Stepwise radical vaginal trachelectomy: Dargent’s operation
Epublication WebSurg.com, May 2014;14(05). URL: http://websurg.com/doi/vd01en4169
Up to 40% of early cervical cancers are diagnosed in young women who might desire fertility preservation. More than 1,000 cases of Radical Vaginal Trachelectomy (RVT) have been published so far, with over 450 pregnancies achieved. Oncological outcomes of this treatment are totally comparable with the ones obtained with radical hysterectomies for similar size lesions. Additionally, these results are similar or superior when compared to the other routes of trachelectomy. The procedure is always combined with a laparoscopic pelvic lymphadenectomy to rule out the possibility of lymph node metastases. This video demonstrates the technique of RVT. Interesting parts of the vaginal steps are shown along with their contemporary laparoscopic views for didactic purposes.