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318792

The Interval between a Supracervical Hysterectomy and Trachelectomy. What Led to an Early or Late Trachelectomy?

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Last updated: 24 Dec 2024

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Abstract

Background: Women who underwent a supracervical hysterectomy were required to return to the operating room at a certain time for the removal of the cervical stump.
Patients and Methods: At Cairo University, National Cancer Institute (NCI) Hospital, all women who underwent trachelectomy after supracervical hysterectomy between 2010 and 2020 had their medical records examined.
Results: Over ten years, 34 trachelectomy operations were completed. The age of patients ranged between 42 years and 72 years with mean + SD were 55+7.5  The mean interval was 6 months, whereas the lowest and largest intervals were reported to be 2 months (0.2 year) and 156 months (13 years), respectively. Patients who were diagnosed with endometrial adenocarcinoma unrerwent trachelectomy before one year(15 out of 16, 94.11%) but only one patient (5.88%) underwent trachelectomy after one year. Recurrent vaginal bleeding was a more evident symptom among the patients who underwent trachelectomy before one year (54.5%) or after one year (91.7%). Except for one patient (p-value 0.001). Patients (17) who underwent trachelectomy before or at a time of 5 months didn't complain of urinary symptoms except for one patient, 5 patients (29.5%) of those patients had sexual symptoms. Recurrent vaginal bleeding was a more evident symptom among the patients who underwent trachelectomy before one year (54.5%) or after one year (91.7%). Except for one patient (p-value 0.001), none of the patients (17) who underwent trachelectomy before or at a time of 5 months complained of urinary symptoms. while 5 patients (29.5%) of those patients had dyspareunia.
Conclusions: The mean interval was 6 months, whereas the lowest and largest intervals were reported to be 2 months (0.2 year) and 156 months (13 years).
 

DOI

10.21608/ejhm.2023.318792

Keywords

Cervical stump, Trachelectomy

Volume

92

Article Issue

1

Related Issue

42192

Issue Date

2023-07-01

Receive Date

2023-09-26

Publish Date

2023-07-01

Page Start

6,796

Page End

6,800

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_318792.html

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https://ejhm.journals.ekb.eg/service?article_code=318792

Order

199

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Interval between a Supracervical Hysterectomy and Trachelectomy. What Led to an Early or Late Trachelectomy?

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Article

Created At

24 Dec 2024