Vaginal delivery after robot-assisted uterine artery-preserving radical trachelectomy for early-stage cervical cancer
- Author:
Nara LEE
1
;
Jaehee MUN
;
Soo Jin PARK
;
Eun Ji LEE
;
Seungmee LEE
;
Hee Seung KIM
Author Information
- Publication Type:Case Report
- From:Obstetrics & Gynecology Science 2021;64(3):317-321
- CountryRepublic of Korea
- Language:English
- Abstract: Radical trachelectomy is conducted in women with early stage cervical cancer who strongly desire fertility preservation. To improve fertility outcomes, the preservation of the uterine artery has been suggested, which can be feasible by minimally invasive surgery using laparoscopy or robots. Although cesarean delivery is required for maternal and fetal health, vaginal delivery is a concern due to the fast delivery process of risk of preterm labor. We report a case of a 32-year-old nulliparous woman with stage IB1 cervical cancer who underwent robot-assisted uterine artery-preserving radical trachelectomy for improving fertility. This case is meaningful because she delivered by vaginal delivery after incision of the fibrotic ring at the level of uterovaginal anastomosis because delivery proceeded too quickly prior to the preparation of the cesarean delivery.
