{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:03:30Z","timestamp":1780351410189,"version":"3.54.1"},"reference-count":61,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,1,29]],"date-time":"2023-01-29T00:00:00Z","timestamp":1674950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Some anatomic concepts for 20th century radical hysterectomy (RH) did not conform to progress in surgical technique. The purpose of this article was to put forward a new practical anatomy and application to surgical procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following a historical review the author reexamined his surgical procedures from 1980 to 2005 on 131 patients with cervical cancer. One hundred and eight of these patients had undergone RH and 23 super RH plus neoadjuvant chemotherapy, 7 had RH combined with a total mesorectal excision because of infiltration into the lateral rectal ligament due to rectal cancer. Also reviewed were data on surgical procedures and anatomy following a series of mock RH on 26 donated female cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It was found that the cardinal ligament and transverse cervical ligament must be distinguished. The vesicohypogastric fascia, transverse cervical ligament, and lateral rectal ligament formed a continuum with their relationship to the organs being perpendicular. The surgical technique for an RH is total excision of the transverse cervical ligament, whereas the one for a semi\u2010RH is partial or total excision of the deep uterine vein. The paracolpium is the caudal extension of the cardinal ligament, not the medial extension of the superior fascia of pelvic diaphragm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>New practical anatomy and surgical technique were established through recognition of morphology of the living body being transformed by surgical maneuvers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15559","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T04:55:26Z","timestamp":1675054526000},"page":"1069-1078","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Two lateral parametria in radical hysterectomy: History and outcome"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6783-7046","authenticated-orcid":false,"given":"Yoshihiko","family":"Yabuki","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Ishikawa Prefectural Central Hospital  Kanazawa Japan"},{"name":"International School of Surgical Anatomy IRCCS Sacro Cuore Don Calabria Hospital  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,29]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"9","article-title":"The visceral endopelvic fascia and the hypogastric sheath","volume":"86","author":"Uhlenhuth E","year":"1948","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-198212000-00016"},{"key":"e_1_2_10_4_1","first-page":"1574","volume-title":"Anatomy of the human body by Henry gray","author":"Clemente CD","year":"1985"},{"key":"e_1_2_10_5_1","volume-title":"International anatomical terminology\/federative committee on anatomical terminology","author":"Terminologia Anatomica","year":"1998"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70074-3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2011.04.029"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1806395"},{"key":"e_1_2_10_9_1","first-page":"265","article-title":"Five classes of extended hysterectomy for women with cervical cancer","volume":"44","author":"Piver MS","year":"1974","journal-title":"Obstet Gynecol"},{"key":"e_1_2_10_10_1","volume-title":"Die erweiterte abdominale Operation bei Carcinoma colli uteri (auf Grund von 500 F\u00e4llen)","author":"Wertheim E","year":"1911"},{"key":"e_1_2_10_11_1","first-page":"169","article-title":"The extended abdominal operation for carcinoma uteri (based on 500 operative cases)","volume":"66","author":"Wertheim E","year":"1912","journal-title":"Am J Obstet Dis Women Child"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(45)90009-3"},{"key":"e_1_2_10_13_1","first-page":"540","volume-title":"Progress in gynecology","author":"Meigs JV","year":"1950"},{"key":"e_1_2_10_14_1","first-page":"149","volume-title":"Surgical treatment of cancer of the cervix","author":"Meigs JV","year":"1954"},{"key":"e_1_2_10_15_1","first-page":"689","article-title":"Zur Radikaloperation des Gebarmutterkrebses","volume":"43","author":"Latzko W","year":"1919","journal-title":"Diskussinsbemerkungen Zbl Gyn\u00e4k"},{"key":"e_1_2_10_16_1","volume-title":"Gyn\u00e4kologische Operationslehre","author":"Peham HV","year":"1930"},{"key":"e_1_2_10_17_1","first-page":"333","volume-title":"Operative gynecology","author":"Peham HV","year":"1934"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)90614-w"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1996.0251"},{"key":"e_1_2_10_20_1","first-page":"278","article-title":"Cardinal ligament dissection based on a new theory","volume":"2","author":"Yabuki Y","year":"1997","journal-title":"CEM J Gynecol Oncol"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1999.5723"},{"key":"e_1_2_10_22_1","first-page":"1012","volume-title":"Gray's anatomy; 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