The Interval between a Supracervical Hysterectomy and Trachelectomy. What Led to an Early or Late Trachelectomy? | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 199, Volume 92, Issue 1, July 2023, Page 6796-6800 PDF (480.69 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.318792 | ||||
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| Abstract | ||||
| Background: Women who underwent a supracervical hysterectomy were required to return to the operating room at a certain time for the removal of the cervical stump. Patients and Methods: At Cairo University, National Cancer Institute (NCI) Hospital, all women who underwent trachelectomy after supracervical hysterectomy between 2010 and 2020 had their medical records examined. Results: Over ten years, 34 trachelectomy operations were completed. The age of patients ranged between 42 years and 72 years with mean + SD were 55+7.5 The mean interval was 6 months, whereas the lowest and largest intervals were reported to be 2 months (0.2 year) and 156 months (13 years), respectively. Patients who were diagnosed with endometrial adenocarcinoma unrerwent trachelectomy before one year(15 out of 16, 94.11%) but only one patient (5.88%) underwent trachelectomy after one year. Recurrent vaginal bleeding was a more evident symptom among the patients who underwent trachelectomy before one year (54.5%) or after one year (91.7%). Except for one patient (p-value 0.001). Patients (17) who underwent trachelectomy before or at a time of 5 months didn’t complain of urinary symptoms except for one patient, 5 patients (29.5%) of those patients had sexual symptoms. Recurrent vaginal bleeding was a more evident symptom among the patients who underwent trachelectomy before one year (54.5%) or after one year (91.7%). Except for one patient (p-value 0.001), none of the patients (17) who underwent trachelectomy before or at a time of 5 months complained of urinary symptoms. while 5 patients (29.5%) of those patients had dyspareunia. Conclusions: The mean interval was 6 months, whereas the lowest and largest intervals were reported to be 2 months (0.2 year) and 156 months (13 years). | ||||
| Keywords | ||||
| Cervical stump; Trachelectomy | ||||
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