| Laparoscopic transabdominal cervicoisthmic cerclage during pregnancy. | |
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MedLine Citation:
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PMID: 14567813 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To evaluate and describe our experience in the management of recurrent second-trimester miscarriage and preterm delivery by laparoscopic transabdominal cervicoisthmic cerclage (LTCC), after failure of transvaginal cervical cerclage. DESIGN: Retrospective review (Canadian Task Force classification III). SETTING: Tertiary care teaching hospital. PATIENTS: Twenty women in whom it was not technically possible to perform transvaginal cerclage. INTERVENTION: LTCC. MEASUREMENTS AND MAIN RESULTS: Mean operating time was 55 minutes (range 40-75 min). There were no operative or immediate postoperative complications. Mean gestational age at the time of cerclage placement was 12.1 weeks (range 11-14 wks). Nineteen women successfully delivered 21 live babies (2 sets of twins; live birth rate 95%). One loss occurred after rupture of membrane at 19 weeks' after cerclage. CONCLUSION: LTCC during pregnancy can be safe and effective treatment for well-selected patients with cervical incompetence, and eliminates the need for open laparotomy. |
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Authors:
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Chi-Heum Cho; Taek-Hoon Kim; Sang-Hoon Kwon; Jong-In Kim; Sung-Do Yoon; Soon-Do Cha |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the American Association of Gynecologic Laparoscopists Volume: 10 ISSN: 1074-3804 ISO Abbreviation: J Am Assoc Gynecol Laparosc Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-10-21 Completed Date: 2004-01-14 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9417443 Medline TA: J Am Assoc Gynecol Laparosc Country: United States |
Other Details:
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Languages: eng Pagination: 363-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, School of Medicine and Institute for Medical Genetics, Keimyung University, Taegu, South Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Habitual
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prevention & control Adult Cerclage, Cervical / methods* Female Humans Laparoscopy* Obstetric Labor, Premature / prevention & control Pregnancy Retrospective Studies Time Factors Uterine Cervical Incompetence / surgery* |
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