[Vaginal radical surgery using the Schauta-Amreich method. Results from the years 1959 to 1970 and consequences for determining indications].

Clinical report on 234 vaginal radical hysterectomies carried out in the years 1959 to 1970 at the department of obstetrics and gynecology of the university of Rostock. 84% 5-year recoveries. No primary operative mortality, low morbidity. 5-year recovery is 76%, if cancer does exceed 20 X 20 mm at the surface and/or 10 mm extent at the depth. If cancer does not exceed this three-dimensional measurement 5-year recovery is 91%. There was concluded firstly that the possibility of metastases in the pelvic lymph nodes is dependent from the size of the primary tumor and secondly that before treatment a subtile diagnostic procedure secures that only good cases of cervical cancer FIGO stage I b are operated on by radical vaginal hysterectomy (Schauta-Amreich). Also in some cases of microcarcinoma a Schauta-operation is indicated. Our proposal is a reduced radicality with regard to the removal of the parametrium in these caces.