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In order to excise presumed high-grade cervical intraepithelial neoplasia while mitigating obstetric risk, she underwent a simple vaginal trachelectomy and isthmic cerclage. 6\u2005months later, the patient had a negative test of cure. 7\u2005months following surgery she became pregnant naturally. At 29\u2005weeks she had antenatal sepsis of unknown cause, which was treated with intravenous antibiotics. She delivered by caesarean section at 37\u2005weeks and now has a healthy child. This report will discuss the obstetric impact of colposcopic treatment, and simple vaginal trachelectomy as a fertility-sparing treatment option for women who have had multiple loop excision procedures to treat premalignant lesions.<\/jats:p>","DOI":"10.1136\/bcr-2016-214627","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T15:00:20Z","timestamp":1467212420000},"page":"bcr2016214627","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Simple vaginal trachelectomy as a fertility-sparing treatment to manage high-grade dyskaryosis following multiple large loop excision of the transformation zone"],"prefix":"10.1136","volume":"2016","author":[{"given":"Claire Grace","family":"Scrivener","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gornall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Rolland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,28]]},"reference":[{"key":"2025042703394087000_2016.jun28_1.bcr2016214627.1","unstructured":"Royal College of Obstetricians and Gynaecologists. 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