The Modified Schauta-Stoeckel Procedure

Study Objective: To demonstrate the technique of vaginal radical hysterectomy in the treatment of cervical cancer.Design: Video.Setting: Tertiary referral unit specialized in advanced gynecologic surgery and neuropelveology.Interventions: The modified Schauta-Stoeckel procedure consists of a radical hysterectomy performed vaginally without the need for a Schuchard episiotomy. Our modification consists of the "Click maneuver," an easy and reproducible method that allows an easy exposure of the knee of the ureter and a radical resection of both the supraureteral and infraureteral parts of the bladder pillar. This procedure allows a radical resection of the lower part of the parametrium and the paracolpium, both of which contain the main lymphatic drainage of the cervix.Conclusion: The modified Schauta-Stoeckel procedure has been shown in previous studies a high cure for stage IB or IIA cervical cancer. (C) 2020 Published by Elsevier Inc. on behalf of AAGL.