583 Cases of Pelviscopic Surgery

Kim, J Y; Kang, S C; Yoon, B M; Lee, H G; Park, W G; Chang, M K; Park, J K

Abstract

Five hundred eighty three cases of pelviscopic operation were performed at Kwang-Hye General Hospital from September 1993 to December 1997. The common indications were ectopic pregnancy (33%), myoma uteri (32%), ovarian cyst (21%) and types of surgery were salpingectomy (28%), Classical Intrafascial S.E.M.M Hysterectomy (CISH) and Laparoscopic Assisted Vaginal Hysterectomy (LAVH) (27%), salpingo-oophorectomy (17%), oophorectomy (8%) and ovarian cystectomy (8%). The age of the patients ranged from 21 to 55 years and the mean age was 37.6 years and mean parity of the patients was 1.66 and mean duration of postoperative hospitalization was 3.77 days. The operation time was varied from 30 minutes to 7 hours, mean time of CISH 112.34 minutes, ectopic pregnancy 67.45 minutes, ovarian cyst 69.37 minutes, but recently it was shorter than previously. In our conclusion, pelviscopic surgery makes minimal incision, minimal postoperative adhesion, and low morbidity, and early recovery brings short hospitalization, and reduction of medical cost. Pelviscopic surgery is effective and useful method of treatment in the community hospital.