RESUMO
A total of 302 patients with stage Ib and IIa cervical carcinoma were submitted to radical hysterectomy and lymphadenectomy during the period from 1980 to 1994. The morbidity rate was 37.5% and the mortality rate 0.6%. The most common intraoperative complications were injuries to the great pelvic vessels and the most frequent postoperative complications involved the urinary tract. The leading causes of morbidity were urinary infection (20.8%), bladder dysfunction (9.2%) and ureteral fistulas (2.9%). Although the rate of complications was high, morbidity has been decreasing over the last five years. Thus, radical hysterectomy continues to be one of the methods for the treatment of early cervical carcinoma that presents an acceptable 5-year survival rate.
Assuntos
Histerectomia/efeitos adversos , Neoplasias do Colo do Útero/cirurgia , Adulto , Feminino , Humanos , Incidência , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologiaRESUMO
A total of 302 patients with stage Ib and IIa cervical carcinoma were submitted to radical hysterectomy and lymphadenectomy during the period from 1980 to 1994. The morbidity rate was 37.5 per cent and the mortality rate 0.6 per cent. The most common intraoperative complications were injuries to the great pelvic vessels and the most frequent posto erative complications involved the urinary tract. The leading causes of morbidity were urinary infection (20.8 per cent), bladder dysfunction (9.2 per cent) and ureteral fistulas (2.9 per cent). Although the rate of complications w high, morbidity has been decreasing over the last five years. Thus, radical hysterectomy continues to be one of the methods for the treatment of early cervical carcinoma that presents an acceptable 5-year survival rate.
Assuntos
Adulto , Humanos , Feminino , Histerectomia , Neoplasias do Colo do Útero/complicações , Neoplasias do Colo do Útero/cirurgia , Complicações Pós-Operatórias/epidemiologiaRESUMO
Three cases of primary adenocarcinoma of the Fallopian tube have been treated at the Gynecology Department of Hospital A. C. Camargo, Fundación A. Prudente, São Paulo, between 1972-1987. The diagnosis was only possible at surgery. The poor prognosis was due to the advanced stage of the disease. In view of its rarity further studies are necessary for a better diagnostic and therapeutic approach.
