RT Book, Section A1 Cibula, David A2 Bristow, Robert E. A2 Chi, Dennis S. SR Print(0) ID 1115054643 T1 Radical Hysterectomy With En Bloc Vaginectomy or Pelvic Lymphadenectomy T2 Radical and Reconstructive Gynecologic Cancer Surgery YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071808095 LK obgyn.mhmedical.com/content.aspx?aid=1115054643 RD 2024/03/29 AB Radical hysterectomy with en bloc total vaginectomy is rarely performed in gynecologic oncology; however, both radical hysterectomy and vaginectomy are separately considered classic procedures. The first hysterectomy with resection of lateral parametria was described in 1895 by Clark.1 However, lymphadenectomy was not part of this procedure. Three years later, Wertheim performed the first radical hysterectomy in combination with pelvic lymphadenectomy in Austria.2 Wertheim’s early mortality rate was about 30%, but this decreased quickly in time, with a cumulative experience of 10% in his report of 500 operations published in 1911.3 In parallel to the abdominal approach to radical hysterectomy, Schauta developed a vaginal technique, which was first published in 1908.4 Both approaches, abdominal and vaginal, form the current basis for the radical surgical treatment of cervical cancer. The surgical principles were modified during the twentieth century by many other surgeons; Amreich made meaningful contributions to the vaginal approach, while Wertheim’s abdominal procedure has been expanded upon by Latzko, Okabayashi, and Meigs.5