%0 Journal Article %T Complicaciones obst¨¦tricas tras una traquelectom¨ªa radical: caso clinico y revisi¨®n de la literatura Obstetric complications after a radical trachelectomy: case report and review of literature %A Mar¨ªa de la Calle Fern¨¢ndez-Miranda %A Jos¨¦ ¨¢ngel Garc¨ªa-Hern¨¢ndez %A Ram¨®n Usandizaga Elio %A Javier de Santiago Garc¨ªa %J Revista Colombiana de Obstetricia y Ginecolog¨ªa %D 2010 %I Federaci¨®n Colombiana de Asociaciones de Obstetricia y Ginecolog¨ªa %X Introducci¨®n: la traquelectom¨ªa radical (TR) es una t¨¦cnica quir¨²rgica utilizada en estadios precoces del c¨¢ncer de c¨¦rvix en aquellas mujeres que desean conservar la capacidad reproductiva. Los embarazos posteriores a esta t¨¦cnica quir¨²rgica pueden desencadenar complicaciones obst¨¦tricas. El presente art¨ªculo tiene como objetivo hacer una revisi¨®n de la literatura en relaci¨®n al pron¨®stico obst¨¦trico de estas pacientes. Metodolog¨ªa: en este estudio se presenta un caso cl¨ªnico. Posteriormente, se realiza una b¨²squeda en las bases de datos MEDLINE, v¨ªa PubMed, y Cochrane con las palabras clave "c¨¢ncer de c¨¦rvix", "traquelectom¨ªa radical", "embarazo" y "complicaciones obst¨¦tricas". Resultados: se evalu¨® un total de 17 art¨ªculos que comprendieron revisiones, art¨ªculos de opini¨®n y casos cl¨ªnicos. Conclusi¨®n: la preservaci¨®n de la fertilidad en estadios precoces del c¨¢ncer de c¨¦rvix mediante la traquelectom¨ªa radical est¨¢ adquiriendo cada vez mayor aceptaci¨®n a medida que se publican m¨¢s casos en la literatura. Los resultados obst¨¦tricos parecen ser cada vez m¨¢s favorables aunque son m¨¢s numerosas las complicaciones en comparaci¨®n con la poblaci¨®n general. Introduction: radical trachelectomy (TR) is a surgical technique which is used in the early stages of cervical cancer in females wishing to conserve their reproductive ability. Pregnancies following this surgical technique having been applied could trigger obstetric complications. This article was thus aimed at reviewing the literature related to these patients¡¯ obstetric prognosis. Methodology: a clinical case is presented. A literature search was made in MEDLInE databases, via PubMed and Cochrane, using the following key words: "cervical cancer", "radical trachelectomy", "pregnancy", "obstetric complications". Results: 17 articles were evaluated, covering review articles, articles expressing opinion and clinical cases. Conclusion: preserving fertility in early stages of cervical cancer by radical trachelectomy is increasingly acquiring more acceptance as more cases are published in the literature. Obstetric results seem to be becoming more favorable even though complications are becoming more numerous compared to incidence in the general population. %K c¨¢ncer de c¨¦rvix %K traquelectom¨ªa radical %K embarazo %K complicaciones obst¨¦tricas %U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74342010000300011