A report of two cases of using laparoscopic trachelectomy following subtotal hysterectomy in Medellin, Colombia

Authors

  • José F. De Los Ríos
  • Juan C. Ochoa
  • Juan D. Castañeda

DOI:

https://doi.org/10.18597/rcog.422

Keywords:

cervical stump, subtotal hysterectomy, laparoscopy, trachelectomy

Abstract

Objectivereporting 2 cases of laparoscopic trachelectomy.

Settingthe Gynaecological Endoscopy Unit at the Clínica del Prado in Medellín, Colombia.

Designthis is a case report concerning two patients having symptomatic cervical stump following subtotal hysterectomy and its management by laparoscopy.

Outcomesthe patients’ demographic data, pre-operation diagnosis, the surgical technique used for removing the cervix and the postoperative results are described.

Conclusionsthe available data revealed that a laparoscopic approach is a safe alternative for trachelectomy in benign conditions. This is the first report of laparoscopic trachelectomy published in Colombian literature.

Author Biographies

José F. De Los Ríos

Ginecólogo Endoscopista, Unidad de Cirugía Endoscópica Clínica del Prado. Profesor de Endoscopia Ginecológica CES, Medellín, Colombia.

Juan C. Ochoa

Profesor de Endoscopia Ginecológica CES, Medellín, Colombia.

Juan D. Castañeda

Fellow de Endoscopia Ginecológica CES, Medellín, Colombia.

References

García-Soto G, Pachón-Rincón JJ, Meneses-Cubides RS, Zuleta-Tobón JJ. Cáncer de cuello uterino: experiencia durante un período de seis años en un hospital universitario colombiano. Rev Colomb Obstet Ginecol 2007;58:21-7.

Hilger WS, Pizarro AR, Magrina JF. Renoval or the retained cervical stump. Am J Obstet Gynecol 2005;193:2117-21.

Okaro EO, Jones KD, Sutton C. Long term outcome following laparoscopic supracervical hysterectomy. BJOG 2001;108:1017-20.

van der Stege JG, van Beek JJ. Problems related to the cervical stump at follow-up in laparoscopic supracervical hysterectomy. JSLS 1999;3:5-7.

Huang JY, Ziegler C, Tulandi T. Cervical stump necrosis and septic shock af ter laparoscopic supracervical hysterectomy. J Minim Invasive Gynecol 2005;12:162-4.

Nezhat CH, Nezhat F, Roemisch M, Seidman DS, Nezhat C. Laparoscopic trachelectomy for persistent pelvic pain and endometriosis after supracervical hysterectomy. Fertil Steril 1996;66:925-8.

Liang Z, Xu H, Chen Y, Li Y, Chang Q, Shi C. Laparoscopic radical trachelectomy or parametrectomy and pelvic and para-aortic lymphadenectomy for cervical or vaginal stump carcinoma: report of six cases. Int J Gynecol Cancer 2006;16:1713-6.

Diaz-Feijoo B, Gil-Moreno A, Puig O, Martinez-Palones JM, Xercavins J. Total laparoscopic radical trachelectomy with intraoperative sentinel node identification for early cervical stump cancer. J Minim Invasive Gynecol 2005;12:522-4.

How to Cite

1.
De Los Ríos JF, Ochoa JC, Castañeda JD. A report of two cases of using laparoscopic trachelectomy following subtotal hysterectomy in Medellin, Colombia. Rev. colomb. obstet. ginecol. [Internet]. 2008 Jun. 30 [cited 2024 May 18];59(2):151-4. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/422

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Published

2008-06-30
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