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Radical trachelectomy
  1. Blanca Segarra-Vidal1,
  2. Jan Persson2 and
  3. Henrik Falconer3
  1. 1Gynecology Oncology, La Fe University and Polytechnic Hospital, Valencia, Spain
  2. 2Department of Obstetrics and Gynecology, Lund University Hospital, Lund, Sweden
  3. 3Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
  1. Correspondence to Dr Blanca Segarra-Vidal, Gynecology Oncology, La Fe University and Polytechnic Hospital, Valencia 46206, Spain; blancasv{at}icloud.com

Abstract

Radical trachelectomy is the ‘cornerstone’ of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons’ preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.

  • uterine cervical neoplasms
  • cervix uteri
  • gynecologic surgical procedures
  • surgical procedures
  • operative

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Footnotes

  • Twitter @BSegarraVidal

  • Contributors BS-V was the main author of the article. HF and JP collaborated with their supervision and editions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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