Cervical cancer is one of the most common cancers in women worldwide. Because it often affects women of childbearing age (19-45 years), fertility-sparing surgery is an important issue. The article reviews current viable fertility-sparing options with a special focus on trachelectomy, including vaginal radical trachelectomy, abdominal radical trachelectomy and simple trachelectomy. Neoadjuvant c...

The ultimate goal of radical trachelectomy is to have a viable pregnancy. However, extremely short cervix following radical trachelectomy could result in cervical incompetence and nonviable preterm delivery. Although prophylactic cerclage is placed at the time of radical trachelectomy, it might not be suffi cient to prolong pregnancy until term. We report a successful term pregnancy after trans...

PURPOSE OF REVIEW The aim of this study was to describe fertility preservation methods to improve quality of life of early stages of cervical cancer. RECENT FINDING Although definite treatment of early stages of cervical cancer including stages IA,IB1 and IIA non-bulky is radial hysterectomy, this method is used in perimenopousal period in which fertility preservation is not important. Whenev...

BACKGROUND AND OBJECTIVES A renewed interest in the supra cervical approach to hysterectomy has created a cohort of patients with a retained cervix at risk of persistent symptoms requiring a subsequent trachelectomy. The objective of this study was to evaluate the efficacy of robotic trachelectomy after a previous supracervical hysterectomy. METHODS This is a retrospective chart review of wom...

Radical trachelectomy is a promising fertility-sparing treatment for patients with early stage cervical cancer who want to preserve their fertility. However, isthmic stenosis occurs frequently in patients who received radical trachelectomy and it is one of the causes of infertility following radical trachelectomy. Moreover, despite the treatment for recanalization of isthmic stenosis, recanaliz...

OBJECTIVES Radical trachelectomy has emerged as a reasonable fertility-sparing operation for selected patients with stage I cervical cancer. The purpose of this report is to describe our technique of radical abdominal trachelectomy, a fertility-sparing operation in women with cervical cancer, and review the current literature on this procedure. METHODS A review of a prospectively maintained d...

For cervical cancer cases with a low risk of relapse who wish to maintain their fertility, radical trachelectomy is an alternative to radical hysterectomy. Pelvic magnetic resonance imaging is recommended before surgery, with laparoscopic assisted lymphatic dissection required for assessment of lymphatic metastasis. If there is a visible lesion in the cervix, the specimen taken during trachelec...

AIM To evaluate the effect of abdominal radical trachelectomy on ovarian reserve and compare it with abdominal radical hysterectomy and a control group that did not have surgery. METHOD We enrolled eighteen women who had abdominal radical trachelectomy with pelvic lymphadenectomy and sixteen patients who had abdominal radical hysterectomy for this study. Ten thousand one hundred eighty-six wo...

Radical trachelectomy, which leaves the uterus intact, has emerged as a desirable surgical option for eligible women with early-stage cervical cancer who wish to preserve fertility. The available data suggest excellent obstetrical outcomes with radical trachelectomy, and no differences in sexual responding between radical trachelectomy and radical hysterectomy. There is a need to examine the ef...

OBJECTIVE To present a case of successful robotic assisted laparoscopic trachelectomy. DESIGN Case report. SETTING Tertiary care facility. PATIENT(S) A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdo...