Korean J Obstet Gynecol Search


Korean Journal of Obstetrics & Gynecology 2004;47(11):2183-2188.
Published online November 1, 2004.
Modified Classic Intrafascial Supracervical Hysterectomy: The comparison with conventional method.
Eun Sil Lee, Sang Hoon Lee, Dong Ho Kim
Department of Obstetrics and Gynecology, Chung-Ang University, Korea.
To introduce the technical aspects and advantages of a new classic intrafascial supracervical hysterectomy (CISH) technique over the conventional technique. METHODS: The charts of two hundred women who underwent conventional CISH technique (100 cases) between March 2000 and September 2000, or the new CISH technique (100 cases) between May 2002 and November 2002 were reviewed regarding patient characteristics, indications, uterine weight, estimated blood loss, operating time, and hemoglobin change. Cases with a very large uterus (over 500 g of weight), severe adhesions, and other complications, which required a longer operating time, were excluded and this study compared the most recent patient's data for both procedures, since the surgeon's experience and surgical technique will improve with practice. RESULTS: The women who underwent the new CISH had significantly shorter operating time as compared with the conventional method (106.7 vs 90.4 min). Although there was no significant difference in the estimated blood loss, the drop of Hb, which is an objective sign of blood loss, was significantly smaller using the new CISH technique than using the conventional CISH technique (1.98 vs 1.64 g/dL). CONCLUSION: The new CISH technique is safer, more convenient with less blood loss and shorter op time than the conventional technique, especially when the uterus is markedly enlarged by a large myoma, the ovarian ligament is too short, or the ovary and uterus are very closely adherent.
Key Words: Modified, CISH

Article category

Browse all articles >


Browse all articles >

Editorial Office
4th Floor, 36 Gangnam-daero 132-gil, Gangnam-gu, Seoul 06044, Korea.
Tel: +82-2-2266-7238    Fax: +82-2-3445-2440    E-mail: journal@ogscience.org                

Copyright © 2024 by Korean Society of Obstetrics and Gynecology.

Developed in M2PI

Close layer
prev next