... Simple or radical Nephrectomy Radical hysterectomy Coloectomy with or without Anal anastomosis ... Radical prostatectomy Lymphadenectomy ...
Center for Biologics Evaluation and Research (CBER)
Radical hysterectomy with pelvic lymphadenectomy is considered to be the cornerstone in the treatment of early-stage cervical cancer. Although survival in early-stage cervical cancer is up to 95%, long-term morbidity with regard to bladder, bowel, and sexual function is considerable. Damage to the pelvic autonomic nerves may be the cause of these long-term ...
PubMed
Laparoscopic radical hysterectomy is one surgical procedure currently performed to treat gynecologic cancer. The objective of this review was to update the current knowledge of laparoscopic radical hysterectomy in early invasive cervical cancer. Articles indexed in the MEDLINE database using the key words ...
... is an option for some cancers (partial or radical vaginectomy). Reconstructive surgery to create a new vagina ... upper vagina, it may be treated by a radical hysterectomy, bilateral radical pelvic lymph node removal, and ...
MedlinePLUS
Abdominal radical trachelectomy is a fertility-preserving alternative to radical hysterectomy or chemoradiation for young women with stage IA2 to IB cervical cancers. Thirty-three patients were offered this procedure. The mean age was 30.5 years (range 23-37). Three procedures were abandoned because of positive ...
Cervical Cancer; Endometrial Cancer; Infection; Perioperative/Postoperative Complications; Vaginal Cancer
ClinicalTrials.gov
Three hundred forty-five patients with Stage IB squamous cell carcinoma of the cervix were treated at the University of Michigan Medical Center from 1970 to 1985. The overall cumulative 5-year survival rate was 89% and the mean age was 44.6 years. In 213 patients undergoing radical hysterectomy the cumulative 5-year survival rate was 92%; 14 patients were ...
Energy Citations Database
In certain cases (i.e. selectively and not routinely) of radical lymphadeno-colpo-hysterectomy for uterine carcinoma, the authors section the uterosacral ligaments at the outset, which enables the uterus to be brought up and thus facilitates dissection, ligation and section of the supra-uterine vesico-uterine pedicles, avoiding damage to the terminal ...
We analysed the introduction of the robot-assisted laparoscopic radical hysterectomy in patients with early-stage cervical cancer with respect to patient benefits and surgeon-related aspects of a surgical learning curve. A retrospective review of the first 14 robot-assisted laparoscopic radical hysterectomies and ...
PubMed Central
Urethral function following radical hysterectomy was studied by chronologic analysis of the urethral pressure profile. Thirty patients who had radical hysterectomy were divided into 2 groups according to the degree of preservation of the plexus pelvicus at operation. The method of complete preservation is ...
Type III radical hysterectomy reported in 1974 by Piver, Rutledge, and Smith is considered worldwide by many as the standard surgical therapy for invasive cervical carcinoma stage IB and IIA. With the increasing number of robotic surgeries being performed for early stage cervical cancer worldwide, the purpose of the paper is to present our personal ...
One hundred and two patients with invasive carcinoma of the uterine cervix, stages IB, IIA, and selected IA and IIB, were treated using combined radiation therapy and radical hysterectomy. Of these, 88 received approximately 2000 rad of pelvic external radiation and a single 5000-6000 mgh intracavitary implant. Major complications were observed in 5 ...
Iatrogenic ureteric injury is a well-recognised complication of radical hysterectomy. Bilateral ureteric injuries are rare, but do pose a considerable reconstructive challenge. We searched a prospectively acquired departmental database of ureteric injuries to identify patients with bilateral ureteric injury following radical ...
Many reports regarding nerve-sparing radical hysterectomy have been published. However, most reports have been based on systematic descriptions via laparotomy or cadaver dissection. The aim of this work was to describe the pelvic anatomy of nerve-sparing radical hysterectomy via laparoscopy, with specific focus on ...
There exists few evidence about peritoneal closure vs. non-closure at vaginal hysterectomy as well as only scanty evidence for open vs. sutured vaginal cuff. It seems that non-closure of the peritoneum at vaginal hysterectomy holds no risks and probably some advantages, e.g. faster resumption of bowel function. In the light of the rare direct evidence from ...
