Urological complications of okabayashis operation for. This operation is indicated in stages t1a2, t1b1, t1b2 and t2a. Therefore we conclude that it can be used as an alternative to the meigs operation in the presence of obesity or elevated surgical risk. Gynecologic operations in a prolonged lithotomy position may be complicated by this entity, which can cause permanent neuromuscular deficits and kidney damage. Prophylaxis and treatment of bladder dysfunction after wertheim. Wertheimmeigs operation is radical hysterectomy performed in patients with cervical cancer. To evaluate the morbidity of wertheim meigs hysterectomy as well as node invasion incidence and its correlation with other prognostic factors, the authors made a retrospective study of 112 patients, from october 1986 to march 1996. Quality assurance for radical hysterectomy for cervical cancer. Prophylaxis and treatment of bladder dysfunction after wertheimmeigs operation. Of 479 women with cervical cancer operated on consecutively during the period 1963 to 1978 by the okabayashi operation, 52 10.
It is the belief of the author that properly selected eases operated upon by the wertheim clark technique and cared for by modern surgical preoperative and postoperative methods may improve the results in cervical cancer. Pdf results of wertheimmeigs surgery for treatment of early. An ebook reader can be a software application for use on a computer such as microsofts free reader application, or a booksized. Wertheimmeigs or schautaamreich hysterectomy american.
Links edit edit source related articles edit edit source cervical cancer. Pdf results of wertheimmeigs surgery for treatment of. Wertheim meigs operation is radical hysterectomy performed in patients with cervical cancer. Difference between type ii and type iii radical hysterectomy anterior view. Find, read and cite all the research you need on researchgate.
Joe vincent meigs 18921963 was born in lowell, massachusetts, the son of a family doctor who conducted an active surgical practice. Wertheim meigs hysterectomy is the treatment of choice for invasive cervix cancer stage ib and iia at the university of sao paulo medical school. Wertheim meigs radical hysterectomy article pdf available in sao paulo medical journal 1122. Cutting of the peritoneum to separate the uterus from the abdominal wall. Schautaamreich vaginal hysterectomy and wertheimmeigs abdominal hysterectomy in the treatment of cervical cancer. Compartment syndrome after wertheimmeigs operation. Abstract we present the case of a patient with compartment syndrome after wertheimmeigs operation for cervical cancer. Wertheim meigs hysterectomy is used in the treatment of cervical cancer, but since 1988 we have also used it to stage and treat endometrial carcinoma. The wertheimmeigs operation is a surgical procedure for the treatment of cervical cancer. Request pdf komplikationen nach wertheim operation fragestellung. Ist eine postoperative strahlentherapie erforderlich, so werden. Lymph nodes number of per cent cases positive nodes 2 18. It was with great interest that i read the study of massi et al.
Schautaamreich vaginal hysterectomy and wertheimmeigs. It has been suggested that the okabayashi technique for radical hysterectomy in cervical cancer results in fewer urological complications as compared with the wertheim. Although this is rare, every gynecologist should be aware of this. The wertheim operation for carcinoma of the cervix. Bei fraglicher infiltration werden auch blasen oder darmanteile reseziert.
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