Trachelectomy: Difference between revisions
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''' | == Trachelectomy == | ||
A '''trachelectomy''', also known as a '''cervicectomy''', is a surgical procedure that involves the removal of the [[cervix]] while preserving the [[uterus]]. This procedure is primarily performed to treat early-stage [[cervical cancer]] in women who wish to maintain their fertility. | |||
[[File:Diagram_showing_the_parts_removed_with_trachelectomy_surgery_CRUK_338.svg|thumb|Diagram showing the parts removed with trachelectomy surgery.]] | |||
== Indications == | == Indications == | ||
Trachelectomy is | Trachelectomy is indicated for women with early-stage cervical cancer, typically stage IA2 to IB1, who desire to preserve their fertility. It is an option for women who have small tumors (usually less than 2 cm in diameter) and no evidence of [[lymph node]] involvement or distant metastasis. | ||
== Procedure == | == Procedure == | ||
The procedure | The procedure can be performed via different surgical approaches, including vaginal, abdominal, or laparoscopic methods. During a trachelectomy, the cervix, surrounding tissue, and the upper part of the [[vagina]] are removed. The [[pelvic lymph nodes]] may also be removed to check for cancer spread. The uterus is then reattached to the remaining part of the vagina, allowing for the possibility of future [[pregnancy]]. | ||
== Fertility and Pregnancy == | |||
One of the main advantages of trachelectomy over a [[hysterectomy]] is the preservation of fertility. Women who undergo this procedure can still conceive, although they are at higher risk for [[preterm birth]] and other complications. It is recommended that pregnancies following a trachelectomy be closely monitored by a specialist. | |||
== Risks and Complications == | == Risks and Complications == | ||
As with any surgical procedure, trachelectomy carries risks | As with any surgical procedure, trachelectomy carries risks such as bleeding, infection, and damage to surrounding organs. There is also a risk of cervical stenosis, which can affect fertility and menstruation. Long-term follow-up is necessary to monitor for cancer recurrence. | ||
== Prognosis == | == Prognosis == | ||
The prognosis | The prognosis for women undergoing trachelectomy is generally favorable, with survival rates comparable to those who undergo more radical surgery, provided the cancer is detected early and there is no lymph node involvement. | ||
== | == Related pages == | ||
* [[Cervical cancer]] | * [[Cervical cancer]] | ||
* [[Hysterectomy]] | * [[Hysterectomy]] | ||
* [[ | * [[Fertility preservation]] | ||
== References == | |||
{{Reflist}} | |||
[[Category:Surgical oncology]] | |||
[[Category:Gynaecological surgery]] | |||
<gallery> | |||
File:Diagram_showing_the_parts_removed_with_trachelectomy_surgery_CRUK_338.svg|Diagram showing the parts removed with trachelectomy surgery | |||
</gallery> | |||
Latest revision as of 01:47, 17 February 2025
Trachelectomy[edit]
A trachelectomy, also known as a cervicectomy, is a surgical procedure that involves the removal of the cervix while preserving the uterus. This procedure is primarily performed to treat early-stage cervical cancer in women who wish to maintain their fertility.
Indications[edit]
Trachelectomy is indicated for women with early-stage cervical cancer, typically stage IA2 to IB1, who desire to preserve their fertility. It is an option for women who have small tumors (usually less than 2 cm in diameter) and no evidence of lymph node involvement or distant metastasis.
Procedure[edit]
The procedure can be performed via different surgical approaches, including vaginal, abdominal, or laparoscopic methods. During a trachelectomy, the cervix, surrounding tissue, and the upper part of the vagina are removed. The pelvic lymph nodes may also be removed to check for cancer spread. The uterus is then reattached to the remaining part of the vagina, allowing for the possibility of future pregnancy.
Fertility and Pregnancy[edit]
One of the main advantages of trachelectomy over a hysterectomy is the preservation of fertility. Women who undergo this procedure can still conceive, although they are at higher risk for preterm birth and other complications. It is recommended that pregnancies following a trachelectomy be closely monitored by a specialist.
Risks and Complications[edit]
As with any surgical procedure, trachelectomy carries risks such as bleeding, infection, and damage to surrounding organs. There is also a risk of cervical stenosis, which can affect fertility and menstruation. Long-term follow-up is necessary to monitor for cancer recurrence.
Prognosis[edit]
The prognosis for women undergoing trachelectomy is generally favorable, with survival rates comparable to those who undergo more radical surgery, provided the cancer is detected early and there is no lymph node involvement.
Related pages[edit]
References[edit]
<references group="" responsive="1"></references>
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Diagram showing the parts removed with trachelectomy surgery
