Radical hysterectomy and pelvic lymphadenectomy

  • Karl C. Podratz
  • Richard E. Symmonds
Part of the Cancer Treatment and Research book series (CTAR, volume 31)


The advent of the twentieth century witnessed the initiation of radical abdominal surgery for the treatment of uterine cancers. Recognizing the pattern of direct infiltrative extension and nodal metastases, Wertheim [1] championed an extirpative procedure that included wide parametrial resections with ureteral mobilization, inclusion of an extended segment of the uterosacral ligaments, and excision of a generous portion of the vagina and sampling of suspicious pelvic nodes. Wertheim’s experience with 500 cases included an operative mortality of 18% which was predominantly attributable to the difficulties in managing postoperative infections. Because of the associated operative mortality and the evolving applications of radiotherapy, enthusiasm for the surgical treatment of cervical carcinoma was nearly dormant for several decades.


Cervical Cancer Obstet Gynecol Radical Hysterectomy Pelvic Lymphadenectomy Uterosacral Ligament 
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Copyright information

© Martinus Nijhoff Publishers, Boston 1987

Authors and Affiliations

  • Karl C. Podratz
  • Richard E. Symmonds

There are no affiliations available

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