We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Radical hysterectomy for invasive cervical cancer. A 25-year prospective experience with the Miami technique.
- Authors
Averette, Hervy E.; Nguyen, Hoa N.; Donato, Daniel M.; Penalver, Manuel A.; Sevin, Bernd-Uwe; Estape, Ricardo; Little, William A.; Averette, H E; Nguyen, H N; Donato, D M; Penalver, M A; Sevin, B U; Estape, R; Little, W A
- Abstract
<bold>Background: </bold>The Miami modification of the traditional Wertheim-Meigs radical hysterectomy was used to treat Stage IB-IIA cervical cancer in a 25-year prospective study involving 978 patients.<bold>Methods: </bold>The modifications included: vaginal reconstruction and closure using bladder and rectosigmoid serosa, retroperitoneal drainage through abdominal suction catheters, and suspension of the denuded ureters with the ipsilateral obliterated hypogastric artery.<bold>Results: </bold>The overall corrected 5-year survival rate was 90.1%, with a surgical mortality rate of 1.4% and an overall urinary fistula rate of 1.4%. This fistula rate was significantly better than a 4.4% incidence rate in a literature survey. Although not measured, the Miami modification appeared to lengthen the vagina.<bold>Conclusions: </bold>Therefore, it was concluded that radical hysterectomy with the Miami modifications can be done safely in most patients with Stage IB-IIA cervical cancer.
- Publication
Cancer (0008543X), 1993, Vol 71, p1422
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/cncr.2820710407