• Journal of Yeungnam Medical Science
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• v.37 no.4
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• pp.308-313
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• 2020

Background: Hysterectomy is one of the major gynecologic surgeries. Historically, several surgical procedures have been used for hysterectomy. The present study aims to evaluate the surgical trends and clinical outcomes of hysterectomy performed for benign diseases at the Yeungnam University Hospital. Methods: We retrospectively reviewed patients who underwent a hysterectomy for benign diseases from 2013 to 2018. Data included the patients' demographic characteristics, surgical indications, hysterectomy procedures, postoperative pathologies, and perioperative outcomes. Results: A total of 809 patients were included. The three major indications for hysterectomy were uterine leiomyoma, pelvic organ prolapse, and adenomyosis. The most common procedure was total laparoscopic hysterectomy (TLH, 45.2%), followed by open hysterectomy (32.6%). During the study period, the rate of open hysterectomy was nearly constant (29.4%-38.1%). The mean operative time was the shortest in the single-port laparoscopic assisted vaginal hysterectomy (LAVH, 89.5 minutes), followed by vaginal hysterectomy (VH, 96.8 minutes) and TLH (105 minutes). The mean decrease in postoperative hemoglobin level was minimum in single-port LAVH (1.8 g/dL) and VH (1.8 g/dL). Conversion to open surgery or multi-port surgery occurred in five cases (0.6%). Surgical complications including wound dehiscence, organ injuries, and conditions requiring reoperation were observed in 52 cases (6.4%). Conclusion: Minimally invasive approach was used for most hysterectomies for benign diseases, but the rate of open hysterectomy has mostly remained constant. Single-port LAVH and VH showed the most tolerable outcomes in terms of operative time and postoperative drop in hemoglobin level in selected cases.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.8
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• pp.3845-3848
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• 2016

This study was undertaken to determine the incidence of subsequent oophorectomy due to ovarian pathology or ovarian cancer in women with prior hysterectomy for benign gynecologic conditions at Chiang Mai University Hospital. Medical records of women who underwent hysterectomy for benign gynecologic diseases and precancerous lesions between January 1, 2004 and December 31, 2013 at Chiang Mai University Hospital were retrospectively reviewed. The incidence and indications of oophorectomy following hysterectomy were analyzed. During the study period, 1,035 women had hysterectomy for benign gynecologic conditions. Of these, 590 women underwent hysterectomy with bilateral salpingo-oophorectomy and 445 hysterectomy with bilateral ovarian preservation or unilateral salpingo-oophorectomy. The median age was 47 years (range, 11-75 years). Ten women (2.45 %) had subsequent oophorectomy for benign ovarian cysts. No case of ovarian cancer was found. The mean time interval between hysterectomy and subsequent oophorectomy was 43.1 months (range, 2-97 months) and the mean follow-up time for this patient cohort was 51 months (range, 1.3-124.9 months). According to our hospital-based data, the incidence of subsequent oophorectomy in women with prior hysterectomy for benign gynecologic conditions is low and all represent benign conditions.

• The Journal of Korean Obstetrics and Gynecology
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• v.18 no.3
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• pp.225-233
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• 2005

Purpose : Hysterectomy is the most common gynecologic operation in women. Recent research has been directed towards understanding the symptoms after hysterectomy. But the study for treating them was rarely investigated. The purpose of this study was to report a case associated with treatment of the post-hysterectomy syndrome. Methods : A 52-year-old woman, who suffered from headache, dizziness, indigestion, lumbargo, insomnia, hyposthenia et al after total abdominal hysterectomy (TAH), was enrolled in this study. She received oriental treatments such as herbal medicine, acupuncture, moxibustion and dry cupping therapy for 8 days. Results : The symptoms after hysterectomy were markedly reduced by oriental treatments. Conclusion : The present study suggests that oriental treatments have a significant effect on the post-hysterectomy syndrome.

• The Journal of Korean Obstetrics and Gynecology
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• v.34 no.1
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• pp.66-81
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• 2021

Objectives: The purpose of this review is to analyze the domestic study trends on Korean medicine treatment for patients after hysterectomy. Methods: We investigated the studies on Korean medicine treatment for patients who undertaken hysterectomy via searching 4 online databases up to October 2020. After searching studies, we analyzed selected studies. Results: 12 clinical studies were selected and all studies were case reports. The most common cause of hysterectomy was myoma of uterine, followd by adenomyosis. The major complaints of post-hysterectomy were abdominal pain, low back pain and fatigue, general weakness. Herbal medicine was used in all studies. In addition, acupuncture, moxibustion and cupping were performed. The duration of inpatient treatment ranged from 5 to 39 days. All cases showed that chief complaints and accompanying symptoms were improved. Conclusions: Korean medicine treatment is an effective treatment option for patients after hysterectomy. Further large, well-designed studies are needed to establish the foundation of Korean medicine treatment after hysterectomy.

