Influence of preoperative radiotherapy on postoperative morbidity in patients with endometrial carcinoma

In a total of 284 patients with endometrial carcinoma, stage I, the influence of preoperative intracavitary radiation on the postoperative morbidity was evaluated. In preoperatively radiated patients there was a postoperative increase in the number of wound healing disorders, urinary tract infections, febrile courses, and in the total number of patients with complications. Moreover, surgical difficulties were increased. These increases are statistically significant. Advantages and disadvantages of preoperative radiation are discussed. The influence of a febrile postoperative course on the 5-years-survival-rate is considered.