Trends in Use and Survival Associated With Fertility-Sparing Trachelectomy for Young Women With Early-Stage Cervical Cancer

Fertility Sparing Approach in Young Patients with Early Stage Cervical Cancer

Obstet Gynecol Int J 2017, 6(2): 00197 guidelines incorporate conservative surgical treatment options in well selected patients after extensive counseling regarding risks for recurrence, anticipated future fertility, pregnancy issues and perinatal outcomes [3,6-8]. Nevertheless, patients with aggressive (small cell neuroendocrine carcinoma) or potentially aggressive (gastric type adenocarcinoma...

Radical vaginal trachelectomy: a fertility-preserving procedure in early cervical cancer in young women.

BACKGROUND Radical vaginal trachelectomy (RVT) is a fertility-preserving operation for young women who have cervical cancer in an early stage and want to have children. The demand for RVT is increasing, because more than 40% of all cases of cervical carcinoma affect women under the age of 44. Women are increasingly having their first child at later ages. METHODS We present the results of RVT ...

Fertility-Sparing Surgery for Early-Stage Cervical Cancer

Nowadays cervical cancer is diagnosed in many women who still want to have children. This led to the need to provide fertility-sparing treatments. The main goal is to maintain reproductive ability without decreasing overall and recurrence-free survival. In this article, we review data on procedures for fertility preservation, namely, vaginal and abdominal trachelectomy, less invasive surgery an...

Radical trachelectomy: The first step of fertility preservation in young women with cervical cancer (Review)

Radical trachelectomy (RT) can be performed vaginally or abdominally (laparotomic, laparoscopic or robotic). The aim of this systematic review was to compare all techniques in terms of surgical complications, disease recurrence and subsequent fertility/pregnancy outcomes. A total of 1293 RTs were analyzed (FIGO-stage: IA1-IIA). The most frequent surgical complications do not differ from the one...

Laparoscopic Fertility Sparing Management of Cervical Cancer