Vermeidung von Implantationsmetastasen bei der Operation des Zervix- und des Endometriumkarzinoms

Abstract

The careful cleansing of the vagina with physiologic saline and 96% ethyl alcohol, the insert of a big, dry swab for two minutes in front of the portio vaginalis cervicis and the cleansing once more again with a dry swab are an effective prophylaxis against tumor implantation from a carcinoma of the endometrium or of the cervix. This could be confirmed not only by cytology prior to operation and by cytology antecedent to cleansing the vagina immediately prior to the removal of the uterus from the vagina but also by the follow-up study of 517 surgically treated cancers of the endometrium and 241 cervical cancers.