Document Detail


Abdominal cerclage for the treatment of recurrent cervical insufficiency: laparoscopy or laparotomy?
MedLine Citation:
PMID:  19576376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to compare the efficacy of traditional abdominal cerclage (AC) with laparoscopic cerclage (LC). STUDY DESIGN: Eligible women had at least 1 second trimester pregnancy loss due to cervical insufficiency, and had undergone at least 1 failed transvaginal cerclage. A prospective cohort of patients undergoing LC was compared with a historical control group of patients who had AC. A successful primary outcome was defined as delivery of a viable infant with neonatal survival. RESULTS: We were able to evaluate 19 pregnancies following unique abdominal cerclage placement, 12 laparoscopic and 7 at the time of laparotomy. Nine of 12 (75%) undergoing LC and 5 of 7 (71%) pregnancies undergoing AC successfully delivered a viable infant (P = .63). LC during pregnancy was successful in 4 of 5 (80%) cases as compared to 3 of 5 (60%) cases with AC during pregnancy (P = 1.0). CONCLUSION: Operative laparoscopy is a safe and effective alternative to laparotomy for the placement of abdominal cerclage.
Authors:
James F Carter; David E Soper; Laura M Goetzl; J Peter Van Dorsten
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  201     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-06     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  111.e1-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. caterja@musc.edu
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Abortion, Habitual / etiology
Adult
Ambulatory Surgical Procedures
Cerclage, Cervical / methods*
Female
Humans
Laparoscopy*
Laparotomy
Pregnancy
Pregnancy Outcome*
Prospective Studies
Recurrence
Retrospective Studies
Uterine Cervical Incompetence / surgery
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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