[Surgical treatment of cervical and vaginal cancer by means of the synchronized extraperitoneal-vaginal radical operation and the neovagina technic using the peritoneum].

In the period from 1976 to 1986 we operated 350 cases by the technique of combined extraperitoneal-vaginal radical synchronized hysterectomy in cases of uterus and vagina cancer. We analyzed 236 cases and compared them with the control group operated by the technique of Wertheim and modifications. There is a considerable difference in operative and post-operative complications. There are less complications in the examined group of patients operated by the technique of combined synchronized extraperitoneal-vaginal radical operation. We introduced the technique of partial neovagina formation at the place of the resected one, by means of the anterior and posterior plica peritoneum by which we are able to preserve the normal length of the vagina. By the means of this technique we operated 21 patients; out of that 15 were with cancer of the uterus cervix, 6 with vagina cancer, and in 3 of them, a complete vaginectomy was performed, and a complete neovagina made.