Wertheim's hysterectomy

  • Wertheim’s hysterectomy is a radical hysterectomy done in cases of invasive carcinoma
  • The structure removed are – uterus, cervix, upper third of vagina, broad ligament, lymph nodes and fatty tissue of pelvis, fallopian tube and possibly one or both ovaries
  • The removal of lymph nodes helps to assess the extend of spread of malignancy and to plan post operative radiotherapy
  • It is also helps to assess the prognosis
  • The surgeon may decide to preserve the ovaries in young women to prevent early menopause as long they appear normal
  • The ovaries may be removed if they appear to have metastatic deposits and also in case of post menopausal women
  • There is increased risk of damage to adjacent structures like urethra during surgery

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