%0 Journal Article
%T Vaginal Trachelectomy for Retained Cervical Stump after Supracervical Hysterectomy: Technical Tips and Outcomes
%A Mohamed Ayaty
%A Hisham Khalifa
%A Sherif M. S. Abohleka
%A Haitham Abdel Wahab
%J Open Journal of Obstetrics and Gynecology
%P 624-632
%@ 2160-8806
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojog.2022.127056
%X <strong>Background and
Objectives:</strong><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> The supracervical hysterectomy (SCH) has resulted
in a group of patients with a retained cervix at risk of persistent symptoms,
who may require a trachelectomy in the future. This study was to evaluate the
efficacy of vaginal trachelectomy (VT) after a previous SCH. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> This was a prospective study </span></span><span style=\"font-family:Verdana;\">that includes 13 cases
with</span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> different ages and different complaints, sharing
the same primary operation supracervical hys</span><span style=\"font-family:Verdana;\">terectomy.
They have different pathologies of the SCH specimen but they share</span><span style=\"font-family:Verdana;\"> the
same completion surgery</span></span><span style=\"font-family:Verdana;\">. </span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">The surgical outcome was analyzed. </span><b><span style=\"font-family:Verdana;\">Re</span><span style=\"font-family:Verdana;\">sults:</span></b><span style=\"font-family:Verdana;\"> Thirteen patients underwent vaginal trachelectomy
for recurrent symptoms. The ages of patients were ranged from 37 years to 68
years (Mea</span><span style=\"font-family:Verdana;\">n</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">¡À</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">SD</span><span style=\"font-family:Verdana;\">,</span><span style=\"font-family:Verdana;\"> <span style=\"font-family:Verdana;\">56.4</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">¡À</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">10.7). SCH was most commonly
performed for abnormal uterine bleedi</span><span style=\"font-family:Verdana;\">ng AUB (7/13, 53.8%), pelvic
mass (5/1, 38.5%), and pelvic pain (1/13,</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">7.7%), the symptoms leading to vaginal trachelectomy
were the same as those lead</span><span style=\"font-family:Verdana;\">ing to
supracervical hysterectomy. The median interval time from SCH to seeking
medical help for the persistence or recurrence of symptoms and to VT w</span><span style=\"font-family:Verdana;\">as
2 weeks (1 to 96
%K Supracervical Hysterectomy
%K Cervical Stump
%K Vaginal Trachelectomy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=118701