Background: The supracervical hysterectomy is no longer indicated for the treatment of female genital disease. Patient and Methods: All women who had trachelectomy after supracervical hysterectomy between 2010 and 2020 had their records reviewed at Cairo University's National Cancer Institute (NCI) Hospital. Results: A total of 34 trachelectomy surgeries were performed during a ten-year period. The patients were 42 to 72 years old, with a mean +SD of 55+7.5. Recurrent vaginal bleeding was the reason for trachelectomy in 67.6% of cases due to residual disease found in hysterectomy specimens, with pathologic evidence of uterine malignancy in 47.2%, and 11.7 percent of patients had cervical malignancy. Uterine stromal sarcoma was found in 5.9% of the cases. There were 11.8% of cases with uterine fibroids, 7.8% with endometrial hyperplasia, and 2.9 % with uterine adenomyosis who had true benign lesions. There were no pathology reports available in 8.8% of the cases. The pathology of the trachelectomy revealed that 26.5% of patients had no residual disease, while 73.5% had the residual disease in the cervical stump, with 32.4% having cervical squamous cell carcinoma, 20.6% having uterine adenocarcinoma, 8.8% having cervical adenocarcinoma, and 2.9% having cervical adenosquamous. Mullerian carcinoma was found in 2.9% of the cases, whereas undifferentiated carcinoma was found in 2.9%. In 61.8% of cases, bilateral pelvic lymphadenectomy was coupled with trachelectomy for radical excision of gross malignancy. Conclusions: A significant number of patients who had a subtotal hysterectomy for apparent benign illness required trachelectomy within a few months.
Ayaty, M., Ahmed, S. S., & El Desouky, E. D. (2021). A Decade of Experience with Radical Abdominal Trachelectomy after Supracervical Hysterectomy. The Egyptian Journal of Hospital Medicine, 85(2), 4303-4307. doi: 10.21608/ejhm.2021.209418
MLA
Mohamed Ayaty; Samir S. Ahmed; Eman D. El Desouky. "A Decade of Experience with Radical Abdominal Trachelectomy after Supracervical Hysterectomy", The Egyptian Journal of Hospital Medicine, 85, 2, 2021, 4303-4307. doi: 10.21608/ejhm.2021.209418
HARVARD
Ayaty, M., Ahmed, S. S., El Desouky, E. D. (2021). 'A Decade of Experience with Radical Abdominal Trachelectomy after Supracervical Hysterectomy', The Egyptian Journal of Hospital Medicine, 85(2), pp. 4303-4307. doi: 10.21608/ejhm.2021.209418
VANCOUVER
Ayaty, M., Ahmed, S. S., El Desouky, E. D. A Decade of Experience with Radical Abdominal Trachelectomy after Supracervical Hysterectomy. The Egyptian Journal of Hospital Medicine, 2021; 85(2): 4303-4307. doi: 10.21608/ejhm.2021.209418