Clinical analysis of pelviscopic classic intrafascial Semm hysterectomy.
OBJECTIVE
To evaluate the efficacy of pelviscopic classic intrafascial Semm hysterectomy (CISH).


METHODS
Review of hospital records of 90 women undergoing pelviscopic CISH between April 1993 and June 1994.


METHODS
Department of Obstetrics and Gynecology at a university teaching hospital.


METHODS
Sequential sample of 90 women undergoing pelviscopic intrafascial hysterectomies.


METHODS
All of the hysterectomy procedures were performed in the classic manner with grasping forceps, scissors, ligatures, and sutures. No lasers, electrocoagulation, or stapling devices were used.


RESULTS
Indications, associated procedures, surgical outcomes, and complications were analyzed. The most common surgical indication was leiomyomata uteri. No major complications occurred even in patients who had extremely large leiomyomata. The mean uterine weight was 207.49 +/- 104.9 g. The average operating time (169.89 +/- 56.19 min) was consistent with that of other methods. Blood loss (160 +/- 182 ml) was lower than during conventional abdominal hysterectomy. No procedure was converted to laparotomy.


CONCLUSIONS
Pelviscopic CISH is truly a minimally invasive and organ-preserving surgery, and in our study was associated with significantly low morbidity and no major complications. Pelvic floor support is maintained and the ureters are not in danger. Coring out the cervix with the calibrated uterine resection tool may prevent the development of cervical cancer. Therefore, we think that CISH may be an acceptable technique for benign uterine disease.
Kim
D h
Dh
Department of Obstetrics and Gynecology, College of Medicine, Chung-ang University Hospital, Seoul, Korea.
Lee
J
J
Bae
D h
Dh
D000290:Adnexa Uteri / Q000601:surgery; D000328:Adult; D016063:Blood Loss, Surgical; D001956:Broad Ligament / Q000601:surgery; D002584:Cervix Uteri / Q000601:surgery; D003464:Culdoscopy; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery; D008026:Ligation; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009929:Organ Size; D016687:Polydioxanone; D012189:Retrospective Studies; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000473:pathology
D016687:Polydioxanone