Outcome of radical hysterectomies performed by general gynecologists in Jamaica.
OBJECTIVE
To review the modified (type II) radical hysterectomy procedures performed by 4 general gynecologists at the University Hospital of the West Indies, and to compare the outcomes with those of other published studies.


METHODS
The case notes of the 58 women who underwent radical hysterectomies between January 1997 and December 2006 were reviewed. Accuracy of staging, duration of the operation, operative blood loss, types and rates of complications, recurrence rates, and 5-year survival rates were assessed.


RESULTS
Accuracy of clinical staging, duration of the procedure, blood loss, and operative and postoperative complications were comparable to previously published data. The 5-year survival rate of 77.6% was also comparable to results seen in some other publications.


CONCLUSIONS
General gynecologists with significant experience in general gynecologic surgery who underwent adequate, but abbreviated, training became competent in performing a radical hysterectomy, with outcomes comparable to those seen in high-resource countries.
Samuels
Leslie A
LA
Department of Obstetrics and Gynecology, University Hospital of the West Indies, Kingston, Jamaica. lsamuels@cwjamaica.com
Rattray
Carole
C
Bambury
Ian
I
Fletcher
Horace
H
Mitchell
Sharmaine
S
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006176:Gynecology / Q000193:education; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007563:Jamaica / Q000453:epidemiology; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D011361:Professional Competence; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D055815:Young Adult