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Information × Registration Number 0217U001620, 0115U000807 , R & D reports Title Develop and improve methods of vaginal and abdominal trahelektomiyi in patients with cervical cancer to preserve reproductive function popup.stage_title Head Svintsystkiy V., Registration Date 13-03-2017 Organization Ukrainian Research Institute of Oncology and Radiology popup.description2 The object of study - 215 patients with cervical cancer That's T1v.Purpose - to increase the effectiveness of prevention, diagnosis and treatment of cervical cancer by developing methods aimed at preserving fertility, improving medical and social rehabilitation and quality of life of patients of reproductive age.Research methods - clinical, clinical laboratory, radiation, morphological, immunohistochemical, ultrasound, radioisotope, statistics.There were Colposcopic survey of 215 patients with squamous cell cancer of the cervix. All patients performed simple and extended colposcopy with 5% acetic acid and aqueous iodine solution. The interpretation of colposcopic findings was carried out under colposcopic classification IFCPC 2011 (Rio de Janeiro) and description colposcopic pattern in accordance with modern requirements IFCPC.Developed and scientifically sound original technique enhanced abdominal trahelektomiyi when crossed only vaginal branches of uterine artery, conducted 57 operations in this modification, the preliminary results obtained, changes in technology trahelektomiyi has no impact on cancer effectiveness of the method.Indications for surgery for vaginal trahelektomiyi in patients with cervical cancer: age 40 years, the desire to preserve future fertility, lack of sterility, tumor size less than 2 cm, IA-IB1 stage (FIGO).Technically enhanced vaginal trahelektomiya implemented in stages: first performed laparoscopic lymphadenectomy 2-sided, and then removed through the vagina with paratservikalnoyu cervix, parametrial tissue and the upper 1/3 of the vagina, and the lymph nodes and part of the cervix, taken on the edge of resection of the internal cervical os uterus, sent an urgent histological examination.Conducted 39 operations of this type in the initial stages of cervical cancer (So and T1a1) in patients of reproductive age.The basic types of adverse factors in the initial stages of cervical cancer (So and T1a1) in patients of reproductive age. Found that problem for ekstsyziynyh treatments are patients with early forms of cervical cancer (So and T1a1): the spread of tumors to the vaginal vault, with the extension to the cervical canal, anatomical features of the cervix that does not allow for konizatsiyu cervix (shlazhena cervix, postnatal breaks and injuries to the cervical vaginal walls), recurrent cervical cancer limfohemovaskulyarnoyu infiltration in the material konizatsiyi (LVI +), the presence of a tumor on the verge of a cut cone excision (R1). Product Description popup.authors Лигирда Наталія Федорівна Неспрядько Сергій Валерійович Свінціцький Валентин Станіславович Ціп Наталія Павлівна popup.nrat_date 2020-04-02 Close