이상에서 논의한바대로 Doo`s SACSIH operation 법에 의한 경부내 부분자궁적출술 (subtotal abdominal intracervical hysterectomy)은 CASH operation의 적응증은 되나 기구 및 인력에 의한 준비가 마련되지 않은 상태이거나 CASH operation이 보편화된 수술법으로 정착되기 전까지 또는 CASH operation이 불가능한 경우에 실시할 수 있지만 CASH operation에 비해 다양한 장점을 가지고 있으면서 현실적이어서 여성생식기의 양성질환으로 개복수술에 의한 전자궁 자궁적출술이 요구되는 환자들에게 쉽게 적용할 수 있는 좋은 방법이며 기존의 부분자궁적출술(subtotal abdominal hysterectomy)의 잔유자궁경부에서의 암(malignant neoplasm)과 이형성(dysplasia)에 대한 우려를 지운 새로운 수술법으로 평가될 수 있으며 앞으로의 과제라면 많은 예의 축적에 따른 객관성의 확보와 수술후 충분한 추적검사로 심신의학적인 면과 종양학적인 면에 있어서의 신뢰성을 확보하는 일이 될 것이다. 수술명(Doo`s SACSIH operation: 두씨 색시 수술)에 대해서 한마디: 본 수술의 명칭인 SACSIH는 Subtotal Abdominal Cylindrical resection of Squamocolumnar junction in Intracervical Hysterectomy의 각 구성 단어에서 첫글자를 따다가 붙인 이름이다. 그러나 공교롭게도 발음상 "색시"로 읽혀지게 되어 우리나라 말의 예쁜색시, 촌색시, 새색시 등의

Hysterectomy has been one of the most frequent surgical operations since Freund succeeded in it for the first time in 1878. Diseases for which hysterectomy is found efficaciuous are uterine myoma(40-60%)and other disease such as DUB, Endometriosis Adenomyosis PID,etc. There have been the 239 cases of hysterectomy due to benign uterine disease in 1992 at the department of Obstrics and Gynecology, Chonbuk National University Hospital and it is supposed that there are tens of thousands of women in thirties and forties who go through hysterectomy each year. It is mostly young women in thirties and forties who go though the operation: more than 70%, and they afterwards reported psychological conflict and sexual disssatisfaction stemming from loss of their uterus. I modified Kurt Semm`s CASH and devised a different surgical operation to work out women`s problems after hysterectomy. What characterizes Doo`s SACSIH(Subtotal-abdominal-Cylindrical resection of-Squamocolumnar junction in-Intracervical-Hysterectomy) operation is, fist, that while CASH is done under laparoscopy Doo`s SACSIH operation is, considering edonomical, technical as pect involved in operation, done under laparotomy and, second, to remove cylindrically transformation zone and endocervical columnar epitheelium, using the instrument I devised by modifying Semm`s and therby making it more convenient for use and, third, to remove uterus in upper one-third cervix and make a stump out of the remaining cervix composed of pure fibromuscular tissues. Doo`s SACSIH operation still has strength that the existing sub-total hysterctomy has had and will, at the same time, eliminate the possiblity of getting stump cancer that can be developed after the operation. The twenty-nine patients have been operated by Doo`s SACSIH operation method between the 18th of November of 1992 and the 12nd of May of 1993 and the results have been highly satisfactory.