Skip to main content

Wertheim-Meigs Abdominal Radical Hysterectomy and Lymphadenectomy

  • Chapter
  • First Online:
Hysterectomy

Abstract

In spite of the large implementation of massive screening programs in western countries, cervical cancer still represents a major health issue, being the second most common cause of death for cancer among females between 20 and 39 years in the US Early stage cervical cancer patients may undergo either surgery or radiation therapy, but radical hysterectomy upholds oncologic results in comparison with radiotherapy, minimizing treatment-related side effects. Radical hysterectomy represents the mainstay of treatment for cervical cancer, with an estimated curative rate accounting for 90 % at 5 years. Although accumulating evidence supports the embrace of less radical approaches and the utilization of minimally invasive technique to perform radical hysterectomy, open abdominal route remains the most common approach to perform radical hysterectomy. In this chapter we describe a standard technique for the execution of abdominal radical hysterectomy and lymphadenectomy.

The authors declared no conflict of interest.

No funding were obtained for the present investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Cibula D, Abu-Rustum NR, Benedetti-Panici P, Köhler C, Raspagliesi F, Querleu D, Morrow CP. New classification system of radical hysterectomy: emphasis on a three-dimensional anatomic template for parametrial resection. Gynecol Oncol. 2011;122:264–8.

    Article  CAS  PubMed  Google Scholar 

  2. Cibula D, Abu-Rustum NR. Pelvic lymphadenectomy in cervical cancer – surgical anatomy and proposal for a new classification system. Gynecol Oncol. 2010;116:33–7.

    Article  CAS  PubMed  Google Scholar 

  3. Mariani A, Webb MJ, Keeney GL, Calori G, Podratz KC. Role of wide/radical hysterectomy and pelvic lymph node dissection in endometrial cancer with cervical involvement. Gynecol Oncol. 2001;83:72–80.

    Article  CAS  PubMed  Google Scholar 

  4. Juhasz-Böss I, Mallmann P, Möller CP, Solomayer EF. Use of laparoscopy in the treatment of endometrial and cervical cancer – results of a 2012 Germany-wide survey. Geburtshilfe Frauenheilkd. 2013;73:911–7.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bogani G, Cromi A, Serati M, et al. Predictors of postoperative morbidity after laparoscopic versus open radical hysterectomy plus external beam radiotherapy: a propensity-matched comparison. J Surg Oncol. 2014;110:893–8.

    Article  PubMed  Google Scholar 

  6. Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol. 2008;9:297–303.

    Article  PubMed  Google Scholar 

  7. Ditto A, Martinelli F, Mattana F, et al. Class III nerve-sparing radical hysterectomy versus standard class III radical hysterectomy: an observational study. Ann Surg Oncol. 2011;18:3469–78.

    Article  PubMed  Google Scholar 

  8. Raspagliesi F, Ditto A, Hanozet F, et al. Nerve-sparing radical hysterectomy in cervical cancer: evolution of concepts. Gynecol Oncol. 2007;107:S119–21.

    Article  PubMed  Google Scholar 

  9. Bogani G, Serati M, Nappi R, Cromi A, di Naro E, Ghezzi F. Nerve-sparing approach reduces sexual dysfunction in patients undergoing laparoscopic radical hysterectomy. J Sex Med. 2014;11:3012–20.

    Article  PubMed  Google Scholar 

  10. Ditto A, Martinelli F, Borreani C, et al. Quality of life and sexual, bladder, and intestinal dysfunctions after class III nerve-sparing and class II radical hysterectomies: a questionnaire-based study. Int J Gynecol Cancer. 2009;19:953–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giorgio Bogani MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Bogani, G., Papadia, A., Raspagliesi, F., Mariani, A. (2018). Wertheim-Meigs Abdominal Radical Hysterectomy and Lymphadenectomy. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_97

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-22497-8_97

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22496-1

  • Online ISBN: 978-3-319-22497-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics