Surgical removal of the cervix, the lower portion of the uterus that protrudes into the vagina.
Trachelectomy is done in younger women with early cancer of the cervix (with a tumor no larger than 2-3 centimeters). In this surgery, the cervix and the upper part of the vagina are removed but the rest of the uterus is left in place. The lymph nodes in the pelvis are also removed, usually by keyhole laparoscopic surgery, to see if the cancer has spread.
After trachelectomy it is sometimes possible for the woman to have children. A stitch is made at the bottom of the uterus like a drawstring and this takes the place of the cervix during pregnancy. There is a higher chance of miscarriage for women who have had this procedure, and the baby needs to be delivered by Cesarean section.
Trachelectomy is also called cervicectomy. The prefix “trachel-” comes from the Greek “trachelos” meaning neck. It refers to the cervix which is the neck of the uterus.
- Tracheoesophageal puncture
A small opening that is made by a surgeon between the esophagus and the trachea. A valve is inserted to keep food out of the trachea but allow air into the esophagus to permit tracheoesophageal speech.
Surgery to create an opening (stoma) into the windpipe. The opening itself may also be called a tracheostomy. A tracheostomy may be made as an emergency measure if the airway is blocked.
- Tracheostomy button
A small plastic tube that is placed in the opening (stoma) of a tracheostomy to keep it open.
- Tracheostomy tube
A small metal or plastic tube that keeps the stoma (opening) and the trachea in a tracheostomy open. Also known as a trach (pronounced ‘trake’) tube.
A chronic inflammatory disease of the eye and the leading cause of blindness. Trachoma is due to infection with the bacterium Chlamydia trachomatis. Transmission occurs mainly among children and from children to women caring for them. Key risk factors include inadequate supplies of water and low socioeconomic status. Trachoma affects millions of people worldwide, primarily […]