The Modified Schauta-Stoeckel Procedure.

STUDY

OBJECTIVE

To demonstrate the technique of vaginal radical hysterectomy in the treatment of cervical cancer.

DESIGN

Video.

SETTING

Tertiary referral unit specialized in advanced gynecologic surgery and neuropelveology.

INTERVENTIONS: The modified Schauta-Stoeckel procedure consists of a radical hysterectomy performed vaginally without the need for a Schuchard episiotomy. Our modification consists of the "Click maneuver," an easy and reproducible method that allows an easy exposure of the knee of the ureter and a radical resection of both the supraureteral and infraureteral parts of the bladder pillar. This procedure allows a radical resection of the lower part of the parametrium and the paracolpium, both of which contain the main lymphatic drainage of the cervix.

CONCLUSION

The modified Schauta-Stoeckel procedure has been shown in previous studies a high cure for stage IB or IIA cervical cancer.