| Current controversies in cervical cerclage. | |
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MedLine Citation:
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PMID: 12641304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical incompetence is defined as the inability to support a full-term pregnancy because of a functional or structural defect of the cervix. It is characterized clinically by acute, painless dilatation of the cervix usually in the mid-trimester culminating in prolapse and/or premature rupture of the membranes with resultant preterm and often previable delivery. Cervical cerclage has become the mainstay for the management of cervical incompetence, but remains one the more controversial surgical interventions in obstetrics. This article reviews the current state of the literature as regards the indications, contraindications, and techniques of cervical cerclage. This article also focuses in detail on 4 areas of controversy, namely transabdominal cerclage, cervical cerclage for a short cervix, the management of cerclage after preterm premature rupture of the membranes, and the utility of a second (salvage) cerclage. |
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Authors:
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Larry Rand; Errol R Norwitz |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in perinatology Volume: 27 ISSN: 0146-0005 ISO Abbreviation: Semin. Perinatol. Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-03-18 Completed Date: 2003-06-06 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7801132 Medline TA: Semin Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 73-85 Citation Subset: IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerclage, Cervical*
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adverse effects,
contraindications,
methods Female Fetal Membranes, Premature Rupture / complications Humans Pregnancy Reoperation Treatment Outcome Uterine Cervical Incompetence / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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