Wertheim radical hysterectomy. Surgical complications, accuracy of clinical staging and value of XXXX .

@entity1 @entity2622 @entity3 @entity1204
Wertheim radical hysterectomy combined with pelvic lymphadenectomy was performed at the Helsinki University Central Hospital on 132 @entity1 of whom 120 had @entity2622 from Stage IA to early IIB and 12 had @entity1204 Stage II. None of the @entity1 died or had severe complications during their hospitalisation. The left ureter was accidently transected in two @entity1 and both were corrected immediately. Wound complications occurred in 16 @entity1 (12%). The high incidence of wound complications is probably partly related to the low-dose heparin prophylaxis. The initial clinical staging was found to be correct in 85% of the cases. Five cases were under-staged. All ten @entity1 cases of early Stage IIB were over-staged, none of whom had parametrial invasion. The predictive value of lymphangiography was low, 14% in histologically positive cases and 89% in negative cases of lymph node @entity3 . Lymphangiography proved to be only of value in facilitating complete lymph node dissection. Intra-operative lymphangiographic control revealed radio-positive nodes and lead to further dissection in 30 @entity1 (24%).
