Publications by authors named "Volker Ragosch"
Study Objective: This study aimed to present our case series of patients with early-stage cervical cancer undergoing simple trachelectomy (ST). Currently, radical trachelectomy is considered the most appropriate fertility-preserving procedure for the treatment of early-stage cervical cancer. However, there is increasing debate on the appropriate radicality of the surgery to preserve oncologic safety.
View Article and Find Full Text PDFObjective: Simple or radical trachelectomy are accepted fertility sparing therapies for patients diagnosed with cervical cancer ≤2 cm. In patients with larger tumors a fertility sparing concept is considered experimental. The aim of our study is to present oncological and fertility outcomes of laparoscopic pelvic lymphadenectomy followed by neoadjuvant chemotherapy and subsequent radical vaginal trachelectomy.
View Article and Find Full Text PDFArticle Synopsis
- Lower limb lymphoedema (LLL) is a common and severe complication after pelvic lymph node surgery, but there is currently no standardized way to measure it.
- In the SENTIX trial, 150 cervical cancer patients were monitored for changes in limb volume over 24 months, revealing that LLL fluctuates significantly over time, with a notable percentage developing swelling months after surgery.
- The study suggests that LLL should only be diagnosed when there is more than a 15% increase in limb volume, and it emphasizes the need for prolonged follow-up to accurately differentiate between transient and persistent swelling.
Objective: Radical vaginal trachelectomy is the fertility-preserving surgery for patients with early stage cervical cancer. However, it has not gained widespread approval by gynecologic oncologists because of difficulties in the dissection of the bladder pillars and identification of the ureter during the vaginal portion of the surgery.
Method: We describe a modification of radical vaginal trachelectomy for easier dissection of the bladder pillar.