Laparoscopic hysterectomy, introduced by Reich et al in 1988, has proven to be an effective alternative to abdominal hysterectomy for women.
Several modalities were introduced by some laparoscopists, among which the supracervical modality was particularly suitable for laparoscopic surgery because it has some advantages.
The surpracervical hysterectomy requires less dissection of the bladder and the technique minimally alters the anatomy and integrity of the pelvic floor and vagina, therefore the risk of bleeding, surgical injuries to the bladder, ureters and
lower
intestinal tract were decreased.
These factors may be responsible for the apparently less compromised bladder and sexual function and decreased long term morbidity.
The purpose of the study described below was to show that laparoscopic supracervical hysterectomy can be performed safely with minimal morbidity, and to estabilish the validity of replacing the vast majority of traditional abdominal
hysterectomies.
During the period Octorber, 1992-June, 1996, 300 women underwent Classical Intrafascial SEMM Hysterectomy(CISH) at Cha General Hospital, Seoul, Korea and KyungHee Bundang Cha Hospital, Seongnam, Korea,
Most common age groups were 41∼50, and average age of patients was 43.2 years old.
Most common parity group was 2, and arverage parity was 2.4.
Myoma and adenomyosis of uterus were common preoperative surgical indications.
Most common uterine size was 8∼10 weeks gestational size.
The common operation time ranged from 151∼180 minutes with a mean of 156 minutes.
The common Hgb loss range was 1.5∼1.0 gm/dl, and average was 0.78 gm/dl.
The common hospitalization period were 5∼6 day with a mean of 5.9 days.
The complications were 23 cases, among which intra and postoperative bleeding were most common.
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