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Wertheim-Meigs radical hysterectomy

J P Carvalho1, J S Souen, S da S Carramão

  • 1University of São Paulo Medical School General Hospital HC-FMUSP.

Sao Paulo Medical Journal = Revista Paulista De Medicina
|April 1, 1994
PubMed
Summary
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Wertheim-Meigs hysterectomy for early-stage cervix cancer shows a higher recurrence rate with positive lymph nodes. Careful patient selection and monitoring are crucial for managing complications associated with this procedure.

Area of Science:

  • Gynecologic Oncology
  • Surgical Oncology

Background:

  • Wertheim-Meigs hysterectomy is a standard surgical treatment for invasive cervical cancer stages IB and IIA.
  • This retrospective study analyzes outcomes from a significant patient cohort treated over two decades.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of Wertheim-Meigs hysterectomy for early-stage cervical cancer.
  • To identify prognostic factors influencing recurrence, specifically lymph node metastasis.

Main Methods:

  • Retrospective analysis of 168 patients undergoing Wertheim-Meigs hysterectomy between 1974 and 1993.
  • Assessment of clinicopathological data, including lymph node status, recurrence, and postoperative complications.

Main Results:

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  • Pelvic lymph node metastases were identified in 11.3% of patients.
  • Recurrence rates were significantly higher in patients with positive lymph nodes (21%) compared to those with negative nodes (6%).
  • Overall complication rate was 20.83%, with common issues including atonic bladder, fistulae, and urinary incontinence.

    • Conclusions:

    • Lymph node status is a critical predictor of recurrence following Wertheim-Meigs hysterectomy for early-stage cervical cancer.
    • While effective, the procedure is associated with a notable rate of complications requiring vigilant management.