title: Outcome of radical hysterectomies performed by general gynecologists in Jamaica.
abstract: 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.
authors: Department of Obstetrics and Gynecology, University Hospital of the West Indies, Kingston, Jamaica. lsamuels@cwjamaica.com
authors: Leslie A
authors: LA
authors: Samuels
authors: Carole
authors: C
authors: Rattray
authors: Ian
authors: I
authors: Bambury
authors: Horace
authors: H
authors: Fletcher
authors: Sharmaine
authors: S
authors: Mitchell
mesh_terms: 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