[Radical fertility preserving surgery of gynaecological XXXX - five-year-old file].

@entity1 @entity43 @entity548 @entity5 @entity2622 @entity189 @entity3041 @entity1962
OBJECTIVE: Analysis of radical fertility preserving surgery, oncogynaecological treatment including their pregnancy effort. DESIGN: Prospective study. SETTING: Department of Obstetrics and Gynaecology, Masaryk University and Faculty Hospital Brno. METHODS: The group of 13 @entity1 in age fifteen to thirty-six, who underwent radical fertility preserving surgery of oncogynecological @entity5 (cervix, ovarium), 9 @entity1 with @entity43 and 4 @entity1 with @entity189 . RESULTS: Histology showed seven times @entity43 , twice nonepithelial @entity43 , twice spinocelular @entity2622 , one @entity1962 . We reported lymphocele as the most often postoperative complication by five @entity1 with @entity43 , lymphoedema of lower limbs in one case and one of them complicated by bilateral @entity3041 . After surgery procedures of @entity2622 , there was a stenosis of cervical canal with postoperative correction. In one case there was provided vaginal revision of cervix followed by embolisation of uterine arteries because of heavy @entity548 in early postoperative period. After two years follow up, there are 12 @entity1 in remission. There were four @entity1 with fertlity plan, two with @entity43 , two with @entity2622 . The first group describes two pregnancies - one misscariage and one spontaneus labour in the date of delivery. There were 4 pregnancies in two @entity1 wit @entity2622 . One @entity1 has an intrapartal cesarean section because of scarring of the cervix after the operation. Next @entity1 has two labours in due date, three labours in 34-37th week of pregnancy and one misscariage in 23 week of pregnancy. One @entity1 has @entity43 during pregnancy, so the radical fertility preserving surgery was done after delivery. CONCLUSION: Methods and procedures of surgery with fertility preserving goals in our oncogynecological centre are in concordance with actual knowledge of medicine and respect oncological safety of @entity1 with @entity5 , who currently wish for fertility preserving treatment. Presented group of @entity1 is relatively small, but results of oncological treatment and fertility plan demonstrate rightfulness of this tretament.
