Clinical Evaluation on 72 Cases of C.I.S.H.(Classic Intra-fascial S.E.M.M. Hysterectomy) and Comparisonwith Total Abdominal Hysterectomy

Lim, Y M; Tak, B M; Kim, K M; Yang, K S; Jung, H S

Abstract

A clinical evaluation was attempted to anlaysis 72 cases of CISH which was performedat Seoul Adventist Hospital from October, 1994 to August, 1996 and to compare with totalabdominal hysteretomy of 78 cases at same hospital.The results of this study were summarized as follows.1. The average age of patients for CISH was 42.1 years.2. The mean operation time for CISH was 127.5 minutes.3. The common indications for CISH were myoma uteri(47.2%), adenomyosis(19.4%) andmyoma uteri with adenomyosis(33.3%).4. The mean duration of hospital for CISH was 5.3 days.5. The complications were coring site bleeding(4 cases), trocar site hemorrhage(2 cases),headache(5 cases), dysuria(1 case) and intraoperative bleeding(2 cases).In our conclusion, CISH technique is a minimally invasive and organ-preserving surgery.Because there are no abdominal or vaginal incisions and pelvic floor support is maintained,physical and psychological stress to the patient can be minimized.This operation has advantages of shorter hospitalization, smaller blood loss, shorteroperation times and reduced postoperative complications.