| Late or emergency (salvage) cerclage of a dilated cervix after tissue support with Pelvicol implant: a case. | |
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MedLine Citation:
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PMID: 15578649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our objective was to evaluate the effectiveness of a late or emergency (salvage) cerclage after tissue reinforcement with Pelvicol natural implant, in preventing premature rupture of the fetal membranes and advancing pregnancy prolongation. A flat sheet of Pelvicol, a sterile acellular natural (porcine) implant was used in an emergency cerclage to reinforce the thin tissues of a widely dilated cervix in a 24 weeks' twin gestation with prolapsed unruptured membranes, without contractions, placental abruption, or intrauterine infection. The gestation was extended to 38 weeks without any complications. Two live healthy newborns were delivered by elective cesarean section due to a nonvertex/vertex presentation. The implant was found to be attached almost unaltered firmly on the outer surface of the membrane sac just opposite to the internal os. It seems that Pelvicol is safe and apparently protects by clothing the thinned, soft, and weak wall of a significantly dilated uterine cervix and the bulging or protruding gestational membranes. It also reinforces and strengthens the tissue thickness and resistance, rendering more accurate and safe the otherwise delicate and risky late cerclage. The technique gives hopes that it can help in pregnancy prolongation. |
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Authors:
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Vassilios S Tsapanos; George O Decavalas; George L Adonakis; George S Kourounis |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of biomedical materials research. Part B, Applied biomaterials Volume: 72 ISSN: 1552-4973 ISO Abbreviation: J. Biomed. Mater. Res. Part B Appl. Biomater. Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-01-20 Completed Date: 2005-05-17 Revised Date: 2006-06-22 |
Medline Journal Info:
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Nlm Unique ID: 101234238 Medline TA: J Biomed Mater Res B Appl Biomater Country: United States |
Other Details:
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Languages: eng Pagination: 368-72 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Medical School, University of Patras, Patras University Hospital, Rio 26 500, Greece. vtsapanos@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bioprosthesis* Cerclage, Cervical / methods* Collagen Elastin Female Humans Pregnancy Pregnancy Complications / prevention & control, surgery Pregnancy Outcome Prosthesis Implantation Salvage Therapy / methods Skin Transplantation / methods* |
| Chemical | |
Reg. No./Substance:
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9007-34-5/Collagen; 9007-58-3/Elastin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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