The survival rates of 36 patients with early cervical carcinoma who had undergone total hysterectomy and bilateral salpingoophorectomy (THBSO) were compared to the survival rates of 41 patients who were subjected to the radical operation. As an integral part of their therapy both groups postoperatively received adequate doses of external beam supervoltage ...
Sarcoma botryoides (embryonal rhabdomyosarcoma) rarely arises in the uterine cervix. We report a case of a 14-year-old female with sarcoma botryoides who presented with prolonged vaginal bleeding and cervical polyp. The biopsy specimen confirmed sarcoma botryoides. The patient underwent radical surgery of the tumor and hysterectomy without adjuvant ...
Fifty patients with cervical cancer were treated with radical hysterectomy and lymphadenectomy followed by postoperative radiation therapy for high risk factors (nodal metastases, lymphvascular space invasion, close or involved margins) at the University of Alabama at Birmingham Medical Center from 1969 to 1984. Fifteen (30%) of the patients treated had ...
In a ten year period we selected at random 235 patients, who underwent a vaginal or abdominal hysterectomy or a radical operation (Latzko-Meigs) and evaluated their postoperative morbidity with special regard to urinary tract infections. In the period of 1971 to 1979 we observed a significant increase of urinary tract infections following vaginal ...
Thirty-seven patients with invasive cervical cancer have been referred to the Department of Radiation Oncology at the University of Washington following radical hysterectomy and pelvic lymphadenectomy. Patients at high-risk for tumor recurrence were selected for adjuvant pelvic irradiation because of adverse risk factors identified on pathological study of ...
ObjectiveTo evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system.MethodsWe retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a ...
Experience obtained in a group of 44 patients with advanced cervical cancer is reported. In this study, patients with residual cancer underwent laparotomy eight weeks after one or two different radiotherapy protocols. Sixty-eight percent of patients underwent radical surgery, 85% of patients pelvic exenterations, and 15% radical ...
The development of robotic technology has facilitated the application of minimally invasive techniques for the treatment and evaluation of patients with early, advanced, and recurrent cervical cancer. The application of robotic technology for selected patients with cervical cancer and the data available in the literature are addressed in the present review paper. The robotic ...
A 51-year-old woman underwent total laparoscopic hysterectomy for complex hyperplasia; however, final postoperative pathology revealed a deeply invasive high-grade adenocarcinoma. The patient was, therefore, unstaged. Forty-five days later, she underwent robot-assisted radical parametrectomy, upper vaginectomy, and bilateral salpingo-oophorectomy with ...
To determine whether radical hysterectomy is necessary in the treatment of endometrial cancer patients with cervical involvement, we reviewed the medical records of women who underwent primary surgical treatment for endometrial carcinoma and selected patients with pathologically proven cervical invasion. Among 133 patients, 62 patients underwent ...
OBJECTIVE:: This study aimed to evaluate the treatment and follow-up in a large series of women with early cervical adenocarcinoma (AC), stages IA1 and IA2, and to perform an extensive review of the literature in an effort to ascertain whether conservative therapy is justified. METHODS:: Records of 59 cases of microinvasive AC diagnosed between 1987 and 2006 in the Rotterdam district, the ...
Cervical cancer remains a public health concern in developing countries that lack the wherewithal to cope with the associated challenges. Screening for premalignant cervical lesions and offering definitive care for early disease is the key to preventing the scourge. We conducted an audit of the radical hysterectomies performed on account of early cervical ...
A retrospective study of 119 patients, ranging from 30 to 69 years of age, was undertaken to evaluate the effectiveness of preoperative radium for patients with Stage IB squamous cell carcinoma of the cervix who underwent radical hysterectomy. Sixty one patients who had radical hysterectomy without preoperative ...
Cervical carcinoma remains an important health problem in both developed and developing countries even though population-based screening programs are widely available. The classical surgical management of early-stage cervical carcinoma, known as radical hysterectomy (RH), was first described by Wertheim more than one hundred years ago and was then modified ...
Between September 1968 and December 1976, 88 patients with Stage II endometrial carcinoma underwent treatment. They were subclassified according to microscopic or gross cervical involvement. Five different types of treatment were administered as follows: (a) preoperative external irradiation and intracavitary radium application followed by total abdominal hysterectomy and ...
