Trachelectomy: Removal of Cervical Stump Following Supracervical Hysterectomy

Cervical stump extirpation (trachelectomy) is the removal of the cervix following supracervical hysterectomy. Subtotal or supracervical hysterectomy is an alternative to total hysterectomy (removal of uterine fundus and cervix) in women undergoing hysterectomy for many benign indications. There are several benefits to supracervical hysterectomy including reduced complications, shorter hospital stay, and faster resumption of activity; in addition, mesh complications are reduced when hysterectomy is done in conjunction with an abdominal sacrocolopexy. However, women considering supracervical hysterectomy should be counseled regarding risks of cervical retention, including need for cervical screening according to current guidelines, as well as the potential need for future surgery to remove the cervical stump. With increases in minimally invasive surgical techniques, many women will elect to undergo supracervical hysterectomy: therefore, it is likely that most gynecologists will encounter patients that require trachelectomy. In this chapter, we will review the indications for trachelectomy, advantages and disadvantages of different routes of access for trachelectomy, as well as complications associated with removing the cervix following subtotal hysterectomy. Disclosures The authors report no conflicts of interest; There was no financial support for this research. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer International Publishing Switzerland About this chapter Cite this chapter Mueller, M.G., Kenton, K. (2018). Trachelectomy: Removal of Cervical Stump Following Supracervical Hysterectomy. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_121 Download citation DOI: https://doi.org/10.1007/978-3-319-22497-8_121 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-22496-1 Online ISBN: 978-3-319-22497-8 eBook Packages: MedicineMedicine (R0)