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Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma
Author(s) -
Smith J. R.,
Boyle D. C. M.,
Corless D. J.,
Ungar L.,
Lawson A. D.,
Priore G. Del,
McCall J. M.,
Lindsay I.,
Bridges J. E.
Publication year - 1997
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1997.tb10946.x
Subject(s) - trachelectomy , parametrium , medicine , radical hysterectomy , lymphadenectomy , cervix , radical surgery , surgery , cervical cancer , carcinoma , vagina , cancer
Traditionally radical hysterectomy has formed the mainstay of treatment for early stage cervical carcinoma. More recently radical trachelectomy and laparoscopic lymphadenectomy have been introduced to allow preservation of fertility. We present a new approach to fertility‐sparing surgery, namely abdominal radical trachelectomy. The technique is similar to a standard radical hysterectomy and lymphadenectomy. In our technique the ovarian vessels are not ligated and, following lymphadenectomy and skeletonisation of the uterine arteries, the cervix, parametrium and vaginal cuff are excised. The residuum of the cervix is then sutured to the vagina and the uterine ateries re‐anastomosed.