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Figure 1a. Diagrams of the trachelectomy technique. (a) The cervix and upper vaginal vault are resected (oval dashed line). (b) The residual corpus uteri is anastomosed to the remainder of the vaginal vault. Bilateral pelvic lymphadenectomy is also performed (double dashed lines in a and b). (c) A cerclage suture is placed around the corpus uteri at the anastomosis. This suture maintains the competency of the uterus in any subsequent pregnancies.