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Wertheim-Meigs radical hysterectomy

Bibliographic Details
Main Author: Carvalho, Jesus Paula
Publication Date: 1994
Other Authors: Souen, Jorge Saad, Carramão, Silvia da Silva, Yeu, Wang Lee, Pinotti, José Aristodemo
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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spelling 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
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