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Background.Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery.Case.A 28-year-old patie nt with cervical can-cer FIGO stage IB1was treated with la paroscopic pelvic lymphadenectomy followed by trachelectomy.Three years later,she conceived spontaneously.In consideration of thehigh risk of preterm delivery,the cervical status was eval-uated by transvaginal ultrasonogra phy.At 16weeksges-tation,we observed the cerclage sut ure correctly placed at the level of the internal cervical os and a “neo-cervical”segment length of 1.5cm.Thereafter,serial ultrasound measurements showed preservation o f the cervical compe-tence.The patient achieved an uneve ntful pregnancy and delivered by elective cesarean section at 37weeks.Con-clusion.Transvaginal scans to evaluate the competence of the“neo-cervix”may contribute to themanagement and counseling of patients after trachelectomy.
Background.Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery.Case. A 28-year-old patie nt with cervical can-cer FIGO stage IB1 was treated with laparoscopic pelvic lymphadenectomy followed by trachelectomy.Three years later , she conceived spontaneously. In consideration of the high risk of preterm delivery, the cervical status was eval-uated by transvaginal ultrasonogra phy. At 16 weeks-tation, we observed the cerclage sut ure correctly placed at the level of the internal cervical os and a “neo-cervical” segment length of 1.5 cm.Thereafter, serial ultrasound measurements showed preservation of the cervical compe-tence. The patient achieved an uneve ntful pregnancy and delivered by elective cesarean section at 37weeks.Con-clusion. Transvaginal scans to evaluate the competence of the “neo-cervix ” may contribute to the management and counseling of patients after trachelectomy.