Vaginal hysterectomy versus abdominal hysterectomy for the treatment of stage I endometrial adenocarcinoma

Article Abstract:

Hysterectomies performed via the vagina may not replace standard hysterectomies but can effectively remove uterine cancer in its early stage. Researchers retrospectively compared the 5- and 10-year outcomes of 180 women who had vaginal hysterectomies to remove stage I uterine cancer to the outcomes of 147 women who had abdominal hysterectomies. Survival rates were comparable between the two groups, even though some of the women undergoing vaginal hysterectomies had additional risk factors that precluded abdominal surgery. Women who had vaginal hysterectomies lost less blood, had fewer blood transfusions, and spent less time in surgery and in the hospital. Vaginal hysterectomy was associated with a lower mortality rate. Women with poorly differentiated tumors had an increased mortality rate.

Adenocarcinoma

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Schauta-Amreich vaginal hysterectomy and Wertheim-Meigs abdominal hysterectomy in the treatment of cervical cancer: a retrospective analysis

Article Abstract:

Vaginal hysterectomy for cervical cancer appears to be a safe and effective alternative to abdominal hysterectomy. The Wertheim-Meigs technique of abdominal hysterectomy has long been considered the preferred surgical method for cervical cancer. Of 1,004 women diagnosed with cervical cancer over a 16-year period, 543 had vaginal hysterectomy and 461 had abdominal hysterectomy. Among the 458 patients with stage IB cancer who were only treated surgically, the five-year survival rate was 83% for those who had vaginal hysterectomy and 78% for those who had abdominal hysterectomy. Among those with stage IIA cancer, the five-year survival rate was 68% for those who had vaginal hysterectomy and 64% for those who had abdominal hysterectomy.

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Three classes of radical vaginal hysterectomy for treatment of endometrial and cervical cancer

Article Abstract:

Radical vaginal hysterectomy should be considered for selected cases of uterine and cervical cancer. Radical vaginal hysterectomy offers advantages over abdominal hysterectomy, including no general anesthesia, decreased blood loss, fewer complications, and applicability to obese patients and patients in poor medical condition. The extensiveness of the procedure can be tailored to the extent of the cancer. Class I and class II procedures preserve the tissues carrying nerves and blood supply to the lower bowel, bladder, and ureters, thus reducing the risk of dysfunction. Laparoscopic examination overcomes the major objection to vaginal hysterectomy: lack of assessment of lymph nodes.

Methods

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