Abdominal radical trachelectomy: A new surgical technique for the conservative management of cervical carcinoma

J. R. Smith, D. C M Boyle, D. J. Corless, L. Ungar, A. D. Lawson, G. Del Priore, J. M. McCall, I. Lindsay, J. E. Bridges

Research output: Contribution to journalArticle

185 Scopus citations

Abstract

Traditionally radical hysterectomy has formed the mainstay of treatment for early stage cervical carcinoma. More recently radical trachelectomy and laparoscopic lymphadenectomy have been introduced to allow preservation of fertility. We present a new approach to fertility-sparing surgery, namely abdominal radical trachelectomy. The technique is similar to a standard radical hysterectomy and lymphadenectomy. In our technique the ovarian vessels are not ligated and, following lymphadenectomy and skeletonisation of the uterine arteries, the cervix, parametrium and vaginal cuff are excised. The residuum of the cervix is then sutured to the vagina and the uterine arteries reanastomosed.

Original languageEnglish (US)
Pages (from-to)1196-1200
Number of pages5
JournalBritish Journal of Obstetrics and Gynaecology
Volume104
Issue number10
StatePublished - 1997
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Smith, J. R., Boyle, D. C. M., Corless, D. J., Ungar, L., Lawson, A. D., Del Priore, G., McCall, J. M., Lindsay, I., & Bridges, J. E. (1997). Abdominal radical trachelectomy: A new surgical technique for the conservative management of cervical carcinoma. British Journal of Obstetrics and Gynaecology, 104(10), 1196-1200.