Ureteral approach in Wertheim surgery: a facilitating maneuver

Abstract

Objective: The aim of the present study was to assess the resultof a single maneuver facilitating ureteral dissection. Methods: Onehundred and eleven patients underwent a modified procedure of theWertheim-Meigs technique, from February 1995 to December 2003.A detailed description of the surgery is provided. Results: The surgerydid not last long and no urinary fistulas were observed. Bleeding wassimilar to the standard procedure. Conclusion: The new maneuverfor ureter dissection was successful and facilitated the teaching ofradical hysterectomy.

Keywords

• Uterine neoplasms/surgery
• Hysterectomy/methods