[Vaginal radical surgery using the Schauta-Amreich method. Results from the years 1959 to 1970 and consequences for determining indications].
Clinical report on 234 vaginal radical hysterectomies carried out in the years 1959 to 1970 at the department of obstetrics and gynecology of the university of Rostock. 84% 5-year recoveries. No primary operative mortality, low morbidity. 5-year recovery is 76%, if cancer does exceed 20 X 20 mm at the surface and/or 10 mm extent at the depth. If cancer does not exceed this three-dimensional measurement 5-year recovery is 91%. There was concluded firstly that the possibility of metastases in the pelvic lymph nodes is dependent from the size of the primary tumor and secondly that before treatment a subtile diagnostic procedure secures that only good cases of cervical cancer FIGO stage I b are operated on by radical vaginal hysterectomy (Schauta-Amreich). Also in some cases of microcarcinoma a Schauta-operation is indicated. Our proposal is a reduced radicality with regard to the removal of the parametrium in these caces.
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery; D005859:Germany, East; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors
Die vaginale Radikaloperation nach Schauta-Amreich. Ergebnisse aus den Jahren 1959 bis 1970 und Folgerungen für die Indikationsstellung