Wertheim-Meigs radical hysterectomy
Main Author: | |
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Publication Date: | 1994 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | São Paulo medical journal (Online) |
Download full: | https://periodicosapm.emnuvens.com.br/spmj/article/view/757 |
Summary: | Wertheim-Meigs hysterectomy is the treatment of choice for invasive cervix cancer stage IB and IIA at the University of São Paulo Medical School. It was performed in 168 patients between 1974 and 1993. Pelvic lymph node metastases were found in 19 patients (11.3%) and 149 were negative lymph node. The recurrence rate was 21% in the positive lymph node and 6% in the negative lymph node patients. Complications occurred in 35 patients (20.83%) and were as follows: atonic bladder in 9.52%; fistulae in 5.59%; urinary incontinence in 4.76%; ureteral stenosis in 2.97%; dehiscence in 2.38% and lymphedema in 1.19%. Intraoperative complications occurred at a rate of 4.76% and involved injuries to the bladder, ureter and great vessels. |
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Wertheim-Meigs radical hysterectomyRadical hysterectomyhysterectomycarcinoma of the cervixcervical neoplasmWertheim-Meigs surgeryWertheim-Meigs hysterectomy is the treatment of choice for invasive cervix cancer stage IB and IIA at the University of São Paulo Medical School. It was performed in 168 patients between 1974 and 1993. Pelvic lymph node metastases were found in 19 patients (11.3%) and 149 were negative lymph node. The recurrence rate was 21% in the positive lymph node and 6% in the negative lymph node patients. Complications occurred in 35 patients (20.83%) and were as follows: atonic bladder in 9.52%; fistulae in 5.59%; urinary incontinence in 4.76%; ureteral stenosis in 2.97%; dehiscence in 2.38% and lymphedema in 1.19%. Intraoperative complications occurred at a rate of 4.76% and involved injuries to the bladder, ureter and great vessels.A histerectomia radical de Wertheim-Meigs foi o tratamento de escolha para o carcinoma invasivo do colo do útero estado clinico lb e lla no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo no período de 1974 a 1993, quando 166 pacientes foram submetidas a esta forma de tratamento. Metástase linfonodal estava presente em 19 pacientes (11,3%). A taxa de recidiva foi de 21% nas pacientes com linfonodos positivo e 6% nas linfonodo negativas. Complicações ocorreram em 35 pacientes (20,83%) e foram as seguintes: atonia vesical 9,52%; fistulas 5,95%; incontinência urinária 4,76%; estenose reteral 2,97%; deiscência 2,38% e linfedema de rnembros inferiores 1,19%. Complicações intra-operatórias ocorreram em 4,76% e envolveram lesões em bexiga, ureter e grandes vasos.São Paulo Medical JournalSão Paulo Medical Journal1994-04-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/757São Paulo Medical Journal; Vol. 112 No. 2 (1994); 539-542São Paulo Medical Journal; v. 112 n. 2 (1994); 539-5421806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/757/691https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho, Jesus PaulaSouen, Jorge SaadCarramão, Silvia da SilvaYeu, Wang LeePinotti, José Aristodemo2023-09-01T12:34:38Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/757Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-09-01T12:34:38São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Wertheim-Meigs radical hysterectomy |
title |
Wertheim-Meigs radical hysterectomy |
spellingShingle |
Wertheim-Meigs radical hysterectomy Carvalho, Jesus Paula Radical hysterectomy hysterectomy carcinoma of the cervix cervical neoplasm Wertheim-Meigs surgery |
title_short |
Wertheim-Meigs radical hysterectomy |
title_full |
Wertheim-Meigs radical hysterectomy |
title_fullStr |
Wertheim-Meigs radical hysterectomy |
title_full_unstemmed |
Wertheim-Meigs radical hysterectomy |
title_sort |
Wertheim-Meigs radical hysterectomy |
author |
Carvalho, Jesus Paula |
author_facet |
Carvalho, Jesus Paula Souen, Jorge Saad Carramão, Silvia da Silva Yeu, Wang Lee Pinotti, José Aristodemo |
author_role |
author |
author2 |
Souen, Jorge Saad Carramão, Silvia da Silva Yeu, Wang Lee Pinotti, José Aristodemo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Carvalho, Jesus Paula Souen, Jorge Saad Carramão, Silvia da Silva Yeu, Wang Lee Pinotti, José Aristodemo |
dc.subject.por.fl_str_mv |
Radical hysterectomy hysterectomy carcinoma of the cervix cervical neoplasm Wertheim-Meigs surgery |
topic |
Radical hysterectomy hysterectomy carcinoma of the cervix cervical neoplasm Wertheim-Meigs surgery |
description |
Wertheim-Meigs hysterectomy is the treatment of choice for invasive cervix cancer stage IB and IIA at the University of São Paulo Medical School. It was performed in 168 patients between 1974 and 1993. Pelvic lymph node metastases were found in 19 patients (11.3%) and 149 were negative lymph node. The recurrence rate was 21% in the positive lymph node and 6% in the negative lymph node patients. Complications occurred in 35 patients (20.83%) and were as follows: atonic bladder in 9.52%; fistulae in 5.59%; urinary incontinence in 4.76%; ureteral stenosis in 2.97%; dehiscence in 2.38% and lymphedema in 1.19%. Intraoperative complications occurred at a rate of 4.76% and involved injuries to the bladder, ureter and great vessels. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994-04-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicosapm.emnuvens.com.br/spmj/article/view/757 |
url |
https://periodicosapm.emnuvens.com.br/spmj/article/view/757 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicosapm.emnuvens.com.br/spmj/article/view/757/691 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
São Paulo Medical Journal São Paulo Medical Journal |
publisher.none.fl_str_mv |
São Paulo Medical Journal São Paulo Medical Journal |
dc.source.none.fl_str_mv |
São Paulo Medical Journal; Vol. 112 No. 2 (1994); 539-542 São Paulo Medical Journal; v. 112 n. 2 (1994); 539-542 1806-9460 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1825135058138169344 |