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Radical hysterectomy refers to the removal of the uterus along with the parametrium, that is broad, cardinal, round and uterosacral ligaments as well as the upper half of the vagina, with. This gynecological surgery is also is also known as ablation of the uterus. The cervix, and/or Fallopian tubes may also be removed based on the severity of the condition. The surgeon generally also carries out a bilateral pelvic lymph node dissection, which requires a comprehensive knowledge of pelvic anatomy. Radical hysterectomy is conducted as a primary treatment for Stage IB or IIA cancer of the cervix, Upper vaginal carcinoma and cervical or uterine sarcomas.
Radical hysterectomy may also be performed as a therapy for some patients with stage II adenocarcinoma of the endometrium for whom radical surgery may appear feasible. Patients with rare malignancies limited to the area of the uterus, cervix, and/or upper vagina may also undergo Radical hysterectomy. Radical hysterectomy is performed particularly in the case of invasive gynecological cancer and involves the same method as a total hysterectomy. However this surgical procedure also involves the excision of the upper vagina and the pelvic lymphatic ganglions. In addition to Radical hysterectomy, there are three other types of hysterectomies.
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Risks Factors involved in Radical hysterectomy
The other types of hysterectomies include total hysterectomy, subtotal hysterectomy and total hysterectomy with salipingo-oophorectomy. There are several long and short-term risks involved in hysterectomies including Radical hysterectomy. The various risk associated with Radical hysterectomy include excess bleeding at the time of surgery, infection and surgical damage to the bladder or uterus. A rare but severe complication of Radical hysterectomy is the clotting of blood in the veins of the leg. In some cases, there may be an adverse effect on the sex life of women after undergoing a Radical hysterectomy.
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Procedures in Radical hysterectomy
There a few procedures involved in Radical hysterectomy, whereby the uterus is removed through the vagina with the aid of laparoscopy or through the abdomen. In abdominal hysterectomy, the surgery is preformed through a 10-to-15-centimetre incision on the abdomen of the patient. In the case of vaginal hysterectomy, the operation is done by making a small incision in the back of the vagina from where the uterus is removed. Finally, vaginal hysterectomy with laparoscopy is performed by making small incisions in the abdomen where a laparoscope is inserted.
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