The Schauta operation.

Obstet Gynecol

Published: April 1969

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vNOTES Radical Hysterectomy: A New Approach to Cervical Cancer.

J Minim Invasive Gynecol

September 2024

Department of Gynecologic Oncology, Imelda Hospital and Department of Development and Regeneration, University of Leuven (Dr. Baekelandt), Belgium. Electronic address:

Objective: To demonstrate how a radical hysterectomy with sentinel node resection for cervical cancer can be performed via vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES).

Design: Demonstration of the technique in 10 steps. making use of narrated original video footage SETTING: The surgical treatment of cervical cancer is traditionally performed via one of the following techniques: Wertheim radical hysterectomy via laparotomy, Schauta radical hysterectomy vaginally, laparoscopic radical hysterectomy or robotic radical hysterectomy.

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Radical Vaginal Hysterectomy, Type B: An Educational Video, Cadaver Model.

Ann Surg Oncol

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UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

The radical vaginal hysterectomy popularized by Schauta has been virtually abandoned due to painful perineal incision, high rate of urinary dysfunction, and inability to perform lymph node assessment. However, this approach is still used and taught in a few centers outside its Austrian birthplace. In addition, a combined vaginal and laparoscopic approach, overcoming the flaws of the pure vaginal technique, was developed in the 1990s by French and German surgeons.

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Radical Hysterectomy After the LACC Trial: Back to Radical Vaginal Surgery.

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February 2022

Department of Gynecologic Oncology, National Research Institute of Oncology, Wilhelma Konrada Roentgena 5, 02-781, Warsaw, Poland.

Classical radical vaginal hysterectomy first performed by Anton Pawlik in Prague in 1888 and popularized by Frederic Schauta is now a historical technique virtually abandoned due to painful perineal incision, a high rate of urinary dysfunction, and the inability to perform lymph node assessment. However, the heritage of this approach has been still used and taught in a few centers outside their Austrian birthplace. A combined vaginal and laparoscopic approach was developed in the 1990s by French and German surgeons who designed diverse surgical techniques for which a novel classification is proposed.

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Background: Recent evidence indicates that some minimally invasive surgery approaches, such as laparoscopic and robotic-assisted radical hysterectomy, offer lower survival rates to patients with early-stage cervical cancer than open radical hysterectomy. We evaluated the oncological results of a different minimally invasive surgery approach, that of laparoscopically assisted radical vaginal hysterectomy (LARVH) in this setting.

Methods: From January 2001 to December 2018, patients with early-stage cervical cancer were treated by LARVH.

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