Morbidity of Vaginal Hysterectomy for Uterine Myoma as Function of Uterine Weight.
- Author:
Sung Taek PARK
1
;
Ji Eun SONG
;
Woo Kyun SHIN
;
Hong Bae KIM
;
Sung Ho PARK
;
Hyun Ah JUN
;
Kyun Young LEE
;
Sung Won KANG
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Seoul, Korea. drhbkim@unitel.co.kr
- Publication Type:Original Article
- Keywords:
Vaginal hysterectomy;
Uterine weight;
Morbidity
- MeSH:
Female;
Heart;
Humans;
Hysterectomy;
Hysterectomy, Vaginal*;
Korea;
Leiomyoma*;
Postoperative Complications;
Retrospective Studies;
Seoul;
Uterus
- From:Korean Journal of Obstetrics and Gynecology
2006;49(5):1093-1099
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the relationship between uterine weight and morbidity in women undergoing vaginal total hysterectomy. METHODS: A retrospective chart review of 549 cases of patients with vaginal totoal hysterectomy was performed. Patients included in this study underwent vaginal total hysterectomy as benign uterine tumors at Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea from June 2003 through June 2004. These patients were stratified into four groups; Group I patients with uterine weight of <180 gm (n=132), Group II patients with uterine weight of between 180 gm to 280 gm (n=238), Group III 280 gm to 380 gm (n=100), Group IV patients with uterine weight of >380 gm (n=79). The groups were compared as regard age, paturity, previous pelvic operations, postoperative discharge day, postoperation hemoglobin change, operation time, postoperative complications. RESULTS: There was no significant difference between the four groups with repect to postoperative discharge day (Mean=9.08 day), concurrent surgical procedure, age (M=45.96 years old), parturity (M=1.88). The overall complication rate was not significantly different (postoperation hemoglobin change (M=1.25), Complication). But the morcellation rate increased 8.33% in group I, 34.18% in group II, 55% in group III, 83.5% in group IV, respectively. The operation time prolonged as uterus weight increased.; 73 minutes in group I, 79 minutes in group II, 85 minutes in group III, 91 minutes in group IV. CONCLUSION: The vaginal total hysterectomy can be performed successfully in case of greatly enlarged uterus. Uterus enlargement is not an absolute contraindication.
