대전 을지의과대학 부속병원 산부인과에서 1995 년 1 월부터 1996 년 12 월까지 실시한 선택된 복막외 제왕절개술 300 건 ( 정규수술 172 건 , 응급수술 128 건 ) 을 비교 분석하여 다음과 같은 결론을 얻었다. 1. 산모의 나이중 가장 많은 군은 26∼30 세였다. 2. 적응증으로 보면 난산(38.3%)과 기왕 제왕절개술(32.7%)이 가장 많았다. 3. 마취방법중 전신마취가 70.7%, 경막외 마취가 15%, 척추마취가 14.3%를 차지하였다. 4. 피부절개로부터 태아분만까지 시간은 대부분 5분 미만이었다(75%). 5. 수술시간중 가장 많은 군은 36∼40분(34.3%)이었다. 6. 수혈빈도는 6%였다. 7. 입원기간 중 제일 많은 5∼6 일 ( 82% ) 이었다. 8. 신생아체중중 가장 많은 군은 3,000∼3,499gm(80.7%)이었다. 9. 신생아 5 분 Apgar score 는 대부분 7 점이상 ( 99% ) 이었다. 10. 실패요소중 가장 흔한 요인은 복벽과 골반유착이었다(82.3%). 11. 모성사망은 없었다.

The safety and effectiveness of extraperitoneal C/S are controversial , so it has been per-formed for the purpose of training for selected cases . But we think this procedure have some benefit in selected cases. This study was based on retrospective investigation of 300 cases of extraperitoneal cesarean section among 332 cases at Eul Ji Medical hospital, during from Janu-ary, 1995 to December, 1996. The results were as follows；1. The most prevalent age distribution was seen in the age group of 26∼30. 2. The indication for extraperitoneal cesarean section were dystocia(38.3%), previous cesarean section(32.6%), elderly primigravida(12.6%) in orders. 3. In the type of the anesthesia, general anesthesia was 70.7%, epidural anesthesia was 15% and spinal anesthesia was 14.3%. 4. The most common group of operation time was 36∼40minute(34.3%). 5. The post operative complications and maternal morbidities were breast engorgement(21%), peritoneal opening(19.6%), endometritis(4.3%) in orders. 6. Of all cases, the blood transfusion rates was 6%. 7. The most common group of hospital stay was 5∼6 days(82%). 8. In the body weight distribution of infants, the group of 3,000∼3,499gm was the most common(80.7%). 9. Of extraperitoneal cesarean sections, cases of the 5minute Apgar score more than 7 were the most common(99%). 10. The most common failure factor was abdominal and pelvic 11. There was no maternal death case.