Pelvic radical surgery.

The management of gynecological malignancies is dictated by the stage and nature of the disease. Often, the optimal treatment requires radical pelvic surgery. This is especially true in cervical, ovarian, and vulvar carcinoma. Radical hysterectomy, exenterative procedures and tumor debulking comprise the armamentarium of gynecological oncologists. This article attempts to review the different surgical strategies with attention to their respective indications, potential complications, and overall efficacy.