| Transvaginal placement of cervicoisthmic cerclage: report on pregnancy outcome. | |
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MedLine Citation:
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PMID: 15970870 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study was undertaken to review pregnancy course and outcome in 56 pregnancies after the placement of a cervicoisthmic cerclage transvaginally. STUDY DESIGN: Fifty-three pregnant patients with unique indications such as previous failure of conventional cerclages or compromised cervical anatomy, underwent transvaginal placement of a cervicoisthmic cerclage during pregnancy. RESULTS: There was 100% fetal survival. Preterm birth rate was 32% and births at less than 30 weeks occurred in 21% of our patients. In 6 patients, the suture was not removed and 3 patients had an additional gestation with the same suture. Serious complications included 1 instance of intraoperative bladder laceration and 1 of intrapartum cervical tear. Minor complications included a postoperative hematoma and transient urinary retention with pelvic pain in 2 patients. CONCLUSION: The placement of transvaginal cervicoisthmic cerclage was associated with favorable pregnancy outcome and may be considered as a suitable safe alternative to the transabdominal cerclage. |
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Authors:
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Michael Katz; Carol Abrahams |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 192 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-06-22 Completed Date: 2005-07-25 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1989-92; discussion 1992-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, California Pacific Medical Center, San Francisco, 94118, USA. Katzmi@sutterhealth.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult California / epidemiology Cerclage, Cervical / methods, utilization* Cervix Uteri / surgery* Female Humans Infant, Newborn Middle Aged Postoperative Complications Pregnancy Pregnancy Outcome Uterine Cervical Incompetence / epidemiology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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