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KMID : 0358420110540090553
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 9 p.553 ~ p.556
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A case of successful pregnancy by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic radical trachelectomy
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Lim You-Jin
Kim Chung-Hoon
Kim Joo-Yuen
Kwon Su-Kyoung
Shim Jae-Yoon
Kim Sung-Hoon
Chae Hee-Dong
Kim Yong-Man
Kang Byung-Moon
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Abstract
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Uterine cervical cancer is one of the most common malignant disease in women. For young patients with early stage cervical cancer who want to preserve their fertility, radical trachelectomy is a promising fertility-sparing treatment in well-selected group of patients. However, isthmic stenosis is reported to occur in 15% of patients who received radical trachelectomy. Isthmic stenosis is one of causes of infertility following radical trachelectomy. In addition patients who underwent radical trachelectomy are at high risk of obstetric complications including preterm labor, premature rupture of membrane and preterm delivery. Herein we report a case of successful pregnancy and childbirth by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic trachelectomy with a brief review of the literature.
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KEYWORD
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Cervical cancer, Laparoscopic radical trachelectomy, Isthmic stenosis, Isthmic dilatation.
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