• Women's Health Nursing
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• v.6 no.2
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• pp.218-233
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• 2000

The purposes of this study were to investigate the physical discomforts and sexual life pattern and to identify the relation between the physical discomforts and the satisfaction of sexual life in women with hysterectomy. The subject were 301 women who lived with their spouses from 3 months to 2 years after hysterectomy in S. University Hospital. The data were collected using a self-reported questionnaire by mail, which composed of 25 items of physical discomforts, restarting time and frequency of sexual intercourse, and 10 items of sexual satisfaction, The results were as follows: 1) The mean score of physical discomforts was 13.22 and range of score was 0-45. 1.7% of 301 women had no physical discomforts and 12.0% of them complained of severe physical discomforts such as fatigue, lumbago and pain of extremities. 2) The women with hysterectomy complained of fatigue(76.1%), lumbago(68.8%), pain of extremities(63.5%), weight gain(55.5%), vaginal dryness(50.8%) and symptom of estrogen deficiency such as perspiration (47.5%), flush(41.2%) and palpitation (38.5%). As unusual symptom, numbness of thigh (20.3%) and acne(16.3%) were identified. 3) There was no significant difference between the degree of physical discomforts and the laps of time after hysterectomy. But the score of physical discomforts was lower in women with vaginal hysterectomy than in women with abdominal hysterectomy. 4) The mean score of sexual satisfaction was 33.11 and range of score was 10-50. There was no significant difference between the degree of sexual satisfaction and the lapse of time after hysterectomy. 83.8% of women had not change of sexual life satisfaction after hysterectomy. The women restarted sexual intercourse in average 2.57 months after hysterectomy. 5) There was a negative correlation between the physical discomforts and the sexual satisfaction. In conclusion, nurses should make the discharge educational program of the physical discomforts and the sexual pattern for women with hysterectomy in hospital.

• The Journal of Korean Obstetrics and Gynecology
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• v.18 no.3
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• pp.165-183
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• 2005

Purpose : This study is to identify the aftermath of hysterectomy in the treatment of a uterine disease. Methods : We collected treatises on the aftermath of hysterectomy and analyzed those. Those treatise had relation to change in ano-rectal function, ovarian function, change of serum sex hormone levels, bone mineral density, quality of life and so on. Results : After the treatises on the aftermath of hysterectomy, common symptoms after hysterectomy were general weakness, loss of taste, sweating, abdominal pain, dysuria, vaginal bleeding, weight loss, emptyness on lower abdomen and pains on operation. Conclusion : The result of this study suggest the aftermath of hysterectomy in the treatment of a uterine disease. In conclusion, our result support the importance of earlier prediction and a proper management plan to improve the quality of life in women.

• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.173-183
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• 1995

The research questions of this study were : Will the level of sexual satisfaction of women who have had a hysterectomy 4 months before be decreased compare to the level of sexsual satisfaction before the hysterectomy\ulcorner, Will the level of perceived spouse support of women who have had a hysterectomy 4 months before be decreased compare to the level before the hysterectomy\ulcorner, and What is the relationship between sexual satisfaction and spouse support\ulcorner This is a perspective descriptive correlational study. The number of subjects was 44. The subjects were limited to Korean women who had an abdominal or vaginal hysterectomy for non - malignant diseases, were married(living with their husbands), mentally healthy, and premenopause at the time of operation. The instrument was consisted of 4 items of demo-graphic characteristics, 13 items of spouse support, and 10 items of sexual satisfaction. The instrument of sexual satisfaction was a component of the Derogatis Sexual Function Inventory. Data analysis was done by paired t-test to see the differences between the pre-post scores of sexual satisfaction and spouse support. The Pearson Correlation Coefficiency was calculated to see the relationship between the scores of sexual satis-faction and spouse spport of pre-post hysterectomy. Results were summerized as follow : The mean age of the subjects was 43.5 years : 72.7% of the subjects were above middle school graduates : their mean income level was 1, 453, 000 Korean won and 86.4％ of the subjects have had bi-lateral oophrectomy. 1. The scores of sexual satisfaction of women at 4 months after hysterectomy was decreased significantly compare to the score before hysterectomy(paired t=.274, p=.009). 2. The scores of spouse support of the women at 4 months after hysterectomy was not decreased significantly compare to the score before hysterectomy(paired t=.19, p=.847). 3. The scores of sexual satisfaction and spouse support before hysterectomy was significantly related(r=.5186, p=.000). 4. The scores of sexual satisfaction and spouse support at 4 months after hysterectnmy was significantly related(r=.4110, p=.005). It carl be conlcluded that the sexual satisfaction level could be decreased 4 months after the hyster ectomy, but the spouse support level may not be decreased at 4 months after hysterectomy. Further studies have to be done to identify the factors related to the decrease of sexual satisfaction and spouse support after hysterectomy.