ObjectiveTo determine age-adjusted rates (AAR) of lower urinary tract (LUT) injury and incidence in selected inpatient gynecologic and obstetric procedures.Study DesignWe utilized the National Hospital Discharge Survey, 1979�2006. AAR of non-obstetric bladder and ureteral injuries and incidence of LUT injury for various hysterectomy types and deliveries were calculated for ...
... Education Institute Hysterectomy (Arabic) ??????? ????? - ??????? PDF Bilingual Health Information Translations Chinese - Simplified (????) Hysterectomy ????? - ...
Total Laparoscopic Hysterectomy; Laparoscopic Supracervical Hysterectomy; Fibromas; Abnormal Uterine Bleeding; Dysmenorrhea
This workshop was held on July 31-August 1, 2010 and was organized to promote the academic environment and to enhance the communication among Asian countries prior to the 2nd biennial meeting of Australian Society of Gynaecologic Oncologists (ASGO), which will be held on November 3-5, 2011. We summarized the whole contents presented at the workshop. Regarding cervical cancer screening in Asia, ...
Cancer of the cervix is the second most common cancer in women worldwide, with about 500,000 new cases and 273,000 deaths reported annually. Ideal surgical management of cervical cancer should reduce early and late morbidity without compromising oncological disease control. Type of surgical radicality in early cervical cancer should be a consequence of exact preoperative and ...
Perineal radical prostatectomy (PRP) is one of the oldest surgical procedures for prostate cancer, but its use has declined over the past 30 years. New studies show that PRP is not only minimally invasive but beneficial from an economic perspective and should not yet be abandoned in the treatment of early prostate cancer. PMID:21475327
This study analyzed 41 patients with bulky/barrel-shaped Stage IIB cervical carcinoma. Twenty patients were treated with radical radiation alone. Twenty one patients had post-radiation surgery; ten underwent total abdominal hysterectomy and lymphadenectomy and eleven underwent extrafascial hysterectomy. Histologic review of the ...
Objectives:Gynecologic oncologists have recently begun using laparoscopic techniques to treat early stage cervical cancer. We evaluated a single institution's experience of laparoscopic radical hysterectomy and staging compared with laparotomy.Methods:A retrospective chart review identified stage IA2 and IB1 cervical cancer patients who underwent ...
Cervical cancer is the third most common gynecologic malignancy in the United States but the leading gynecologic cancer worldwide. Most patients will present with clinical early-stage disease (International Federation of Gynecology and Obstetrics [FIGO] stage IA1-IB). These patients are a clinically heterogeneous group, and primary treatment can be either surgery or radiotherapy. Standard surgery ...
A hysterectomy is an operation to remove a woman's uterus. The uterus is the place where a baby grows when a woman is pregnant. Sometimes, the ovaries ...
... is used to guide the procedure. In a robot-assisted laparoscopic hysterectomy, the surgeon uses a robot attached to the instruments to assist in the ...
OBJECTIVES: The aim of this study was to compare the treatment outcomes and adverse effects of radical hysterectomy followed by adjuvant radiotherapy with definitive radiotherapy alone in patients with FIGO stage IIB cervical cancer. METHODS: We retrospectively reviewed the medical records of FIGO stage IIB cervical cancer patients who were treated between ...
A 46-year-old woman presented for a second opinion regarding a 3-4 cm mass of the uterine cervix. A prior biopsy had been interpreted as a malignant melanoma of the cervix, resulting in a radical hysterectomy with bilateral salpingooophorectomy. This was to be followed by external beam irradiation and immunotherapy; however, given the rarity of this ...
A 46-year-old woman presented for a second opinion regarding a 3�4 cm mass of the uterine cervix. A prior biopsy had been interpreted as a malignant melanoma of the cervix, resulting in a radical hysterectomy with bilateral salpingooophorectomy. This was to be followed by external beam irradiation and immunotherapy; however, given the rarity of this ...
... pregnant. It is meant to be a permanent method of birth control. Laparoscopically assisted vaginal hysterectomy (LAVH) �LAVH is a type of hysterectomy in which the uterus is removed through the vagina. The laparoscope is used to guide the ... Laparoscopic hysterectomy �In this procedure, the uterus is ...
Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal ...
hysterectomy is the second most frequently performed major surgical procedure for women of reproductive age in the United States. Approximately 600,000 hysterectomies are...
