Conservative Surgery for Carcinoma of the Cervix

Incidence, risk factors and treatment of cervical stenosis after radical trachelectomy: A systematic review

“…Any degree of preservation of the cervical tissue might be beneficial to maintaining cervical competence and reducing the risk of ascending infection [4,25]. Moreover, the length of the excised cervix might contribute to cervical stenosis.…”

Radical Vaginal Trachelectomy

“…In the second trimester, miscarriage was more common-three patients had a late miscarriage-and this rate is comparable with rates in the unselected population (5% post RVT versus 4% in the normal population) (34). In the group studied by Shepherd et al (37) the rate of early miscarriage was notably higher (22/88). Also the number of late miscarriages was markedly increased (12/88) ( Table 2).…”

Recurrence during pregnancy of a conservatively treated early-stage cervical squamous cell carcinoma

“…Recent reviews of the literature, including more than 600 cases of conservatively treated cervical cancers (2,3), are encouraging regarding fertility and obstetric outcome, with at least 256 pregnancies reported, 62% of which reached the third trimester. The most important issue to consider when contemplating conservative treatment of cervical cancer is its efficacy in curing the patient.…”

“…More than 700 RVTs have been reported worldwide (2), with global recurrence rates of less than 5% and pregnancy rates as high as 70% (3). Conditions allowing conservative management of cervical cancer and risk factors for recurrence are becoming more widely known, and guidelines are more readily accessible (3,4).…”