Influence of minilaparotomy total hysterectomy on clinical course of patients.

Son, Haw Jeong; Kim, Sok Won; Yoon, Joo Hee; Jeong, Mi Young; Jo, Hyun Hee; Ryu, Soon Won; Lee, Hae Jin; Kim, Jin Hong

Obstet Gynecol Sci > Volume 44(8); 2001 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2001;44(8):1464-1468.
Published online August 1, 2001.

Influence of minilaparotomy total hysterectomy on clinical course of patients.

Haw Jeong Son, Sok Won Kim, Joo Hee Yoon, Mi Young Jeong, Hyun Hee Jo, Soon Won Ryu, Hae Jin Lee, Jin Hong Kim

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.

Key Words: Minilaparotmy, Total hysterectomy, clinical course, benign gynecologic disease