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. 1993 Feb 15;71(4 Suppl):1422-37.
doi: 10.1002/cncr.2820710407.

Radical hysterectomy for invasive cervical cancer. A 25-year prospective experience with the Miami technique

H E Averette  1 , H N Nguyen, D M Donato, M A Penalver, B U Sevin, R Estape, W A Little
Affiliations

Radical hysterectomy for invasive cervical cancer. A 25-year prospective experience with the Miami technique

H E Averette et al. Cancer. .

Abstract

Background: The Miami modification of the traditional Wertheim-Meigs radical hysterectomy was used to treat Stage IB-IIA cervical cancer in a 25-year prospective study involving 978 patients.

Methods: The modifications included: vaginal reconstruction and closure using bladder and rectosigmoid serosa, retroperitoneal drainage through abdominal suction catheters, and suspension of the denuded ureters with the ipsilateral obliterated hypogastric artery.

Results: The overall corrected 5-year survival rate was 90.1%, with a surgical mortality rate of 1.4% and an overall urinary fistula rate of 1.4%. This fistula rate was significantly better than a 4.4% incidence rate in a literature survey. Although not measured, the Miami modification appeared to lengthen the vagina.

Conclusions: Therefore, it was concluded that radical hysterectomy with the Miami modifications can be done safely in most patients with Stage IB-IIA cervical cancer.

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