INDICATIONS
Bleeding and / or
Pain caused by benign pathologies (fibroids, adenomyosis, etc.).
It can also be used to treat certain prolapse or gynecological cancers.
Total hysterectomy is the most common.
Treatments
Surgery is mainly used to treat tumors confined to the cervix.
The purpose of surgery is to remove all of the tumor and eliminate the risk of recurrence. This most often involves removing the uterus and the network of lymph nodes located near the uterus.
Several types of interventions exist. The choice depends on the precise extent of the cancer. But your age and your possible desire for a child can also influence this choice.
ENLARGED COLPO-HYSTÉRECTOMY
The most frequently performed procedure is an enlarged colpo-hysterectomy, also known as the Wertheim procedure. During this procedure, the surgeon removes the uterus, the parameters and the upper part of the vagina. Most often, the ovaries also need to be removed. Enlarged colpo-hysterectomy is offered to treat tumors limited to the cervix and smaller than 4 centimeters in size.
Enlarged colpo-hysterectomy may be preceded by brachytherapy performed 6 to 8 weeks before the operation. Preoperative brachytherapy makes it possible to reduce the size of the tumor to promote its total removal during surgery. Most often, it takes about a week in hospital.
