Document Detail


Transvaginal cervicoisthmic cerclage using a polypropylene sling: Pregnancy outcome.
MedLine Citation:
PMID:  21535306     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To report pregnancy outcome following prophylactic transvaginal cervicoisthmic cerclage using a polypropylene sling in a population of high-risk pregnant women. Materials and Methods:  A retrospective study with a continuous series of 57 women presenting with prior failure of McDonald cerclage (n = 47) and/or absent portio-vaginalis of the cervix (n = 10). Results:  Cervicoisthmic cerclage was performed between 12 and 16 weeks of gestation (median 14 weeks' gestation). No intraoperative complication occurred. Preterm labor treated with parenteral tocolysis occurred in 14 women (24%). Cesarean delivery was systematically performed. Median gestational age at delivery was 37.2 weeks' gestation (interquartile range: 36.5-38.0). Overall neonatal survival rate was 94%. Conclusion:  Transvaginal cervicoisthmic cerclage using a polypropylene sling may be considered as an effective alternative to the transabdominal cervicoisthmic cerclage in women presenting with previous cerclage failure.
Authors:
Xavier Deffieux; Erika Faivre; Marie-Victoire Senat; Amélie Gervaise; Hervé Fernandez
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  -     ISSN:  1341-8076     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.
Affiliation:
AP-HP, Department of Obstetrics, Gynecology and Reproductive Medicine, Antoine Béclère Hospital, Clamart University Paris-South AP-HP, Department of Obstetrics and Gynecology, Bicêtre University Hospital, Le Kremlin Bicêtre, France.
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