Document Detail


Emergency cerclage: a review.
MedLine Citation:
PMID:  7659394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The treatment of patients with cervical incompetence presenting with advanced cervical changes in the second trimester remains a challenge to every obstetrician. Cerclage operation may be the only hope for prolonging gestation until fetal viability is reached. A retrospective study on so-called emergency cervical cerclage in 20 patients with supposed cervical incompetence in the late second trimester is presented, together with a review of comparable studies published between 1980 and 1992. It is concluded that emergency cerclage can be of benefit, and that the pregnancy is saved in the majority of cases, although the incidence of complications, often due to infection, is high. Many patients require prolonged hospitalization or bed rest and few pregnancies reach full term. There is a particularly high rate of infectious complications and attention must be focused on preventing chorioamnionitis to improve the outcome of the procedure in the future.
Authors:
J M Aarts; J T Brons; H W Bruinse
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  50     ISSN:  0029-7828     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-10-05     Completed Date:  1995-10-05     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  459-69     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Utrecht University Hospital, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cervix Uteri / surgery*
Emergencies*
Female
Gestational Age
Humans
Infant, Newborn
Pregnancy
Pregnancy Outcome
Retrospective Studies
Suture Techniques
Uterine Cervical Incompetence / etiology,  surgery*

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


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