Endometrial carcinoma is predominantly a disease of postmenopausal ladies and is rarely found in young females owing to lesser duration of chronic estrogen exposure (found due to childlessness of Women, obesity, high use of birth control pills, heredity, hyperplasia, radiation exposure).
Younger patients present with clinical challenges as far as treatment options are concerned because with standard surgical treatment there is a risk of developing severe complications which include loss of fertility and surgical menopause.
Extrafascial hysterectomy is the standard definitive treatment option for women with stage IA1 cervical cancers and is sometimes performed following radiation therapy for bulky endocervical carcinomas. The Extrafascial technique permits removal of the intact uterine fundus and cervix, leaving the parametrial soft tissues or a portion of the upper vagina. Extrafascial hysterectomy can be accomplished through an abdominal incision, transvaginally, or by using a combination of laparoscopic and transvaginal techniques.