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KMID : 0381219920240020192
Journal of RIMSK
1992 Volume.24 No. 2 p.192 ~ p.199
A Clinical Studies of Pelviscopic Assisted Vaginal Hysterectomy




Abstract
Changing indication for vaginal hysterectomy depend upon the operator skill and experience. Various technique, by pelviscopic surgery, morcellation and coring method.
The presence of symptomatic fibrinoid tumor of the uterus, relatively uterine size, pelvic adhesion, previous operative history should not deter the hynecologist from vaginal hysterectomy, especially pelviscopic assisted vaginal hysterectomy.
The adnexa are after more difficult to remove in vaginal hysterectomy in elderly women because the atrophic tube, and ovary are held more snugly against the lateral pelvic wall. Post operative evaluation of the intraadbominal status, was
performed
pelviscipic assisted vaginal hysterectomy, especially vaginal stump bleeding, Adnexal concurrent surgical procedure, and status, inserted hemo-vac, A retrospectively review of pelviscopic assited vaginal hysterectomy was attempted to analysis 100
women,
from Aug, 1989 to Apr. 1991 at the department of Obstertrics and Gynecology, Chung Ang medical College, Young San Hospital.
The pelviscopic assisted vaginal hysterectomy has been known to have more advantages than vaginal hysterectomy, or abdominal hysterectomy, especially. The reduction in morbidity and in length of stay would results in considerble savings in
medical
costs. Vaginal hysterectomy with or without pelviscopic surgery and , with or without perineal repair is a procedure well tolerated by most women generally providing a "smoother" convalescence than abdominal hysterectomy.
We analized surgical procedure postoperative pathologic result, gas out time, duration of hospital stay. The purpose of this report is to evaluate the change in indication for the performance of vaginal hysterectomy by the use of pelviscopic
surgery.
KEYWORD
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