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The Modified Schauta-Stoeckel Procedure
1Possover International Medical Center AG, Zurich, Switzerland, Departments of Gynecology and Obstetrics, University of Cologne, Cologne, Germany, and International School of Neuropelveology, Zurich, Switzerland..
Study Objective:
To demonstrate the technique of vaginal radical hysterectomy in the treatment of cervical cancer.
Design:
Video.
Setting:
Tertiary referral unit specialized in advanced gynecologic surgery and neuropelveology.
Interventions:
The modified Schauta-Stoeckel procedure consists of a radical hysterectomy performed vaginally without the need for a Schuchard episiotomy. Our modification consists of the "Click maneuver," an easy and reproducible method that allows an easy exposure of the knee of the ureter and a radical resection of both the supraureteral and infraureteral parts of the bladder pillar. This procedure allows a radical resection of the lower part of the parametrium and the paracolpium, both of which contain the main lymphatic drainage of the cervix.
Conclusion:
The modified Schauta-Stoeckel procedure has been shown in previous studies a high cure for stage IB or IIA cervical cancer.
