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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Distinguished Expert Series
The 21st century role of Piver type II hysterectomy in FIGO Stage IA, IB cervical cancer: A personal perspective
M. S. Piver1,*, J. Y. Lee1
1 Department of Obstetrics and Gynecology, Sisters of Charity Hospital, Buffalo, NY (USA)
Eur. J. Gynaecol. Oncol. 2008, 29(2), 109–113;
Published: 10 April 2008
Class II modified radical hysterectomy reported in 1974 by Piver, Rutledge and Smith for cervical cancer is an extended hysterectomy that has less dissection of the ureter from the paracervical tissues, ligation of the uterine vessels just medial to the ureter to ensure preservation of the distal ureteral blood supply, and less radical parametrectomy preserving the lateral parametrium. The authors present a 21st century personal perspective on the use of a type II hysterectomy based on the 1994 FIGO changes in classification of Stage IAI, IA2, IBI and IB2.