| Elective and emergency transabdominal cervicoisthmic cerclage for cervical incompetence. | |
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MedLine Citation:
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PMID: 12971139 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the success rate of transabdominal cervicoisthmic cerclage (TACIC) as an elective and emergency procedure for cervical incompetence in comparison to reported success rates for vaginal cerclage. STUDY DESIGN: Retrospective review was performed of the hospital records of patients and their neonates who underwent TACIC for cervical incompetence by the Maternal-Fetal Medicine Service, Harrisburg Hospital. Data regarding procedure indications, maternal age, gravidity/parity, gestational age at time of placement, pregnancy outcome, delivery age and fetal weight at delivery were recorded. Comparison was made to previously reported outcomes for vaginal cerclage. RESULTS: Thirteen patients underwent TACIC from July 1996 through April 2001. The overall viable delivery rate was 76.9%. Five procedures were emergency, with a viable delivery rate of 60%. Mean gestational age at delivery for this group was 34.6 weeks. The 8 elective procedures had a viable delivery rate of 87.5% and mean gestational age of 35.5 weeks. Complications from the TACIC procedure were limited to a single catheter-related urinary tract infection. CONCLUSION: In pregnancies complicated by cervical incompetence and in which Shirodkar or McDonald cerclage has previously failed or is not technically feasible, TACIC offers the possibility of a successful outcome in elective and emergency settings similar to that previously reported for vaginal cerclage. |
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Authors:
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James Hole; Terry Tressler; Francis Martinez |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 48 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-09-15 Completed Date: 2004-02-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 596-600 Citation Subset: IM |
Affiliation:
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Maternal-Fetal Medicine of Central Pennsylvania, Harrisburg Hospital, Brady Building, 7th Floor, 205 South Front Street, Harrisburg, PA 17111, USA. jhole@pinnaclehealth.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / methods* Emergency Medical Services* Female Humans Pregnancy Pregnancy Outcome Retrospective Studies Surgical Procedures, Elective* Treatment Outcome Uterine Cervical Incompetence / surgery* Vagina / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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