laparoscopic fertility sparing management of cervical cancer

Laparoscopic Fertility Sparing Management of Cervical Cancer

Laparoscopic Fertility Sparing Management of Cervical Cancer

Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC) for cervical cancer. The surgery was successful and she was discharged two days later. The ...

Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer

BACKGROUND Intraoperative injury of the obturator nerve has rarely been reported in patients with gynecological malignancies undergoing extensive radical surgeries. Irreversible damage of this nerve causes thigh paresthesia and claudication. Intraoperative repair may be done by end-to-end anastomosis or grafting when achieving tension-free anastomosis is not possible. CASE PRESENTATION A 28-y...

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...

Fertility-sparing management in cervical cancer: balancing oncologic outcomes with reproductive success

BACKGROUND Cervical cancer is the fourth most common cancer among women worldwide, many of who are still within their reproductive lifespan. Advances in screening and treatment have increased the 5-year survival for early stage disease to over 90 % in developed countries. The focus is now shifting to reducing morbidity and improving fertility outcomes for cervical cancer patients. Radical trach...

Outcomes of laparoscopic fertility-sparing surgery in clinically early-stage epithelial ovarian cancer

OBJECTIVE Fertility-sparing surgery (FSS) is becoming an important technique in the surgical management of young women with early-stage epithelial ovarian cancer (EOC). We retrospectively evaluated the outcome of laparoscopic FSS in presumed clinically early-stage EOC. METHODS We retrospectively searched databases of patients who received laparoscopic FSS for EOC between January 1999 and Dece...