Intraoperative measurements to determine the extent of radical hysterectomy.
OBJECTIVE
The extent of radical hysterectomy can be objectively measured and the measured extent of resection will correlate with morbidity.


METHODS
Observational. The extent of radical hysterectomy was determined by measurement of overall length and excised portions of the uterosacral and cardinal ligaments. Analysis of morbidity was performed on 120 patients. Univariate analysis was accomplished with correlation, t test, and chi(2) statistical methods, and regression models were used for multivariate analysis.


RESULTS
In precisely defined terms, the patients in this study underwent modified radical hysterectomy. The extent of the resection had an independent relationship to blood loss, operative time, and duration of postoperative bladder drainage. The extent of resection was also directly related to persistent bladder and rectal dysfunction.


CONCLUSIONS
This method for objectively measuring the extent of a radical hysterectomy is feasible. The extent of the procedure correlates with morbidity.
Hoffman
Mitchel S
MS
University of South Florida College of Medicine, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Tampa, Florida 33606, USA. macevedo@hsc.usf.edu
Cardosi
Richard J
RJ
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D009017:Morbidity; D009367:Neoplasm Staging; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*