2.50
Hdl Handle:
http://hdl.handle.net/10755/162084
Category:
Abstract
Type:
Presentation
Title:
Trachelectomy: A Fertility Sparing Procedure
Author(s):
Irineo, Irene
Author Details:
Irene T. Irineo, RN, CNOR, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: irineo-i@mskcc.org
Abstract:
Poster presented at AORN's 58th Annual Congress: Since 2001, our surgeons have been performing a procedure known as a trachelectomy to a select group of women with an early stage of cervical cancer. This procedure is the surgical removal of the uterine cervix. This surgery is a fertility-preserving surgical alternative to a radical hysterectomy for women in their child bearing years. Our institution uses several different approaches in performing the trachelectomy dependant on the stage of cancer, the patient's age, the patient's preference, and surgeon's expertise. These approaches are by abdominal, MIS laparoscopic/vaginal, and MIS robotic/vaginal trachelectomy. These procedures are usually done in conjunction with bilateral pelvic lymphadenectomy and, at times, with aortic lymphadenectomy. As of September 2010, our total combined number of abdominal and laparoscopic/vaginal trachelectomies equaled 100. The robotic procedure, which is a relatively new method, accounted for a total of six. The role of the circulator and scrub nurses is geared toward the patient's safety no matter which method is used. The proper and correct instrumentation, maintenance of sterile fields throughout the procedure, proper patient positioning, and specimen handling are all challenges the nurses encounter throughout the procedure with the inclusion of familiarity of the technique the surgeon perform. As of this year, 14 women having had a trachelectomy have had babies. One of these women was a 37 year old patient who had been 15 weeks pregnant at the time of her procedure. Upon delivery by Caesarean Section, she had a hysterectomy.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTrachelectomy: A Fertility Sparing Procedureen_GB
dc.contributor.authorIrineo, Ireneen_US
dc.author.detailsIrene T. Irineo, RN, CNOR, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: irineo-i@mskcc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/162084-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Since 2001, our surgeons have been performing a procedure known as a trachelectomy to a select group of women with an early stage of cervical cancer. This procedure is the surgical removal of the uterine cervix. This surgery is a fertility-preserving surgical alternative to a radical hysterectomy for women in their child bearing years. Our institution uses several different approaches in performing the trachelectomy dependant on the stage of cancer, the patient's age, the patient's preference, and surgeon's expertise. These approaches are by abdominal, MIS laparoscopic/vaginal, and MIS robotic/vaginal trachelectomy. These procedures are usually done in conjunction with bilateral pelvic lymphadenectomy and, at times, with aortic lymphadenectomy. As of September 2010, our total combined number of abdominal and laparoscopic/vaginal trachelectomies equaled 100. The robotic procedure, which is a relatively new method, accounted for a total of six. The role of the circulator and scrub nurses is geared toward the patient's safety no matter which method is used. The proper and correct instrumentation, maintenance of sterile fields throughout the procedure, proper patient positioning, and specimen handling are all challenges the nurses encounter throughout the procedure with the inclusion of familiarity of the technique the surgeon perform. As of this year, 14 women having had a trachelectomy have had babies. One of these women was a 37 year old patient who had been 15 weeks pregnant at the time of her procedure. Upon delivery by Caesarean Section, she had a hysterectomy.en_GB
dc.date.available2011-10-27T08:45:23Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:45:23Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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