In the Querleu-Morrow classification of radical hysterectomy, which type corresponds to excision of the paracervix with identification and preservation of the autonomic pelvic nerves?

• A Type A
• B Type C1 ✓
• C Type B1
• D Type D2

Explanation

Querleu-Morrow Type B1 is the nerve-sparing radical hysterectomy, equivalent in radicality to the older Piver-Rutledge Type III but with deliberate dissection and preservation of the hypogastric plexus and splanchnic nerves to reduce bladder, bowel and sexual dysfunction. Type A is extrafascial hysterectomy, Type C removes the medial paracervix at the ureter level, and Type D2 is extended paracervix removal with resection of vessels at their origin, used for laterally extensive disease.

Reference: Berek and Novak's Gynecology, 16th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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