새로운 FAST 제왕절개술방법은 과거에 시행되어오던 전통적인 수술방법에 비해, 수술기구와 봉합사를 적게 사용하고 절개와 봉합이 단순해지기 때문에 본 연구 결과에서와 같이 다음과 같은 장점을 가지고 있다. 1. 수술시간의 대폭 단축: 평균 16분정도면 수술완료가 가능하다. 2. 실혈량의 감소: 평균 580cc 정도이다. 3. 회복이 신속하다: 수분 및 음식의 조기섭취, 통증의 경감, 조기보행이 가능하여, 수술후 3~4일 이내에 퇴원이 가능하다. 4. 마취료, 입원료, 봉합사 등의 재료대 절감: 의료비절감의 효과로 환자와 의사의 부담이 경감된다. 따라서 이상의 점으로 미루어 FAST 제왕절개술법은 기존의 전통적인 수술방법에 비해 앞으로 산부인과 의사 및 산모들에게 더욱 선호될 것이며 위에 열거한 여러가지 잇점을 가져다 줄 것으로 사료된다.

The cesarean section has been considered as one of the most prime and most commonly performed operations in the obstetrics and gynecology field. In fact, all cesarean sections have depended upon the operator`s experience. However, there have been several cases reported on new technique of cesarean section in many developed countries, but not in Korea until we started the recent research. We have developed a new type of cesarean section named FAST(Finger Assisted Stretching Technique) through study on strength/weakness of other operation techniques as well as many other researches we conducted in the past plus our own experiences. To find the differences on the following subjects; operating time, postoperative complication, and recovery period. We compared and analyzed data from using new and traditional techniques. We selected 120 patients(group A using FAST: 45 patients, group B using traditional technique: 75 patients) as samples for this study. Together, they were all conducted cesarean section at Korea University, Guro Hospital between May 1993 and December 1995. Student-t-test and chi-square test were used for statistical analysis. We consider that below 0.05 for P value is statistically significant. The results of comparative study between two groups are; 1. There was no comparative difference on average age: group A: 29.6(range 23~39, S/D 7.1) group B: 31.1(range 24~38, S/D 5.4) 2. There was a significant difference on average operation times: group A: 15.4 min.(range 11~19, S/D 3.6) group B: 41.3 min.(range 23~50, S/D 19) 3. There was a significant difference on average amount of bleeding: group A: 580 ml(range 450~750, S/D 101) group B: 916 ml(range 800~1000, S/D 99) 4. There was a significant difference on the value of hemoglobin before & after operation group A: 0.8 g/dl(range 0.4~1.6, S/D 0.25) group B: 1.9 g/dl(range 0.9~2.6, S/D 0.21) 5. There was a significant difference on average period of hospitalization: group A: 3.7 days(range 3~4, S/D 0.7) group B: 6.4 days(range 5~8, S/D 0.6) 6. No one from group A experienced any infection, but 3 cases of wound infection and 2 cases of voiding difficulty were reported from group B. 7. 11 cases from group A and 16 cases from group B had laparotomy for some other reasons, later. There was no adhesion found in group A, but adhesions found in 2 cases from group B.