Edorium Journal of

Gynecology and Obstetrics

 
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Original Article
 
Results of Wertheim-Meigs surgery for treatment of early uterine cervix cancer: An observational study
Karina Elord Castro Ribeiro da Silveira1, Claudio Sergio Batista2, Takasi Osako3, Claudia Lucia Nunes Alvares3
1MD, Faculty of Medicine of Petrópolis, Rio de Janeiro, Brazil.
2MD, MSc, PhD, Adjunct Professor of Gynecology & Obstetrics of Faculty of Medicine of Petropolis, Rio de Janeiro, Brazil.
3MD, UNIMED-Hospital, Petropolis, Rio de Janeiro, Brazil.

Article ID: 100008G06KS2016
doi:10.5348/G06-2016-8-OA-2

Address correspondence to:
Claudio Sergio Batista
Rua do Imperador, 288/908 - Centro - Petrópolis - Rio de Janeiro
Brazil - CEP: 25620-000

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How to cite this article
da Silveira KECR, Batista CS, Osako T, Alvares CLN. Results of Wertheim-Meigs surgery for treatment of early uterine cervix cancer: An observational study. Edorium J Gynecol Obstet 2016;2:8–16.


Abstract
Aims: To verify Wertheim-Meigs surgery outcomes for treating early uterine cervix cancer.
Methods: Observational, retrospective, not comparative study with cross-sectional data collection with 13 uterine cervical cancer patients stage IB to IIA undergoing to Wertheim-Meigs surgery from January 2000 to December 2012 in Petropolis, Rio de Janeiro, Brazil. Main outcomes were long disease-free, intraoperative and postoperative complications. Included variables were age, parity, sexual onset, number of partners, history of HPV infection, histological tumor type, status of surgical margins, lymph node involvement, and follow-up. Data were analyzed in PSPP software by calculating mean, median, and standard deviation.
Results: Patients mean age was 43±13.20, parity 0.7±0.82 kids and sexual partners 3.54±3.55. White women were 69.30%, black 7.69% and other races 15.68%. Sexual onset mean was 15.98±5.75. Squamous cell carcinoma was 69.23%, adenocarcinoma 7.69% and adenocarcinoma of endometrium 15.38%. Lymph node commitment was 1 case. Intraoperative complications were bladder injury 15.38%, and a case of ureter section. Postoperative complications were intestine obstruction, cupola granuloma, and ureterovesical fistula a case each. Follow-up ranged from 1–7 years.
Conclusion: Our study suggests despite of small sample it is need consider Wertheim-Meigs surgery as an efficient therapeutic option once the procedure presents good results and low complication rates.

Keywords: Cervix uteri, Gynecologic surgical procedures, Hysterectomy, Uterine cervical neoplasms


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Author Contributions:
Karina Elord Castro Ribeiro da Silveira – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Claudio Sergio Batista – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Takasi Osako – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Claudia Lucia Nunes Alvares – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Karina Elord Castro Ribeiro da Silveira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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