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Chapter-27 Laparoscopic Radical Hysterectomy of “The Pune-Techniques”

BOOK TITLE: State of the Art Atlas of Endoscopic Surgery in Infertility and Gynecology

Author
1. Puntambekar Shailesh
2. Patil Anjali
3. Sathe Ravindra
4. Aggarwal Geetanjali
ISBN
9788184489903
DOI
10.5005/jp/books/11190_27
Edition
2/e
Publishing Year
2010
Pages
16
Author Affiliations
1. Galaxy Laparoscopy Institute, Pune, India, Galaxy-Care Laparoscopy Institute Near Garware College Ayurved Ras-Shala Campus, Pune, India, Center for Advanced Laparoscopy and Robotic Surgery, Pune, Maharashtra, India, Galaxy Care Laparoscopic Institute, Pune, Maharashtra, India, Galaxy Care Laparoscopy Institute, Pune, Maharashtra, India, Galaxy Hospital, Institute, Pune, Maharashtra, India, Galaxy Laparoscopy Institute, Pune, Maharashtra, India, Galaxy Hospital, Pune, Maharashtra, India
2. Galaxy Laparoscopy Institute, Pune, India, Galaxy-Care Laparoscopy Institute, Pune, India
3. Galaxy-Care Laparoscopy Institute Pune, India
4. Galaxy-Care Laparoscopy Institute Pune India
Chapter keywords

Abstract

Radical hysterectomy as described by Ernst Wertheim remains the gold standard in the surgical management of operable cervical cancer. Several modifications of the open technique have been described in order to optimize postoperative outcome. The first reports of total laparoscopic radical hysterectomy were described in the early 1990s by M Canis. Several other reports of technically safe and feasible methods for performing laparoscopic radical hysterectomy have been published subsequently. In the past, we have performed many open radical hysterectomies for operable cancer cervix. Since 2002, with the progress in laparoscopic skills and instrumentation, we have successfully performed total laparoscopic radical hysterectomy in more than 400 patients. Cervical cancer is the most common form of cancer among women in India. More than 1,30,000 new cases, which is roughly one-fourth of the total global cases, are reported in the country every year. In addition, an estimated 74,000 Indian women die annually from the disease. Due to poor screening programs and lack of awareness, 70% or more of the patients are Stage III or higher at the time of diagnosis. The treatment options available to these patients are limited since they present with advanced disease. Laparoscopic radical hysterectomy is more increasingly being performed by many gynecologists. Complications that are unique to laparoscopy do exist but they should decrease with time, repetition and experience, as with progression of the learning curve. The limitation is not with the procedure, but with the mindset.

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