|
Table 1: Classification Dr. Ricardo García Gamboa proposed |
|||
|
Category |
Anatomical criteria |
Technique |
Remarks |
|
1ª |
Limited to the neck |
Supravaginal amputation |
He does not advocate the transvaginal resection method |
|
2ª |
Destruction of the cervical os, cervical vagina hard and thick, healthy fundus |
Abdominal hysterectomy |
Trendelenburg position and wide laparotomy preferred |
|
3ª |
Uterus fully grasped but mobile; broad ligaments, bladder, and rectum free |
Abdominal hysterectomy plus pelvic node emptying |
Lymph nodes are palpated in the pelvis |
|
4ª |
Immotile uterus, vaginal wall invasion, bladder, or rectum taken |
If inoperable, do not perform resections |
Palliative management |