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May 1965

A Modification of Radical Hysterectomy for Cervical CancerRationale for Resection of Terminal Ureters and Base of Bladder

Arch Surg. 1965;90(5):673-679. doi:10.1001/archsurg.1965.01320110009003

IT IS NOT within the scope of this paper to review the indications for radiation therapy or operative therapy in the treatment of carcinoma of the cervix. It does present factual data indicating the need for modification of the radical hysterectomy as usually performed. Based upon published statistics, this surgical modification will provide more adequate excision of the carcinoma in tissues adjacent to the cervix in the anterior parametrium, about the terminal ureters, and the base of the urinary bladder. Further, the procedure appears to be a reasonable, desirable, and satisfactory substitute for most anterior exenterations used by some surgeons in treatment of early stage cervical cancers. Also, it is designed to reduce the incidence of urologic complications after radical hysterectomy and to avoid the unpleasant aspects of urinary diversion after anterior exenterations. The procedure to be presented is radical hysterectomy in conjunction with resection of terminal ureters and base

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