eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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1/2022
vol. 21
 
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abstract:
Original paper

Understanding the limits of parametrial resection in radical hysterectomy: a randomized controlled trial

Fortunato Genovese
1
,
Stefano Siringo
1
,
Attilio Tuscano
2
,
Ferdinando Antonio Gulino
3
,
Francesco Cannon
3
,
Vito Leanza
1
,
Francesco Cosentino
4
,
Stefano Palomba
2
,
Marco Antonio Palumbo
1

  1. UOC of Obstetric and Gynecologic Pathology, Department of General Surgery and Medical Surgical Specialities, San Marco Hospital, University of Catania, Catania, Italy
  2. UOC of Obstetrics and Gynaecology, G.O.M. Bianchi-Melacrino-Morelli, Reggio Calabria, Italy 3Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi, Italy
  3. Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi, Catania, Italy
  4. University of Catania Gynecology Oncology, Gemelli Molise, Università Cattolica Sacro Cuore, Campobasso, Italy
Menopause Rev 2022; 21(1): 10-19
DOI: https://doi.org/10.5114/pm.2021.110598
Online publish date: 2021/11/03
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Introduction
The aim was to evaluate whether adding specific educational medical illustrations may help gynecologists to better understand the limits of parametrial resection in radical hysterectomy from type A to type C2. Study Design: randomized controlled trial.

Material and methods
Institute of Obstetric and Gynecologic Pathology, University of Catania, Italy. Materials and methods: 30 senior Obstetrics and Gynecology (Ob/Gyn) residents and 30 general Ob/Gyn consultants were enrolled in the study, and randomized to two groups of 15 people (group A and group B). Both groups had a copy of the article on the Querleu-Morrow Classification of Radical Hysterectomy (2017) for reading comprehension. Group B also had 10 unpublished medical illustrations, prepared for this paper. After one month the level of self-perceived understanding related to parametrectomy limits in radical hysterectomy was evaluated in both groups using a numeric visual analog scale, where each participant evaluated his degree of comprehension. The data were statistically analyzed using the U Mann-Whitney test.

Results
Group A participants (only article) had a lower level of comprehension of parametrectomy limits compared to group B participants (article plus drawings). The difference between the mean scale score, reported by group A, equal to 5.9 ±1.4, and that reported by group B, equal to 7.2 ±1.5, was statistically significant (p < 0.01).

Conclusions
The results of this study suggest that educational materials, such as the proposed drawings, may help both Ob/Gyn consultants and residents to better understand the relationship between the extent of parametrial resection and cervical disease severity, and the related postoperative complications.

keywords:

numeric visual analog scale, paracervix, parametrectomy, pelvic anatomy, radical hysterectomy, subperitoneal spaces
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