Successful delivery after abdominal radical trachelectomy, using transabdominal cerclage in early pregnancy

Shoko Tamada, Hisashi Masuyama, Kei Hayata, Eriko Eto, Takashi Mitsui, Takeshi Eguchi, Jota Maki, Kazumasa Tani

Research output: Contribution to journalArticle

Abstract

Radical trachelectomy (RT) is a fertility-sparing surgery for cervical cancer. Postoperative pregnancies have a high risk of abortion and prematurity. To prevent this, a procedure involving transabdominal cerclage (TAC) was devised for shortened cervical canals post-RT. Here we describe the successful management of a pregnancy after abdominal RT (ART). The 34-year-old patient was gravida 1, para 0. When she was 27, she underwent ART for stage Ib1 cervical cancer, and she became pregnant 7 years later. Because her cervical canal was 16.7 mm during early pregnancy, we performed TAC at 12 weeks of pregnancy. Post-surgery, we administered an infusion of ritodrine hydrochloride for tocolysis. A selective caesarean section was performed at 36 weeks, with the delivery of a healthy infant.

Original languageEnglish
Pages (from-to)173-176
Number of pages4
JournalActa medica Okayama
Volume73
Issue number2
Publication statusPublished - 2019

Keywords

  • Cervical cancer
  • Pregnancy
  • Radical trachelectomy
  • Transabdominal cerclage

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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