Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy
The resulting characteristics of 20th century radical hysterectomy demonstrated that, in the quest for a radical cure, its surgical procedure became extended. The consequences of this were increased difficulty in the procedure with risk of massive hemorrhage and vesical and anorectal dysfunction. Mo...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-11-01
|
| Series: | Gynecologic Oncology Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352578920300898 |
| _version_ | 1818439617726119936 |
|---|---|
| author | Yoshihiko Yabuki |
| author_facet | Yoshihiko Yabuki |
| author_sort | Yoshihiko Yabuki |
| collection | DOAJ |
| description | The resulting characteristics of 20th century radical hysterectomy demonstrated that, in the quest for a radical cure, its surgical procedure became extended. The consequences of this were increased difficulty in the procedure with risk of massive hemorrhage and vesical and anorectal dysfunction. Moreover, the cardinal and transverse cervical ligaments, which were individually recognized during the 19th century, became regarded as synonymous during the middle of the 20th century. Because of this, traditional surgical procedures such as Wertheim and Latzko’s were not precisely followed, further delaying the advent of a new idea(s) for radical hysterectomy. The desired goal for 21st radical hysterectomy should be an anatomy and operative procedure that clarify and rectify these aforementioned negative surgical outcomes. In 1998, International Federation of Associations of Anatomists (IFAA) introduced clinical terminology in Terminologia Anatomica. With the IFAA’s decision in mind, the author focused, out of the many theories and surgical procedures for cancer of the uterine cervix, on three noteworthy proposals. From these proposals, the possibility for a new idea(s) on theories and surgical procedures was explored through the fusion of anatomy and clinical practice. The idea for a new procedure(s) required a morphological distinction between description in textbooks and intraoperative findings, that is: a) a traditional anatomy that was based on gross/systemic anatomy; and b) an anatomy in which part of an artifact resulting from applying an artificial maneuver to a living body could be regarded as surgical anatomy. The author has tentatively called the former descriptive anatomy and the latter practical anatomy. The development of this practical anatomy led to the idea for and practical application of a less-extirpating and nerve-sparing operation, which improved patient’s outcome. Radical hysterectomy of the 21st century should be conducted following this new anatomy that is concentrated around practical anatomy and independent from descriptive anatomy. |
| first_indexed | 2024-12-14T17:59:19Z |
| format | Article |
| id | doaj.art-379f7aef84b443b8830fb5569731dc1f |
| institution | Directory Open Access Journal |
| issn | 2352-5789 |
| language | English |
| last_indexed | 2024-12-14T17:59:19Z |
| publishDate | 2020-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gynecologic Oncology Reports |
| spelling | doaj.art-379f7aef84b443b8830fb5569731dc1f2022-12-21T22:52:28ZengElsevierGynecologic Oncology Reports2352-57892020-11-0134100623Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomyYoshihiko Yabuki0Department of Obstetrics & Gynecology, Kanazawa Holy Spirit Hospital, 5-30 Nagamachi 1, Kanazawa 920-0865, Ishikawa, JapanThe resulting characteristics of 20th century radical hysterectomy demonstrated that, in the quest for a radical cure, its surgical procedure became extended. The consequences of this were increased difficulty in the procedure with risk of massive hemorrhage and vesical and anorectal dysfunction. Moreover, the cardinal and transverse cervical ligaments, which were individually recognized during the 19th century, became regarded as synonymous during the middle of the 20th century. Because of this, traditional surgical procedures such as Wertheim and Latzko’s were not precisely followed, further delaying the advent of a new idea(s) for radical hysterectomy. The desired goal for 21st radical hysterectomy should be an anatomy and operative procedure that clarify and rectify these aforementioned negative surgical outcomes. In 1998, International Federation of Associations of Anatomists (IFAA) introduced clinical terminology in Terminologia Anatomica. With the IFAA’s decision in mind, the author focused, out of the many theories and surgical procedures for cancer of the uterine cervix, on three noteworthy proposals. From these proposals, the possibility for a new idea(s) on theories and surgical procedures was explored through the fusion of anatomy and clinical practice. The idea for a new procedure(s) required a morphological distinction between description in textbooks and intraoperative findings, that is: a) a traditional anatomy that was based on gross/systemic anatomy; and b) an anatomy in which part of an artifact resulting from applying an artificial maneuver to a living body could be regarded as surgical anatomy. The author has tentatively called the former descriptive anatomy and the latter practical anatomy. The development of this practical anatomy led to the idea for and practical application of a less-extirpating and nerve-sparing operation, which improved patient’s outcome. Radical hysterectomy of the 21st century should be conducted following this new anatomy that is concentrated around practical anatomy and independent from descriptive anatomy.http://www.sciencedirect.com/science/article/pii/S2352578920300898Radical hysterectomyNerve-sparingDescriptive anatomyPractical anatomyLateral parametriumTerminologia Anatomica |
| spellingShingle | Yoshihiko Yabuki Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy Gynecologic Oncology Reports Radical hysterectomy Nerve-sparing Descriptive anatomy Practical anatomy Lateral parametrium Terminologia Anatomica |
| title | Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy |
| title_full | Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy |
| title_fullStr | Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy |
| title_full_unstemmed | Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy |
| title_short | Twenty-first century radical hysterectomy – Journey from descriptive to practical anatomy |
| title_sort | twenty first century radical hysterectomy journey from descriptive to practical anatomy |
| topic | Radical hysterectomy Nerve-sparing Descriptive anatomy Practical anatomy Lateral parametrium Terminologia Anatomica |
| url | http://www.sciencedirect.com/science/article/pii/S2352578920300898 |
| work_keys_str_mv | AT yoshihikoyabuki twentyfirstcenturyradicalhysterectomyjourneyfromdescriptivetopracticalanatomy |