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김도강,김수평,노덕영,신진웅,장병우,변태섭,서천옥,이희중,강규섭 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
Objective: This report was undertaken to determine the present status of cesarean hysterectomy which was originally devised to prevent postcesarean infection and hemorrhage, and its conditions have gradually been widened to include many conditions in which removal of the uterus is necessary or desirable. Material & method: 53 cases of cesarean hysterectomy performed at Taejon St, Mary`s Hosp. from Jan. 1992 to Aug. 1997, was discussed and evaluated retrospectively. Results: There were 19, 823 deliveries during this period. Cesarean hysterectomy was performed in 53 cases of 8, 558 cesarean sections [0.56%] and 11, 265 normal spontaneous vaginal deliveries [0.04%], an total indication of 0.28%. In total subjects of 53 cases in this series, the subject were 31 cases of uterine atonic bleeding, 9 cases of adhesive placenta, 6 cases of placenta previa, 5 cases of uterine myoma with pregnancy and 2 cases of uterine rupture. All patients who had cesaren hysterectomy received transfusion from 1 pint to 40 pints. The post operative complications were atonic bladder, disseminated intrav ascular coagulopathy, febrile morbidity and wound infection. There was one maternal death due to acute, severe homorrhage and DIC. Conclusion: Postoperative complications still remain the main causes of maternal mortality. Therefore careful prenatal care, momentary judgement of right operation time, fresh blood transfusion and reduction of operation time are very important.
김도강,김수평,노덕영,신진웅,유병대,이형근 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.6
Leiomyomas of the vagina are rare benign solid tumors. A leiomyoma arises from muscle in the round ligament and appears as a firm movable tumor deep in the substance of the labium majus, but minority of these tumors occur in vaginal wall. A case of a 39 year old woman with leiomyoma of the vaginal orifice was reported with a brief review of literature.
김도강,김수평,노덕영,유병대,이희중,한상하 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.11
Malignant ovarian lymphoma is a very rare entity and has a poor prognosis. A 32-year-old woman visited Taejon St, Mary`s hospital due to abdominal discomfort and pelvic mass. Under the impression of ovarian malignancy, total abdominal hysterectomy with bilateral salpingpo-ophorectomy, lymph node biopsy was done. Histopathologic and immunohis tochemical study demonstrated the tumor to be Burkitt`s lymphoma of the ovary with involvem ent of the uterus, tubes, and bone marrow. Now she got one cycle of CHOP(cyclophosphamide, adriamycin, vincristine, prednisolone) chemotherapy and then follow up via OPD. We have reported a case of Burkitt`s lymphoma of the ovary with a brief review of literature.