| Clinical outcomes following interval laparoscopic transabdominal cervico-isthmic cerclage placement: case series. | |
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MedLine Citation:
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PMID: 12871889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this report is to describe outcomes following laparoscopic transabdominal cervico-isthmic cerclage placement in cases of cervical incompetence not amenable to a conventional transvaginal procedure. We reviewed records of the first 11 patients at an academic teaching hospital who underwent laparoscopic transabdominal cerclage placement as an interval procedure, using a technique we previously first described. For all patients, the clinical course, including surgical complications and outcome of all subsequent pregnancies, is briefly described. One case was complicated by a small bowel injury secondary to concomitant extensive enterolysis. Otherwise there were no complications. Mean estimated blood loss was <40 ml. To date, 10 patients have conceived a total of 12 pregnancies following the procedure. Two pregnancies resulted in spontaneous losses at 8 weeks gestation, two in deliveries by Caesarean section at 34.5 weeks, and eight in deliveries by elective Caesarean section at 38 weeks or more. Each delivery resulted in the birth of a healthy infant. In conclusion, patients who require a transabdominal cerclage may undergo a laparoscopic interval procedure and achieve outcomes similar to those following placement via laparotomy during pregnancy. |
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Authors:
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M J Mingione; J J Scibetta; S R Sanko; W R Phipps |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Human reproduction (Oxford, England) Volume: 18 ISSN: 0268-1161 ISO Abbreviation: Hum. Reprod. Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-07-21 Completed Date: 2004-04-15 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8701199 Medline TA: Hum Reprod Country: England |
Other Details:
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Languages: eng Pagination: 1716-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics-Gynecology, University of Rochester, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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etiology Adult Cerclage, Cervical / methods* Female Humans Laparoscopy Pregnancy Pregnancy Outcome Uterine Cervical Incompetence / etiology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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