Korean J Obstet Gynecol.  2001 Aug;44(8):1464-1468.

Influence of minilaparotomy total hysterectomy on clinical course of patients

Affiliations
  • 1Department of Obstetrics and Gynecology Catholic University Medical College, Seoul, Korea.
  • 2Department of Anesthesiology Catholic University Medical College, Seoul, Korea.

Abstract


OBJECTIVE
The goal of this study was to evaluate the clinical course of total hysterectomized patient with benign gynecologic disease using minilaparotomy. METHODE: 45 benign gynecologic diseased patients who hysterectomized with Pfannelstiel's skin incision and PCA (patient controlled analgesics). 30 patients were laparotomized, and 15 patients were minilapartomized. We analyzed the data of this patients for age, parity, duration of operation, the weight of the uterus, change of the hemoglobin, removal time of foley catheter, starting time of regular diet, initial time of ambulation and discharge date. RESULT: Minilaparotomy hysterectomized patients have lesser bleeding and show more rapid recovery of bowel movement and bladder function. And they experience lesser pain than the other group.
CONCLUSION
Minilaparotomy is a safe and feasible route of hysterectomy for a selected group of patients.

Keyword

Minilaparotmy; Total hysterectomy; clinical course; benign gynecologic disease

MeSH Terms

Catheters
Diet
Female
Genital Diseases, Female
Hemorrhage
Humans
Hysterectomy*
Laparotomy*
Parity
Passive Cutaneous Anaphylaxis
Skin
Urinary Bladder
Uterus
Walking
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