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VOLUME 12 , ISSUE 4 ( July-August, 2020 ) > List of Articles
Marie CV Ramilo Mendoza
Citation Information : Mendoza MC. Successful Birth in a Case of Cervical Cancer Following Total Laparoscopic Nerve Sparing Radical Trachelectomy with Sentinel Node Dissection and Preventive Cerclage. J South Asian Feder Obs Gynae 2020; 12 (4):261-264.
License: CC BY-NC 4.0
Published Online: 28-09-2020
Copyright Statement: Copyright © 2020; The Author(s).
Aim and objective: The aim of this case report is to show the feasibility of a fertility-sparing and nerve-sparing procedure for early-stage cervical cancer to preserve the patient's reproductive ability and minimize the surgical complications associated with the radical surgery while providing adequate treatment to ensure good oncologic outcome. Background: The standard management for early-stage cervical cancer is radical hysterectomy with pelvic lymphadenectomy or concurrent chemoradiation. Both are associated with good survival, but neither form of therapy allows the preservation of a functional utero-ovarian system for future fertility. Case description: We present a young woman with cervical adenocarcinoma stage IB1 who underwent laparoscopic nerve-sparing radical trachelectomy with sentinel node dissection and preventive cerclage. There were no intraoperative or postoperative complications. The patient had a successful pregnancy 2 years after the operation and no evidence of disease for more than 5 years. Conclusion: With laparoscopic nerve-sparing radical trachelectomy, a woman's reproductive ability is maintained while ensuring good oncologic survival. It is also associated with less surgical and postoperative morbidity, such as urinary and sexual dysfunction, which are common in the traditional technique of radical trachelectomy. Clinical significance: This technique of radical trachelectomy provides the chance to retain future fertility for possible conception while minimizing patient morbidity and ensuring good prognosis.