ABSTRACT
This surgery is used for the management of stage IA2 and IB1 and IB2 tumors of the uterine cervix. It may be used by some surgeons for the management of stage IIA cervical tumors and occasionally in the management of vaginal cancer. It has been classified by Rutledge as radical abdominal hysterectomy types II and III ( Piver et al. 1974 ). Staging of cervical cancer, carried out preoperatively, is not further discussed in this chapter. The choice of whether to perform this procedure or one of those described in chapters 8, 9, 10, and 27 depends on the surgeon’s preference, with each operation tailored to the needs of the specific patient. The radicality of the planned procedure depends on the characteristics of the tumor.
