Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications

Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis,...

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Main Authors: Rachel A. Ware, John R. van Nagell
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2010/587610
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author Rachel A. Ware
John R. van Nagell
author_facet Rachel A. Ware
John R. van Nagell
author_sort Rachel A. Ware
collection DOAJ
description Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (<1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.
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spelling doaj-art-b3b91d5aafe14a10a62848daa8c4fdfc2025-02-03T01:04:48ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/587610587610Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and ComplicationsRachel A. Ware0John R. van Nagell1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USADivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USARadical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (<1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.http://dx.doi.org/10.1155/2010/587610
spellingShingle Rachel A. Ware
John R. van Nagell
Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
Obstetrics and Gynecology International
title Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
title_full Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
title_fullStr Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
title_full_unstemmed Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
title_short Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
title_sort radical hysterectomy with pelvic lymphadenectomy indications technique and complications
url http://dx.doi.org/10.1155/2010/587610
work_keys_str_mv AT rachelaware radicalhysterectomywithpelviclymphadenectomyindicationstechniqueandcomplications
AT johnrvannagell radicalhysterectomywithpelviclymphadenectomyindicationstechniqueandcomplications