Abdominal radical trachelectomy for treatment of deep infiltrating endometriosis of the cervix

Autor:	Aris Antsaklis, Nikolaos Akrivos, Dimitrios Haidopoulos, Maria Sotiropoulou, Alexandros Rodolakis, Ioannis Biliatis, Maria Simou, Nikolaos Thomakos, Nikolaos Kyritsis
Rok vydání:	2012
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Urology Obstetrics and Gynecology Trachelectomy Bowel resection medicine.disease Nephrectomy Surgery medicine.anatomical_structure medicine Parametrium Vagina Cervical endometriosis business Obstructive uropathy Cervix
Zdroj:	Journal of Obstetrics and Gynaecology Research. 38:729-732
ISSN:	1341-8076
DOI:	10.1111/j.1447-0756.2011.01768.x
Popis:	Surgical management of deep infiltrating endometriosis can be very challenging even for experienced gynecologists. Radical procedures like bowel resection and nephrectomy have been reported for treatment of the disease. Our aim is to report abdominal radical trachelectomy for treatment of deep infiltrating endometriosis of the cervix causing obstructive uropathy and diminished kidney function. We present a 38-year-old woman who was treated in our department for cervical endometriosis involving the vagina and left parametrium. Abdominal radical trachelectomy, insertion of a pig-tail catheter in the left ureter and end-to-end anastomosis of the uterus with the vagina was performed to remove the endometriotic lesion. Cooperation between gynecologists, urologists and nephrologists enabled fertility preservation as well as improvement of renal function. Deep infiltrating endometriosis is a complex disease that requires a multidisciplinary approach. Abdominal radical trachelectomy for cervical lesions seems feasible in this setting and helps preserve fertility.
Databáze:	OpenAIRE
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