caa a22 4500 606248463 CHVBK 20210128101350.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1060-3 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1060-3 The Role of Adjuvant Hysterectomy After Radiotherapy in Cervical Cancer [Elektronische Daten] [P. Rema, S. Suchetha, Aswin Kumar, Iqbal Ahmed] The aim of this study was to evaluate the morbidity and survival outcome following radical hysterectomy after chemoradiotherapy in the International Federation of Gynecology and Obstetrics (FIGO) stages IB-IIB cervical cancer patients in whom intracavitory brachytherapy was not feasible. We retrospectively reviewed the medical records of our patients who underwent adjuvant radical hysterectomy between January 2005 and December 2012. Post-operative complications were graded according to the grading system of Chassagne et al. (Radiother Oncol 26:195-202, 1993). Survival analysis was done using Kaplan-Meir method. Between January 2005 and December 2012, 43 patients underwent type 2 radical hysterectomy after external beam radiotherapy and concurrent chemotherapy. The median age of the study group was 44years (range 28-63years). There were no perioperative deaths. In the early post-operative period, there were 45 complications in 29 patients of which three were of grade 3 severity. The most common post operative complications were urinary tract infections and lymphoedema. The median follow-up time was 29months (range 9-68months). The 5-year overall survival was 85.5% and disease-free survival 82.1%. This study shows that radical hysterectomy is feasible with good survival outcome and acceptable morbidity after chemoradiotherapy in cervical cancer patients. Association of Surgeons of India, 2014 Cervical cancer nationallicence Adjuvant hysterectomy nationallicence Radical hysterectomy nationallicence Morbidity nationallicence Rema P. Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut Suchetha S. Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut Kumar Aswin Division of Radiotherapy, Regional Cancer Centre, Trivandrum, Kerala, India aut Ahmed Iqbal Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 902-905 0972-2068 77<902 2015 77 12262 https://doi.org/10.1007/s12262-014-1060-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1060-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rema P. Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut NATIONALLICENCE 700 1- Suchetha S. Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut NATIONALLICENCE 700 1- Kumar Aswin Division of Radiotherapy, Regional Cancer Centre, Trivandrum, Kerala, India aut NATIONALLICENCE 700 1- Ahmed Iqbal Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 902-905 0972-2068 77<902 2015 77 12262