The inevitable negative psychical, physical and social impact of oncological treatment on young women’s fertility obliges us to know in detail the reproductive function preserving techniques. In this paper we approach both the anatomical and physiological compromises and propose a classification of fertility involvement by oncological therapies.

Objectives: To present an abdominal radical trachelectomy surgical technique with complete preservation of the uterine arteries. Design: Clinical and surgical study. Setting: Hospital Oncologico de Buenos Aires Marie Curie, Argentina. Participants: Women with uterine cervical cancer stages Ia2 – Ib1. Interventions: We present a surgical technique designed for fertility sparing in patients with Ia2, Ib1 cervical cancer less than 2 cm (FIGO´s staging). Nine patients 28,5 year-old (20-32) underwent this modified abdominal radical trachelectomy between October 2004 and October 2008. Surgical technique was as follows: 1) Laparotomy with staging, complete and systematic pelvic lymphadenectomy and frozen section of lymph nodes; 2) Dissection of the uterine artery starting at the hypogastric artery; 3) Dissection of the ureter; 4) Transection of the anterior, posterior, and lateral parametri...

Objectives: To present an abdominal radical trachelectomy surgical technique with complete preservation of the uterine arteries. Design: Clinical and surgical study. Setting: Hospital Oncologico de Buenos Aires Marie Curie, Argentina. Participants: Women with uterine cervical cancer stages Ia2 – Ib1. Interventions: We present a surgical technique designed for fertility sparing in patients with Ia2, Ib1 cervical cancer less than 2 cm (FIGO´s staging). Nine patients 28,5 year-old (20-32) underwent this modified abdominal radical trachelectomy between October 2004 and October 2008. Surgical technique was as follows: 1) Laparotomy with staging, complete and systematic pelvic lymphadenectomy and frozen section of lymph nodes; 2) Dissection of the uterine artery starting at the hypogastric artery; 3) Dissection of the ureter; 4) Transection of the anterior, posterior, and lateral parametri...

The inevitable negative psychical, physical and social impact of oncological treatment on young women’s fertility obliges us to know in detail the reproductive function preserving techniques. In this paper we approach both the anatomical and physiological compromises and propose a classification of fertility involvement by oncological therapies.