Radical Hysterectomy and Pelvic Lymphadenectomy at a Community Teaching Hospital

Abstract

Surgical management of cervical carcinoma by radical hysterectomy has been proven a highly effective method in treating early-stage disease. The purpose of this study was to evaluate the efficacy and safety of radical hysterectomy for the treatment of early-stage (I-IIA) cervical carcinoma at our institution. A retrospective analysis of data on 40 patients with cervical cancer undergoing radical hysterectomy over an 8-year period (1994-2002) was performed. The mean age of the patients was 41.5 years. The most common histology was squamous cell carcinoma (67.5%). Adenocarcinoma comprised 17.5% of cases and adenosquamous cancers 15% of cases. The mean blood loss was 442 mL. The average operating time was 3 hours and 36 minutes. The average duration of hospital stay was 6 days. Metastatic carcinoma to the regional lymph nodes was found in 15% of the cases. Overall survival was 92.5%. There were no operative mortalities or fistulae. With proper patient selection and excellent operative technique, survival rates of well over 90%, with minimal complication can be obtained (J GYNECOL SURG 19:129)

Outcome of radical hysterectomies performed by general gynecologists in Jamaica

“…The mean duration of the operation was 225 minutes, which is comparable to previously published data [6]. Use of a Pfannenstiel or Maylard incision was associated with a significantly reduced duration of operation, as well as with a reduced hospital stay, but made no difference in terms of blood loss.…”

“…The present study reflects the historical preference for the midline incision for oncology cases, as the majority of procedures (n= 41, 70%) were performed using this method. The mean duration of the operation was 225 minutes, which is comparable to previously published data [6]. Use of a Pfannenstiel or Maylard incision was associated with a significantly reduced duration of operation, as well as with a reduced hospital stay, but made no difference in terms of blood loss.…”

Surgical outcomes of patients with early cervical cancer treated with radical hysterectomy in a tertiary care hospital

“…The mean duration of the surgery was 250 minutes, which is comparable to previously published data. 6 Use of a Maylard's incision was associated with a significant reduction in the duration of operation, as well as reduced hospital stay.…”