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Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation

A 38-year-old nulliparous woman was referred to our clinic because of cervical incompetence at 19 weeks of gestation. Trans-abdominal cervicoisthmic cerclage was performed after failure of modified Shirodkar cerclage operation in the patient at 21 weeks of gestation via a laparotomic approach. Anoth...

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Autores principales: Joung, Eun-Joo, Go, Eun-Byeol, Kwack, Jae Young, Kwon, Yong Soon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958680/
https://www.ncbi.nlm.nih.gov/pubmed/27462601
http://dx.doi.org/10.5468/ogs.2016.59.4.319
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author Joung, Eun-Joo
Go, Eun-Byeol
Kwack, Jae Young
Kwon, Yong Soon
author_facet Joung, Eun-Joo
Go, Eun-Byeol
Kwack, Jae Young
Kwon, Yong Soon
author_sort Joung, Eun-Joo
collection PubMed
description A 38-year-old nulliparous woman was referred to our clinic because of cervical incompetence at 19 weeks of gestation. Trans-abdominal cervicoisthmic cerclage was performed after failure of modified Shirodkar cerclage operation in the patient at 21 weeks of gestation via a laparotomic approach. Another 38-year-old patient, who underwent loop electrosurgical excision procedure conization for treatment of cervical dysplasia 4 years ago, presented for cervical incompetence. At 18 weeks of gestation, we performed trans-abdominal laparotomic cervicoisthmic cerclage without any post-operative complications. During antenatal follow-up, there were no obstetrical co-morbidities and finally she gave birth to a healthy infant at full term by cesarean section. We report two cases of women who underwent trans-abdominal cervicoisthmic cerclage surgery because of cervical incompetence as they were not suitable for transvaginal cervical cerclage. Both patients successfully maintained their pregnancy until full term after undergoing transabdominal cervicoisthmic cerclage at more than 18 weeks of gestation.
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spelling pubmed-49586802016-07-26 Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation Joung, Eun-Joo Go, Eun-Byeol Kwack, Jae Young Kwon, Yong Soon Obstet Gynecol Sci Case Report A 38-year-old nulliparous woman was referred to our clinic because of cervical incompetence at 19 weeks of gestation. Trans-abdominal cervicoisthmic cerclage was performed after failure of modified Shirodkar cerclage operation in the patient at 21 weeks of gestation via a laparotomic approach. Another 38-year-old patient, who underwent loop electrosurgical excision procedure conization for treatment of cervical dysplasia 4 years ago, presented for cervical incompetence. At 18 weeks of gestation, we performed trans-abdominal laparotomic cervicoisthmic cerclage without any post-operative complications. During antenatal follow-up, there were no obstetrical co-morbidities and finally she gave birth to a healthy infant at full term by cesarean section. We report two cases of women who underwent trans-abdominal cervicoisthmic cerclage surgery because of cervical incompetence as they were not suitable for transvaginal cervical cerclage. Both patients successfully maintained their pregnancy until full term after undergoing transabdominal cervicoisthmic cerclage at more than 18 weeks of gestation. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2016-07 2016-07-13 /pmc/articles/PMC4958680/ /pubmed/27462601 http://dx.doi.org/10.5468/ogs.2016.59.4.319 Text en Copyright © 2016 Korean Society of Obstetrics and Gynecology http://creativecommons.org/licenses/by-nc/3.0/ Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Joung, Eun-Joo
Go, Eun-Byeol
Kwack, Jae Young
Kwon, Yong Soon
Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title_full Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title_fullStr Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title_full_unstemmed Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title_short Successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
title_sort successful term delivery cases of trans-abdominal cervicoisthmic cerclage performed at more than 18 weeks of gestation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958680/
https://www.ncbi.nlm.nih.gov/pubmed/27462601
http://dx.doi.org/10.5468/ogs.2016.59.4.319
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