| Does radical trachelectomy influence uterine blood supply? | |
| | |
MedLine Citation:
|
PMID: 15661209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Radical trachelectomy in combination with pelvic and parametric lymphadenectomy is indicated in young patients with early cervical cancer and planned pregnancy. If pregnancy occurs, premature delivery is a known problem in these patients. We evaluated if uterine blood supply is decreased after radical trachelectomy as one of various possible causes of preterm birth. METHODS: Between October 2003 and April 2004, 14 consecutive patients with early cervical cancer underwent radical trachelectomy with pelvic and parametric lymphadenectomy. The uterine blood supply was measured as resistance index (RI) by Doppler sonography pre- and postoperatively. Doppler sonography of the uterine artery was also performed in 14 healthy students as a control cohort. RESULTS: Fourteen patients with histologically confirmed adenocarcinoma or squamous carcinoma of the cervix uteri stage Ia1 L1 to 1b1 underwent radical trachelectomy. Mean age of patients was 33.4 years (31-37). On average, 11.5 mm (5-23) of cervical length and 24.6 (14-35) tumor-free lymph nodes were removed. Decrease of RI of the uterine artery was 0.06 on the right side (0.76-0.70) and 0.07 (0.75-0.68) on the left side. The absolute RI values after radical trachelectomy were not different compared to the values in the control group (0.76 versus 0.70 right side, 0.74 versus 0.68 left side). CONCLUSION: Uterine perfusion after radical trachelectomy with pelvic and parametric lymphadenectomy remains unchanged. |
| | |
Authors:
|
Petra Klemm; Roberto Tozzi; Christhardt Köhler; Hermann Hertel; Achim Schneider |
Related Documents
:
|
16256259 - Cervical fetal fibronectin as a predictor of first trimester pregnancy outcome in unexp... 8604579 - The false negative rate in cervical cytology. comparison of monolayers to conventional ... 2274489 - Diagnosis and significance of cystic hygroma in the first trimester. 16126869 - Potential of telomerase expression and activity in cervical specimens as a diagnostic t... 3224459 - Cervical incompetence and preterm labor. 3108849 - Interruption of pregnancy by cervical rivanol predilatation. 920039 - Foam test, amniotic fluid cytology, creatinine and fetography in evaluation of fetal ma... 8857699 - The effect of cocaine on myometrial contractile activity: basic mechanisms. 20116109 - Fetal cell microchimerism develops through the migration of fetus-derived cells to the ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Gynecologic oncology Volume: 96 ISSN: 0090-8258 ISO Abbreviation: Gynecol. Oncol. Publication Date: 2005 Feb |
Date Detail:
|
Created Date: 2005-01-21 Completed Date: 2005-03-03 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0365304 Medline TA: Gynecol Oncol Country: United States |
Other Details:
|
Languages: eng Pagination: 283-6 Citation Subset: IM |
Affiliation:
|
Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, 07740 Jena, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adenocarcinoma
/
pathology,
surgery Adolescent Adult Carcinoma, Squamous Cell / pathology, surgery Female Gynecologic Surgical Procedures / adverse effects* Humans Lymph Node Excision / adverse effects Uterine Cervical Neoplasms / pathology, surgery* Uterus / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Vascular anomalies in the paraaortic region diagnosed by laparoscopy in patients with gynaecologic m...
Next Document: Expression of Bcl-xL in ovarian carcinoma is associated with chemoresistance and recurrent disease.