LAUSR

The popularity of laparoscopy to perform radical hysterectomy has massively increased over the two last decades. However, oncologic outcomes (overall and disease-free survivals) have been found to be better in patients managed by laparotomy compared to laparoscopy, challenging this surgical route. Compared to laparotomy, vaginal access reduces post-operative morbidity, while avoiding potential cancer spread associated with laparoscopy. We describe the procedure of Schauta-Amreich radical vaginal hysterectomy with bilateral salpingo-oophorectomy assisted laparoscopically and associated with a pelvic sentinel lymph node procedure in a 56-year-old woman with a FIGO IB-2 cervical epidermoid carcinoma. A sentinel lymph node (SLN) procedure was first performed by laparoscopy. Radical hysterectomy was prepared by laparoscopy by dividing the infundibulopelvic, round and broad ligaments. The procedure was continued by the vaginal route using the Schuchardt incision. We describe each step of the procedure and provide a video. Histology showed a margin-free resection in both the vagina and parametrium with negative SLNs. This description of the Schauta-Amreich radical vaginal hysterectomy technique with a video file could support the teaching of a procedure which may gain in popularity.