Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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Successful pregnancy following transmyometrial embryo transfer after robot-assisted radical trachelectomy

  • Hue, Hye Jeong (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Choi, Hyun Ji (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Park, Jee Yoon (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Suh, Dong Hoon (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Lee, Jung Ryeol (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Jee, Byung Chul (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Kim, Seul Ki (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital)
  • Received : 2020.09.03
  • Accepted : 2020.11.28
  • Published : 2021.06.30
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Abstract

Radical trachelectomy is a fertility-preserving alternative to radical hysterectomy in carefully selected young women with early-stage cervical cancer. However, in cases with subsequent severe cervical stenosis, assisted reproductive techniques can be difficult. This is a case report of a 34-year-old patient who underwent robot-assisted radical trachelectomy and cerclage for early-stage (IB2) adenosquamous carcinoma. Three months after surgery, the patient underwent ovarian stimulation using a gonadotropin-releasing hormone antagonist protocol. As it was impossible to perform transcervical embryo transfer due to the almost complete absence of the cervical opening, transmyometrial embryo transfer under ultrasound guidance was performed. This resulted in a successful singleton pregnancy. This is the first case of successful pregnancy conceived by in vitro fertilization with transmyometrial embryo transfer in a patient who had previously undergone robot-assisted radical trachelectomy.

Keywords

Acknowledgement

We are deeply appreciative of Medical Art Studio (Sun Joo Kim, Suhyun Chea) for a medical illustration visualizing our concept.

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