TABLE 2.
Types of radical hysterectomy
| Simple extrafascial hysterectomy | Modified radical hysterectomy | Radical hysterectomy | |
|---|---|---|---|
| Piver and Rutledge Classification | Type I | Type II | Type III |
| Querleu and Morrow classification | Type A | Type B | Type C |
| Indication | Stage IA1 | Type IA1 with LVSI. IA2 | Stage IB1 and IB2, selected Stage IIA |
| Uterus and cervix | Removed | Removed | Removed |
| Ovaries | Optional removal | Optional removal | Optional removal |
| Vaginal margin | None | 1–2 cm | Upper one‐quarter to one‐third |
| Ureters | Not mobilized | Tunnel through broad ligament | Tunnel through broad ligament |
| Cardinal ligaments | Divided at uterine and cervical border | Divided where ureter transits broad ligaments | Divided at pelvic side wall |
| Uterosacral ligaments | Divided at cervical border | Partially removed | Divided near sacral origin |
| Urinary bladder | Mobilized to base of bladder | Mobilized to upper vagina | Mobilized to middle vagina |
| Rectum | Not mobilized | Mobilized below cervix | Mobilized below cervix |
| Surgical approach | Laparotomy or laparoscopy or robotic surgery | Laparotomy or laparoscopy or robotic surgery | Laparotomy or laparoscopy or robotic surgery |