A novel technique to minimize contamination for cervical cancer surgery patients

The Laparoscopic Approach to Cervical Cancer (LACC) Trial changed the surgical management of cervical cancer worldwide [1]. It was a multi-national phase three clinical trial that reported lower survival and higher rate of abdominopelvic recurrences in minimally invasive surgery (MIS) compared to open surgery after hysterectomy. It is possible that tumor exposure to the peritoneal cavity in the MIS arm may account for these differences.   We propose a novel technique to minimize tumor contamination by placing a vaginal cerclage abdominally to create a seal at the apex of the vagina with the goal to minimize peritoneal contamination of malignant cells present at the cervical os during MIS radical hysterectomy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Instruments and Techniques Source Type: research