Transabdominal cervico-isthmic cerclage in the management of cervical incompetence

The use of transabdominal cervico-isthmic cerclage is described in 13 patients with a diagnosis of cervical incompetence. The patients were recruited from seven Scottish Maternity Units over a period of 10 years. The 13 patients have had a successful pregnancy in 86.6% of pregnancies with this proce...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 1997-04, Vol.72 (2), p.127-130
Main Authors: Anthony, George S., Walker, Robert G., Cameron, Alan D., Price, John L., Walker, James J., Calder, Andrew A.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cervical incompetence
Female
Humans
Management
Medical sciences
Pregnancy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Transabdominal cervico-isthmic cerclage
Uterine Cervical Incompetence - therapy
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Summary:The use of transabdominal cervico-isthmic cerclage is described in 13 patients with a diagnosis of cervical incompetence. The patients were recruited from seven Scottish Maternity Units over a period of 10 years. The 13 patients have had a successful pregnancy in 86.6% of pregnancies with this procedure compared with a success rate of 16% in their previous pregnancies. In carefully selected cases transabdominal cervico-isthmic cerclage is a worthwhile procedure in patients with cervical incompetence when the cervix is so damaged that it would be impossible to insert a vaginal suture or when a vaginal suture has previously failed.
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(96)02669-3