Obstetric complications after a radical trachelectomy: case report and review of literature
DOI:
https://doi.org/10.18597/rcog.273Keywords:
cervical cancer, radical trachelectomy, pregnancy, obstetric complicationsAbstract
Introduction: radical trachelectomy (TR) is a surgical technique which is used in the early stages of cervical cancer in females wishing to conserve their reproductive ability. Pregnancies following this surgical technique having been applied could trigger obstetric complications. This article was thus aimed at reviewing the literature related to these patients’ obstetric prognosis.
Methodology: a clinical case is presented. A literature search was made in MEDLInE databases, via PubMed and Cochrane, using the following key words: “cervical cancer”, “radical trachelectomy”, “pregnancy”, “obstetric complications”.
Results: 17 articles were evaluated, covering review articles, articles expressing opinion and clinical cases.
Conclusion: preserving fertility in early stages of cervical cancer by radical trachelectomy is increasingly acquiring more acceptance as more cases are published in the literature. Obstetric results seem to be becoming more favorable even though complications are becoming more numerous compared to incidence in the general population.
Author Biographies
María de la Calle Fernández-Miranda
José Ángel García-Hernández
Residente de cuarto curso, Servicio de Obstetricia y Ginecología, Hospital La Paz. Madrid (España).
Ramón Usandizaga Elio
Profesor Titular, Facultad de Medicina, Universidad Autónoma de Madrid. Jefe de Sección, Unidad de Suelo Pélvico del Servicio de Obstetricia y Ginecología, Hospital La Paz. Madrid (España).
Javier de Santiago García
Profesor Asociado, Facultad de Medicina, Universidad Autónoma de Madrid. Jefe de Servicio de Ginecología Oncológica y de Quirófano de Ginecología, Hospital La Paz. Madrid (España).
Fernando Magdaleno Dans
Profesor Asociado, Facultad de Medicina, Universidad Autónoma de Madrid. Jefe de Sección de paritorio del Servicio de Obstetricia y Ginecología, Hospital La Paz. Madrid (España).
Antonio González-González
Catedrático, Facultad de Medicina, Universidad Autónoma de Madrid. Jefe de Servicio de Obstetricia y Ginecología, Hospital La Paz. Madrid (España).
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