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Williams Gynecology
| Section 6 Atlas of Gynecologic Surgery > |
Chapter 43. Surgeries for Gynecologic Malignancies
Sections: 43-1 Radical Abdominal Hysterectomy (Type III), 43-2 Modified Radical Abdominal Hysterectomy (Type II), 43-3 Total Pelvic Exenteration, 43-4 Anterior Pelvic Exenteration, 43-5 Posterior Pelvic Exenteration, 43-6 Incontinent Urinary Conduit, 43-7 Continent Urinary Conduit, 43-8 Vaginal Reconstruction, 43-9 Pelvic Lymphadenectomy, 43-10 Para-Aortic Lymphadenectomy, 43-11 En Bloc Pelvic Resection, 43-12 Omentectomy, 43-13 Splenectomy, 43-14 Diaphragmatic Surgery, 43-15 Colostomy, 43-16 Large Bowel Resection, 43-17 Ileostomy, 43-18 Small Bowel Resection, 43-19 Low Anterior Resection, 43-20 Intestinal Bypass, 43-21 Appendectomy, 43-22 Radical Partial Vulvectomy, 43-23 Radical Complete Vulvectomy, 43-24 Inguinal Lymphadenectomy, 43-25 Skinning Vulvectomy, 43-26 Reconstructive Grafts and Flaps, References.
Topics Discussed: gynecologic cancer; gynecologic surgical procedures.
Excerpt:"Radical hysterectomy differs from simple hysterectomy in that additional surrounding soft tissue is resected to achieve negative tumor margins. The operation involves wide radical excision of the parametrial and paravaginal tissues in addition to removal of pelvic lymphatics.Pelvic examination under anesthesia with cystoscopy and proctoscopy is not mandatory for all women, but clinical staging procedures should be completed. For some women with larger cervical tumors, an abdominal-pelvic computed tomographic (CT) scan may be indicated. To a lesser degree, positron-emission tomography (PET) scanning also has application in identifying metastatic disease before proceeding with radical hysterectomy (see Chap. 2, Positron Emission Tomography Imaging) (Chou, 2006)...."
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