Science.gov Websites
Hysterectomy is surgical removal of the uterus, resulting in inability to become pregnant. This surgery may be ... pelvic inflammatory disease, uterine fibroids and cancer. A hysterectomy may be done through an abdominal or a ...
INTRODUCTIONCervical cancer is the second commonest cancer to affect women with over half a million cases world-wide yearly. Screening programmes have reduced the incidence and death rate dramatically in Western societies. At the same time, professional and social pressures may delay child bearing such that a significant number of women will present with early stage disease, but be anxious to ...
The development of nerve-sparing procedures is important in preventing bladder dysfunction following radical hysterectomy. In this study, we dissected 14 halves of 7 female pelvises (age range: 46-86 years; mean age: 74 years) to examine the origins, courses, and distributions of nerve branches to the bladder in females in detail, and 6 halves of 3 male ...
This is a case study presented by the University of Pittsburgh Department of Pathology in which a 67-year-old woman has presented to the hospital for a radical hysterectomy for endometrial carcinoma. Visitors are given the immuohematological findings, including patient charts, and are given the opportunity to diagnose the patient. This is an excellent ...
NSDL National Science Digital Library
Compartment syndrome of the lower extremities is a clinically and medicolegally potentially devastating complication. Recently, the more widespread use of advanced laparoscopic surgical techniques, dealing with complex gynecologic diseases, including gynecologic malignancies and severe endometriosis, has led to an increasing number of laparoscopic surgeries of long duration (> 4 hours). With ...
OBJECTIVE: To observe the acupuncture therapy effect on the urinary retention after radical: hysterectomy. METHODS: Eighty cases of urinary retention after radical hysterectomy were randomly assigned to: the treatment group and control group according to the random number table method, 40 cases in each group. From ...
... medicine or other treatments, often choose to undergo hysterectomy. However, nonclinical factors, including health-related quality of ... in the 8-year Study of Pelvic Problems, Hysterectomy, and Intervention Alternatives and underwent hysterectomy. Nearly 64 ...
This study evaluated the effect of hysterectomy or hysterectomy and bilateral salpingo-oophorectomy (hysterectomy and oophorectomy) versus alternative medical management upon life expectancy, quality of life, and direct medical costs. Using techniques of ...
National Technical Information Service (NTIS)
...2010-10-01 false Sterilization by hysterectomy. 50.207 Section 50.207...Projects § 50.207 Sterilization by hysterectomy. (a) Programs or projects to...or arrange for the performance of any hysterectomy solely for the purpose of...
Code of Federal Regulations, 2010
...2010-10-01 false Sterilization by hysterectomy. 441.255 Section 441.255... § 441.255 Sterilization by hysterectomy. (a) FFP is not available in expenditures for a hysterectomy if� (1) It was...
A prospective randomized study in selected patients with Stage IB and IIA carcinoma of the uterine cervix was carried out. Patients were randomized to be treated with 1) irradiation alone consisting of 1000 rad whole pelvis, additional 4000 rads to the parametria with a step wedge midline block, and two intracavitary insertions for 7500 mgh; and 2) irradiation and surgery, consisting of 2000 rad ...
BACKGROUND: To compare the long-term survival outcomes between laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH). Method: We matched patients with stage IA2 to IIA cervical cancer with known risk factors for recurrence who underwent ORH and LRH. RESULTS: Compared with ORH (n = 263), LRH (n ...
Objective:To demonstrate that alvimopan (6 or 12 mg) accelerates recovery of gastrointestinal (GI) function in patients undergoing laparotomy for bowel resection or radical hysterectomy.Summary Background Data:Postoperative ileus (POI) following laparotomy may increase morbidity and extend hospitalization. Opioids can contribute to the duration of POI. ...
... a hysterectomy include abnormal uterine bleeding, such as menorrhagia (extremely heavy menstrual periods); uterine fibroids (benign tumors ...
... Gynecologic Surgery: Laparoscopic Retroperitoneal Hysterectomy May 6, 2009 Hello and welcome to this �OR-Live� broadcast. This ...
3599 ... www.nlm.nih.gov ... The uterus is joined at the cervix to the vagina and by the fallopian or uterine tubes to the ovaries. ... A hysterectomy ...
