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Vaginal delivery after robot-assisted uterine artery-preserving radical trachelectomy for early-stage cervical cancer

机译:用于早期宫颈癌的机器人辅助子宫检测后的阴道分娩治疗自由基手术切除术

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摘要

Radical trachelectomy is conducted in women with early stage cervical cancer who strongly desire fertility preservation. To improve fertility outcomes, the preservation of the uterine artery has been suggested, which can be feasible by minimally invasive surgery using laparoscopy or robots. Although cesarean delivery is required for maternal and fetal health, vaginal delivery is a concern due to the fast delivery process of risk of preterm labor. We report a case of a 32-year-old nulliparous woman with stage IB1 cervical cancer who underwent robot-assisted uterine artery-preserving radical trachelectomy for improving fertility. This case is meaningful because she delivered by vaginal delivery after incision of the fibrotic ring at the level of uterovaginal anastomosis because delivery proceeded too quickly prior to the preparation of the cesarean delivery.
机译:激进的沙发切除术在患有早期宫颈癌的女性中进行,患有生育保存的早期宫颈癌。为了改善生育率结果,已经提出了子宫动脉的保存,这是通过使用腹腔镜检查或机器人的微创手术可行的。虽然母亲和胎儿健康需要剖腹产,但阴道分娩是由于早产劳动力风险的快速交付过程。我们举报了一个32岁的无烟妇女,具有阶段IB1宫颈癌,接受了机器人辅助子宫动脉保存的根治性气管切除术,以改善生育率。这种情况是有意义的,因为她在子宫病变吻合水平切开纤维化环后的阴道递送,因为在制备剖宫产之前递送过快进行。

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