Article (Scientific journals)
Fertility-preserving surgical procedures, techniques
Martinez, Alejandra; Poilblanc, Mathieu; Ferron, Gwenael et al.
2012In Best Practice and Research. Clinical Obstetrics and Gynaecology, 26, p. 407-424
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Keywords :
fertility preservation; surgical technique; gynaecological cancer; radical trachelectomy; ovarian transposition
Abstract :
[en] As a result of the trend toward late childbearing, fertility preser- vation has become a major issue in young women with gynaeco- logical cancer. Fertility-sparing treatments have been successfully attempted in selected cases of cervical, endometrial and ovarian cancer, and gynaecologists should be familiar with fertility- preserving options in women with gynaecological malignancies. Options to preserve fertility include shielding to reduce radiation damage, fertility preservation when undergoing cytotoxic treat- ments, cryopreservation, assisted reproduction techniques, and fertility-sparing surgical procedures. Radical vaginal trachelectomy with laparoscopic lymphadenectomy is an oncologically safe, fertility-preserving procedure. It has been accepted worldwide as a surgical treatment of small early stage cervical cancers. Selected cases of early stage ovarian cancer can be treated by unilateral salpingo-ophorectomy and surgical staging. Hysteroscopic resec- tion and progesterone treatment are used in young women who have endometrial cancer to maintain fertility and avoid surgical menopause. Appropriate patient selection, and careful oncologic, psychologic, reproductive and obstetric counselling, is mandatory.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Martinez, Alejandra
Poilblanc, Mathieu
Ferron, Gwenael
DE CUYPERE, Marjolein ;  Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique
Jouve, Eva
Querleu, Denis
Language :
English
Title :
Fertility-preserving surgical procedures, techniques
Publication date :
2012
Journal title :
Best Practice and Research. Clinical Obstetrics and Gynaecology
ISSN :
1521-6934
eISSN :
1532-1932
Publisher :
Elsevier Science, Amsterdam, Netherlands
Volume :
26
Pages :
407-424
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 22 January 2014

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