Introduction/Background Treatment of recurrent cervical cancer that occurs after surgery and chemoradiation is very challenging.

Platinum-based chemotherapy is the modality of choice for this group of patients but its purpose is only palliative. Re-irradiation, which has shown a survival rate of 20−50%, could be the curative management option. However, re-irradiation is associated with severe complications like fistula formation. Surgery is also one of the potentially curative treatment options as it has a 5-year survival rates >30%. Despite this, surgery is very challenging due to the hard fibrotic tissue of the surgical site and inability to find any dissection planes. So we will describe the technique of laparoscopic total vaginectomy in recurrent squamous cell carcinoma of the cervix.

Methodology After insertion of laparoscopic ports, a roll gauze with sponge holding forcep was inserted in the vagina to delineate the vaginal stump. Incision was given at the apex of the vaginal stump. Vesicovaginal and rectovaginal spaces were dissected through the scar tissue by meticulous surgical technique. Vaginal pillars were dissected on both sides. Circumferential incision was given to remove the entire vagina. Intergrity of rectum was assessed by rigid sigmoidoscopy.

Results We successfully performed total vaginectomy through the scar tissue without any surgery related complications like vesico-vaginal or recto-vaginal fistula.

Conclusion Laparoscopic total vaginectomy is a feasible procedure for recurrent squamous cell carcinoma of the cervix and it is not associated with any complications if meticulous surgical technique is employed.

Disclosures No conflict of interest.

No source of funding.