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Cervical Occlusion in the Treatment of Endometrial Carcinoma

Department of Gynecology at Lahey Clinic Foundation, Boston, Massachusetts.

The experience with occlusion of the cervix before hysterectomy for Stage I nonirradiated adenocarcinoma of the endometrium at the Labey Clinic Foundation is presented. Simple suture of the cervix (53 cases) was accompanied by a 15% incidence of recurrent vaginal tumor. Occlusion of the cervix with a metal or Teflon® obturator resulted in no vaginal recurrence, but the number of patients (20 cues) followed for 5 years is too small to afford definite conclusions at this time. However, among 75 patients in whom the obturator has been successfully employed to date, no recurrence of vaginal tumor has been observed. Technical failure with the insertion of the obturator occurred in 5 patients (6%)—4 from slippage of the obturator during hysterectomy and I from (tcnctration of the obturator into the cul-de-sac.