| A novel method for laparoscopic abdominal cerclage utilizing minimally invasive hydrodissection: a case report. | |
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MedLine Citation:
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PMID: 17583246 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cervical incompetence can lead to the inability to sustain an intrauterine pregnancy and may account for a substantial portion of second-trimester losses. Placement of a transvaginal cerclage has been shown to decrease morbidity in a substantial number of such cases. In patients lacking sufficient cervical tissue, a cerclage may be placed by a transabdominal approach. This procedure carries risks of significant morbidity to the maternal-fetal unit if done by laparotomy. CASE: A 22-year-old gravida at 13 weeks' gestation with a past history significant for cervical incompetence and absence of cervical tissue underwent placement of an abdominal cerclage. We utilized laparoscopic operative techniques and employed hydrodissection to decrease manipulation and bleeding around the gravid uterus. CONCLUSION: A laparoscopic approach to cerclage in patients diagnosed with cervical incompetence can be performed with minimal risks to the gravid uterus. |
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Authors:
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Ramzi Aboujaoude; Paul Maloof; Manuel Alvarez; Abdulla Al Khan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 52 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-06-22 Completed Date: 2007-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 428-30 Citation Subset: IM |
Affiliation:
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Department of Obstetrics, Gynecology and Women's Health, Hackensack University Medical Center, Hackensack, New Jersey, USA. ramziajaoude@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / methods* Diagnosis, Differential Female Humans Pregnancy Pregnancy Trimester, Second Prenatal Diagnosis* Uterine Cervical Incompetence / diagnosis*, pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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