It has conducted a study on 45 cases of cesarean hysterectomy Total operated by the author in the Department of Gynecology and Obstetrics of the General Hospital Cayetano Heredia Base, and the results obtained in this series with 4,598 cases reported in the world literature compared. Some innovations made to the classical surgical technique is described, with special mention in the operative steps in order to decrease intra-operative bleeding. Anesthesia and spinal election was overall combination.

It is also understood with the names of intraepithelial carcinoma or pre-invasive carcinoma, and is defined as an injury involving the entire thickness of the squamous columnar epithelium of the cervix, which is replaced by cells microscopically they can not be distinguished from malignant carcinoma cells infiltrating. Throughout the epithelium there is a complete lack of normal stratification and loss of their own cellular characteristics of normal epithelium.

It has conducted a study on 45 cases of cesarean hysterectomy Total operated by the author in the Department of Gynecology and Obstetrics of the General Hospital Cayetano Heredia Base, and the results obtained in this series with 4,598 cases reported in the world literature compared. Some innovations made to the classical surgical technique is described, with special mention in the operative steps in order to decrease intra-operative bleeding. Anesthesia and spinal election was overall combination.