A Clinical Study on 450 Cases of Operative and Diagnostic Pelviscopy

Ryu, J H; Kwon, Y I; Park, T C; Sang, M R; Lee, K H; Kwon, D J; Lee, J W; Kim, S P

Abstract

OBJECTIVE
Pelviscopic surgery has been reported to reduce inpatient hospital time and cost in addition to minimizing tissue damage and bleeding. To evaluate the efficacy of pelviscopic surgery in gynecologic patients, we reviewed and analyzed 450 cases of operative and diagnostic pelviscopy from January, 1997 to December, 1998.
METHODS
From January, 1997 to December, 1998, total 450 patients were received laparoscopic surgery on dept. OBGY of Uijungbu St. Mary`s Hosp. We reviewed the chart and analyzed these cases about age, parity, diagnostic name, operation title, duration of hospitalization, side effect, operation time.
RESULTS
The results of this study were summarized as follows : 1. The average age of patients was 33.3 years old and the great incidence occurred in 26~30 years group [28.4%]. 2. The average parity of patients was 1.07 . 3. The common indication were ovarian cyst[34.7%], myoma uteri [21.2%], ectopic pregnancy[13.6%], pelvic endometriosis[12.7%]. In diagnostic pelviscopy, the most common indication was infertility[43.2%] and ovarian cyst [40.4%] was the most common indication in operative pelviscopy. 4. The major types of operative pelviscopy were cystectomy, total laparoscopic hysterectomy[TLH], laparoscopy assisted vaginal hysterectomy[LAVH], salpingectomy,adnexectomy, electrocauterization. 5. The mean duration of hospitalization was 3.06 days. 6. The major complication of surgery were intestinal injury, postoperative paralytic ileus, bleeding at resection site, but, they were controlled without difficulty.
CONCLUSION
Now, the use of pelviscopic surgery are increased in gynecologic surgery. Pelviscopic surgery is useful and recommended for the treatment of gynecologic disease, because this is safe and has many advantages.