• Journal of Korean Academy of Nursing
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• v.20 no.3
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• pp.357-367
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• 1990

This descriptive study was done to identify factors influencing sexual satisfaction in women who had had a hysterectomy and to compare these with women who had not had a hysterectomy. The purpose was to contribute theoretical understanding on which to base nursing care planning. One group of subjects were 156 women who had had a hysterectomy, between one and 18 months post surgery, living with their spouse, having no complications, and menstruating before surgery. The other group of subjects were 282 healthy women who were living with their husbands and menstruating. The study tool consisted of 108 items including item concerning personal characteristics, characteristics related to the hysterectomy, husband's support, body image, emotions, attitude toward the sexual relationship, knowledge of sexuality, sexual behavior, and sexual satisfaction. Sexual satisfaction was measured by a tool based on Derogatis Sexual Function Inventory. The range of the internal level of the study tool was from. 5208 to .9462. Data collection was done during the period from June 20 to Aug.20, 1989. The same questionnaire was used of data collection for both groups, but a mail survey method was used for the women who had had a hysterectomy, and an interview method was used for the women who had not had a hysterectomy. Data analysis was done using frequency, ratio, mean and S.D. for the characterstics of the subjects and level of sexual satisfaction. t - test or ANOVA was used for the differences between the groups with regard to the general and hysterectomy related characteristics. The relationship between the score for sex life related factors and the level of sexual satisfaction was analyzed using the Pearson Correlation, and the influencing factors on sexual satisfaction were analyzed by stepwise multiple regression. The results of this study were as follows ; 1. Mean age and income level were the only general characteristics for the two groups that were significantly different. The mean age, and income level of the group who had had a hysterectomy were 45years, and 1,150,000 won respectively, and for those who had not had a hysterectomy, 41 years and 999,000 won. 2. There was no statistical difference of the sexual satisfaction score between the two groups. 3. There was differences in the factors influencing sexual satisfaction between the two groups. Factors influencing sexual satisfaction for the group who had had a hysterectomy were husband's support (R＝.5793, P＝.000) and the women's Knowledge of sexuality(R＝.6670, P＝.000) (total variance : 33.56). On the other hand, emotional status(R＝.4294, P＝.000), sexual behavior(R＝.4294, P＝.000), husband's support(R＝.5274, P＝.000) and attitude towards sexual relations (R＝.5412, P＝.000) (total variance : 54.12) were the factors influencing sexual satisfaction in the group who had not had a hysterectomy. Since husband's support and sexuality knowledge were identified as factors influencing sexual satisfaction of women who have had a hysterectomy, it can be concluded that, before a woman who has had a hysterectomy is discharged from hospital, nurses should include strategies in the nursing care plan that will promote husband's support and the women's knowledge of sexuality.

• Journal of Oriental Medical Thermology
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• v.8 no.1
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• pp.7-12
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• 2010

Purpose : The purpose of this study is to know the temperature difference between hysterectomy patients and non-hysterectomy patients. Methods : We studied 45 who had and 45 non-hysterectomy visiting ${\bigcirc}{\bigcirc}$ medical center from January 1st 2010 to December 31st 2010. We measured 3 points temperature of specific acupoints-Chonjung(CV17), Chungwan(CV12), Kwanwon(CV4) by DITI in each group. And then we checked the difference of temperature between CV17 and CV4, CV12 and CV4. For statistics, we used Independent T-test and SPSS version 17.0 for windows. Results : There is no statistically differences between hysterectomy group and non-hysterectomy group on CV17, CV12, CV4 and CV12-CV4 temperature. There is statistically significant difference between group and group on CV17-CV4 temperature. Conclusion : The result showed that the difference between Chonjung(CV17) and Kwanwon(CV4) is higher in group than non-hysterectomy group. Further study will be needed.

• The Journal of Korean Medicine
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• v.30 no.3
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• pp.111-118
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• 2009

Hysterectomy can lead to various symptoms threatening decent quality of life. As the frequency of hysterectomy increases, there are many patients who want to take oriental medicine treatments for complications. Several clinical studies have reported the effectiveness of oriental medicine treatment for post-hysterectomy complications. Out of these symptoms, postoperative nausea and vomiting (PONV, hereafter) are indicated at about 20-40% of frequency within patients with general anesthesia, and they may occur not only during recovery from operation, but also after discharge. Although the incidence of PONV has decreased now thanks to the usage of antiemetics, PONV still causes some difficulties for patients returning to daily life. This study reports two cases of post-hysterectomy complications such as nausea, dizziness, vomiting, general weakness, and coldness of the limbs, which had good responses to herbal medication and acupuncture.