title: The surgical outcomes of abdominal radical trachelectomy: does transrectal ultrasonography determine the cervical incision site during surgery?
abstract: OBJECTIVE
  To evaluate the surgical outcomes of abdominal radical trachelectomy(ART) and the efficacy of transrectal ultrasonography in determining the upper end of cervical incision during this operation.
  
  
  METHODS
  ART was performed in five patients with early-stage cervical cancer in the present clinic. In the first three patients, uterine corpus was transacted blindly at a level of approximately five mm below the internal os. In the last two patients, the authors performed transrectal ultrasonography before vaginal incision to evaluate the distance between upper margin of tumoral mass and internal os of cervical canal.
  
  
  RESULTS
  Mean follow-up was 21 months. During this period, menstrual abnormality occurred in three patients. The two patients in which transrectal ultrasonographies were taken intraoperatively had 9- and 12-mm postoperative cervical canal length and both of them were asymptomatic postoperatively.
  
  
  CONCLUSIONS
  ART is usually associated with menstrual abnormality at late postoperative period and transrectal ultrasonograph during this procedure may decrease postoperative morbidity.
authors.forename: F
authors.initials: F
authors.lastname: Demirkiran
authors.forename: T
authors.initials: T
authors.lastname: Bese
authors.forename: E
authors.initials: E
authors.lastname: Meseci
authors.forename: C
authors.initials: C
authors.lastname: Onculoglu
authors.forename: H
authors.initials: H
authors.lastname: Erenel
authors.forename: V
authors.initials: V
authors.lastname: Sal
authors.forename: M
authors.initials: M
authors.lastname: Arvas
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D012007:Rectum; D018084:Ultrasonography, Interventional / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*