The impact on obstetric outcomes following complete amputation of the cervix uteri in fertility preservation surgery for cervical neoplasm

Cervical cancer is the fourth most common cancer amongst women worldwide and usually affects women of child-bearing age with an age prevalence of 25-29 years-old [1,2]. In countries with a robust cervical cancer screening programme, most of these patients are diagnosed with early-stage disease and those who desire fertility may be suitable for fertility-sparring surgery (FSS) [2,3]. Radical trachelectomy for early-staged cervical neoplasm was first described in the early 1950’s by Novak [4]; and the procedure involves removal of the cervix, upper vagina and proximal parametrium along with lymph nodes to assess for metastatic disease.