Korean J Obstet Gynecol.  2008 Aug;51(8):892-899.

Analysis of clinical factors influencing on the operation time of classical intrafascial supracervical hysterectomy (CISH)

• Lee SJ
• Kim DB
• Yi SW

Abstract

OBJECTIVE
The purpose of this study was to find clinical factors affecting the operation time of the classical intrafascial supracervical hysterectomy (CISH) performed on patients with uterine disease.
METHODS
From January 2001 to December 2006, a total of 148 patients were reviewed and 130 patients with CISH were entered into the study. We investigated clinical factors, such as age, parity, BMI, height, weight, transverse diameter of uterus, previous operation number, operation assistant, period in sequence of operation date, pathology of uterus and operation time of surgery. The statistical assessment was used to find out the main factor determining the operation time of CISH.
RESULTS
The mean operation time of CISH was 135.5 minutes and the mean transverse diameter of uterus was 7.2 cm. The main indications for CISH were uterine myoma or adenomyosis with dysmenorrhea, menorrhagia and vaginal bleeding. The operation time of CISH was affected by the transverse diameter of uterus and period which was categorized in sequence of operation date.
CONCLUSION
Mainly, pre-operative ultrasonographic evaluation of uterine transverse diameter could predict the operation time of CISH.

Keyword

CISH; Myoma; Adenomyosis; Uterine transverse diameter; Operation time

MeSH Terms

Adenomyosis
Dysmenorrhea
Female
Humans
Hysterectomy
Menorrhagia
Myoma
Parity
Uterine Hemorrhage
Uterus