Introduction. Since 1897, when the first radical hysterectomy with
lymphadenectomy was done by Wertheim in Vienna, this operation has had the
central role in the surgical treatment of invasive cervical tumors. Material
and methods. In the period from 1997 to 2010, 177 patients diagnosed with
invasive cervical cancer according to the International Federation of
Gynecology and Obstetrics (FIGO) stage IB1 - II were operated at the
Department of Obstetrics and Gynecology in Banja Luka. All patients underwent
radical hysterectomy by Wertheim - Meigs. The aim of this study is to present
the technique of this operation, as well as its effectiveness in the
treatment of cervical cancer. Results. The distribution of the patients
having invasive cervical cancer according to the International Federation of
Gynecology and Obstetrics classification was as follows: I B1 - 35.67%, I B2
- 23.17%, II A - 15.48%, II B - 25.68% on average is 21.3 removed lymph
glands. The rate of intraoperative and postoperative complications was 8
(4.51%) and 17 (9.60%), respectively. Of the 26 patients who were operated in
the period from 2005 - 2010, 13 had stage II B according to the International
Federation of Gynecology and Obstetrics; there were 6 lethal outcomes (23.08)
and the five-year survival rate was 76.92%. Discussion and conclusion. By
applying the proper surgical technique and early prevention of immediate
complications, we achieved satisfactory results in operative morbity and
mortality, intraoperative and postoperative complications of the lesion for
radical surgery by the Wertheim- Meigs-in the treatment of cancer of the
uterus in the I B - II B stage according to the International Federation of
Gynecology and Obstetrics classification.
185 Stage 1B2 invasive cervical cancer diagnosed at 20 weeks gestation: neoadjuvant chemotherapy followed by caesarean radical hysterectomy at term and chemoradiation: report of a case
