International Journal of Gerontology
Volume 2, Issue 1 , Pages 22-25, March 2008

The Assessment of Unilateral Uterine Artery Ligation in Radical Abdominal Trachelectomy with Three-Dimensional Power Doppler Ultrasonography

  • Wen-Jui Yang

      Affiliations

    • Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Kung-Liahng Wang

      Affiliations

    • Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
    • National Taipei College of Nursing, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Kung-Liahng Wang, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, 92, Section 2, Chung-Shan North Road, Taipei, Taiwan
    • ,
  • Chin-Yuan Hsu

      Affiliations

    • Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Tze-Chien Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Yuh-Cheng Yang

      Affiliations

    • Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Taipei Medical University, Taipei, Taiwan
    • Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan

Accepted 20 October 2007.

Article Outline

Summary 

The conservation of uterine arteries during radical trachelectomy has led to considerable debate among gynecologic oncologists. Some authors have reported successful case studies of the ligation of bilateral uterine arteries, but other authors remain unconvinced of the artery ligation procedure. We report a case that employed three-dimensional power Doppler ultrasonography (3D-PDUS) to assess the microvascular pattern of uterine blood circulation after the ligation of a unilateral uterine artery during radical abdominal trachelectomy. The assessment of the uterine vascular circulation via the 3D-PDUS revealed no significant differences in the vascular blood supply of bilateral uterine arteries 4 months postoperatively. [International Journal of Gerontology 2008; 2(1): 22–25]

Key Words:  radical abdominal trachelectomy , three-dimensional power Doppler ultrasonography , uterine artery ligation

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References 

  1. Dargent D , Burn JL , Roy M , Remi I . Pregnancies following radical trachelectomy for invasive cervical cancer . Gynecol Oncol . 1994;52:105; [Abstract]
  2. Burnett AF , Roman LD , O’Meara AT , Morrow CP . Radical vaginal trachelectomy and pelvic lymphadenectomy for preservation of fertility in early cervical carcinoma . Gynecol Oncol . 2003;88:419–423
  3. Roy M , Plante M . Pregnancies after radical vaginal tra-chelectomy for early-stage cervical cancer . Am J Obstet Gynecol . 1998;179:1491–1496
  4. Covens A , Shaw P , Murphy J , DePetrillo D , Lickrish G , Laframboise S , et al.   Is radical trachelectomy a safe alternative to radical hysterectomy for patients with stage IA-B carcinoma of the cervix? . Cancer . 1999;86:2273–2279
  5. Smith JR , Boyle DCM , Corless DJ , Ungar L , Lawson AD , Del Priore G , et al.   Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma . Br J Obstet Gynaecol . 1997;104:1196–1200
  6. Rodriguez M , Guimares O , Rose PG . Radical abdominal trachelectomy and pelvic lymphadenectomy with uterine conservation and subsequent pregnancy in the treatment of early invasive cervical cancer . Am J Obstet Gynecol . 2001;185:370–374
  7. Boyce JG , Fruchter RG , Nicastri AD , DeRegt RH , Ambiavagar PC , Reinis M , et al.   Vascular invasion in stage I carcinoma of the cervix . Cancer . 1984;53:1175–1180
  8. Palfalvi L , Ungar L , Boyle DC , Del Priore G , Smith JR . Announcement of healthy baby boy born following abdominal radical trachelectomy . Int J Gynecol Cancer . 2003;13:250

PII: S1873-9598(08)70005-X

doi:10.1016/S1873-9598(08)70005-X

International Journal of Gerontology
Volume 2, Issue 1 , Pages 22-25, March 2008

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