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 perspective of the 21st century role of Piver-...

OBJECTIVE Radical trachelectomy is a standard treatment for selected patients with early-stage cervical cancer. Outcomes are well established for vaginal radical trachelectomy (VRT), but not for abdominal radical trachelectomy (ART). METHODS We searched MEDLINE, EMBASE, and CINAHL (October 1997 through October 2012) using the terms: uterine cervix neoplasms, cervical cancer, abdominal radical...

Radical hysterectomy, the complete removal of a woman's uterus, is usually performed via an abdominal incision that requires a 3-5 day hospital stay and a 6-8 week recovery period. Now, in a handful of hospitals around the world, new robotic technology allows doctors to perform this procedure through small incisions that require a recovery time of only one night in the hospital and a significan...

Two hundred and forty-one patients were treated with radical hysterectomy at our institution between 1949 and December, 1978. The corrected 5-year survival rate for all patients with squamous cell carcinoma of the cervix was 73%. Seventeen percent of patients with occult invasive carcinoma had positive lymph nodes at the time of operation. The corrected 5-year survival rate for patients with St...

Forty-four radical hysterectomy operations were performed between 1981 and 1986 for stage 1 cervical carcinoma. The five year survival rate, (actuarial) was 84%. All deaths were directly attributable to disease recurrence. Five year mortality was higher in those under age 45 years, and who had more than two pregnancies. Histology and node status did not show significant correlation with outcome...

to occur in up to 85% of patients [1] treated with radical hysterec tomy. Urinary symptoms include stress incontinence, sensory loss, bladder voiding dysfunction as hypotonic and hypertonic detrusor function [1]. These symptoms may affect the quality of life of patients surviving cervical cancer. Voiding disorders have been related to the damage of the hypogastric nerve and of the inferior hypo...

OBJECTIVE To evaluate the most appropriate surgical method of hysterectomy (abdominal, vaginal, or laparoscopic) for women with benign disease. DESIGN Systematic review and meta-analysis. DATA SOURCES Cochrane Menstrual Disorders and Subfertility Group Trials Register, Cochrane Central Register of Controlled Trials, Medline, Embase, and Biological Abstracts. SELECTION OF STUDIES Only rand...

•Compartment syndrome is a rare complication of prolonged lithotomy position.•We report a case of compartment syndrome complicating radical hysterectomy.•Prompt diagnosis is crucial to reduce morbidity from compartment syndrome.•Awareness of this complication allows surgeons to address modifiable risk factors.

ObjectiveA meta-analysis was performed to compare survival outcomes including disease-free (DFS) between laparoscopic radical hysterectomy (LRH) and abdominal (ARH) in patients with cervical cancer.Data SourcesWe searched PubMed, EMBASE, Google scholar, the Cochrane library for studies published December 2004 May 2020. Manual searches of related articles relevant bibliographies were also perfor...