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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Format: | Article |
Language: | English |
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Wiley
2010-01-01
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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. |
format | Article |
id | doaj-art-b3b91d5aafe14a10a62848daa8c4fdfc |
institution | Kabale University |
issn | 1687-9589 1687-9597 |
language | English |
publishDate | 2010-01-01 |
publisher | Wiley |
record_format | Article |
series | Obstetrics and Gynecology International |
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 |