title: [Complications of colpohysterectomy with lymph node dissection in the cervix carcinoma at the Cancer Institute of Dakar: report of 412 cases].
abstract: The wertheim complications are dominated by the urinary dysfonction and the lymphocele which are linked at this procedure. This study reported 412 Wertheim associated to the radiotherapy. The purpose was to evaluate the complications among patients who underwent the Wertheim and to analyse the differents factors promotions the complications. The diagnosis was always late and the disease stage was advanced. The stages II, III and IV represented more than 80%. We found 86 complications (20.87%) distributed as follow: 17 urinary (19.76%), 30 secondary infections (34.88%), 8 colonic fistula (9.30%), 7 hemorrage (8.13%), 6 lymphedema (6.97%), 3 occlusions (3.48%), 1 phlebitis (1.16%), 1 lymphocele (1.16%). among all patients, 17 died, the mortality rate was 4.12%. A very good dissection preceded by radiotherapy may reduce the complications rate.
authors.affiliation: Institut du Cancer de Dakar - Université Cheikh Anta Diop de Dakar (Sénégal).
authors.forename: A
authors.initials: A
authors.lastname: Dem
authors.forename: A A
authors.initials: AA
authors.lastname: Kasse
authors.forename: M
authors.initials: M
authors.lastname: Diop
authors.forename: M C
authors.initials: MC
authors.lastname: Fall-Gaye
authors.forename: P S
authors.initials: PS
authors.lastname: Diop
authors.forename: C
authors.initials: C
authors.lastname: Dotou
authors.forename: M L
authors.initials: ML
authors.lastname: Ciss
authors.forename: P
authors.initials: P
authors.lastname: Toure
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D008197:Lymph Node Excision / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012675:Senegal; D002583:Uterine Cervical Neoplasms / Q000601:surgery*