Wertheim operation

Wertheim Operation is a surgical procedure primarily used in the treatment of cervical cancer. Named after the Austrian gynecologist Ernst Wertheim, who first performed the operation in 1898, it involves the removal of the uterus, upper part of the vagina, and the parametrium. The procedure is also known as Wertheim's Radical Hysterectomy or Radical Abdominal Hysterectomy.

History[edit | edit source]

The Wertheim Operation was first performed by Ernst Wertheim in 1898 in Vienna, Austria. Wertheim's initial results were not promising, with a high rate of postoperative complications and mortality. However, with improvements in surgical techniques and postoperative care, the procedure has become safer and more effective over time.

Procedure[edit | edit source]

The Wertheim Operation is a type of hysterectomy that involves the removal of the uterus, the upper part of the vagina, and the parametrium. The parametrium is the fibrous and fatty tissue surrounding the uterus. The procedure also often involves the removal of the pelvic lymph nodes to check for the spread of cancer.

The operation is performed under general anesthesia. The surgeon makes an incision in the abdomen to access the uterus and surrounding tissues. The tissues are then carefully removed to avoid damaging nearby organs such as the bladder and rectum.

Indications[edit | edit source]

The Wertheim Operation is primarily indicated for the treatment of early-stage cervical cancer. It may also be used in the treatment of other gynecological cancers, such as endometrial cancer and ovarian cancer, if the cancer has spread to the uterus.

Risks and Complications[edit | edit source]

As with any major surgery, the Wertheim Operation carries risks, including infection, bleeding, and damage to nearby organs. Specific complications related to the Wertheim Operation can include lymphedema, sexual dysfunction, and urinary or bowel problems.

Postoperative Care[edit | edit source]

After the operation, patients typically stay in the hospital for several days for monitoring and pain management. Physical therapy may be recommended to help regain strength and mobility. Regular follow-up appointments are necessary to monitor for any signs of cancer recurrence.