Schaut a's Operation: A Review of the Literature and Single-Center Case Series Cirurgia de Schaut a - Revisão da Literatura e Casuística do Serviço do HMIPV

Great strides have been made in the field of vaginal surgery over the past decade. Radical vaginal surgery is gaining wide acceptance in the treatment of cervical cancer at many centers worldwide, due to its many advantages to patients (including faster recovery and fewer postoperative complications) and the health sector (including lower cost as compared to traditional abdominal surgery). Radical vaginal operations thus belong in the armamentarium of any gynecologic oncologist in current practice. The objective of this study was to demonstrate the efficacy of radical vaginal hysterectomy (Schauta’s operation) versus Wertheim-Meigs hysterectomy for the treatment of cervical cancer through a review of the literature. We also present a case series of patients in whom the Schauta procedure was performed by the gynecologic oncology team at Hospital Materno Infantil Presidente Vargas, Porto Alegre, Brazil. We conclude that the Schauta-Amreich procedure (radical vaginal hysterectomy) is a valid option for treatment of early-st age cervical cancer, providing lower morbidity than the Wertheim-Meigs operation (radical abdominal hysterectomy) with non inferior survival rates.