
A-P
colporrhapy(47.4%), Post, colporrhapy(41.3%), adenexectomy (10.6%), whereas those in TAH group were adnexae operation(64.8%), Post, colporrhapy (18.8%) and appendectomy(13.0%). The post-op. Complications in TVH group were voiding
difficulty(22.5%),
and
fever(9.4%), stump bleeding (3%), peroneal nerve palsy(0.4%) in oreder of frequency, while in TAH group there were fever(11.7%), voiding difficulty(6.2%), bladder injury(0.7%). Above results indicated that the TVH was more preferred to TAH in
old-aged,
obese patients, but this method had no descrete advantages over TAH especially in respect to the duration of hospital staying and in the occurrence of complication. Thus, we conclude that the method of hysterectomy should be carefully chosen with
considering the status of the patients as well as the advantage of each procedures.
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