Wertheim hysterectomy
Pronunciation: VERT-hime
Radical hysterectomy involving removal of uterus, cervix, parametria, and upper vagina for cervical cancer treatment.
Full Definition
Wertheim hysterectomy, also known as radical hysterectomy Type III, is an extensive surgical procedure developed for the treatment of cervical cancer. The procedure involves removal of the uterus, cervix, parametrial tissue, uterosacral and cardinal ligaments, and the upper third of the vagina, along with pelvic lymphadenectomy. This approach aims to achieve wide surgical margins around the primary tumor while preserving bladder and rectal function when possible. The procedure requires expertise in pelvic anatomy and carries risks including ureteral injury, bladder dysfunction, and sexual health impacts that require careful patient counseling.
Usage
Usage note: Named after Ernst Wertheim; capitalize as eponym. Specify type when documenting radical procedures.
In Context
- "The oncology team recommended Wertheim hysterectomy for the stage IB2 cervical adenocarcinoma." — multidisciplinary tumor board notes
- "Nerve-sparing techniques during Wertheim hysterectomy can help preserve bladder function." — surgical technique description