Treatment of cervical incompetence by transabdominal cervicoisthmic cerclage

The Australian & New Zealand Journal of Obstetrics & Gynaecology
S Craig, J R Fliegner

Abstract

Cervical incompetence is a condition traditionally treated by cervical cerclage which in most cases is inserted via the transvaginal route. However the insertion of a transabdominal cervicoisthmic suture is indicated in those patients with recurrent mid-trimester losses due to an incompetent cervix where it is not technically possible to insert a transvaginal suture. Between 1987 and 1996, 12 women at the Royal Women's Hospital, Melbourne were treated with transabdominal cervicoisthmic cerclage (TCC). Eight patients had cerclage in the nonpregnant state, and 4 were pregnant at the time. The completed pregnancies thus far have resulted in 10 surviving infants, a successful pregnancy rate of 69.2%. This compares favourably with a corrected preTCC successful pregnancy rate of only 13%. There were minimal intraoperative complications in our series. Bleeding, chorioamnionitis and premature rupture of the membranes have been reported elsewhere and occurred in 2 of our patients. Our results and a review of the literature confirms that TCC has an important role in carefully-selected patients.

References

Jun 1, 1991·American Journal of Obstetrics and Gynecology·M J Novy
Jun 1, 1987·European Journal of Obstetrics, Gynecology, and Reproductive Biology·H C Wallenburg, F K Lotgering
Feb 1, 1972·The Australian & New Zealand Journal of Obstetrics & Gynaecology·R A Watkins
Oct 1, 1995·British Journal of Obstetrics and Gynaecology·D M Gibb, D A Salaria
Jun 1, 1957·The Journal of Obstetrics and Gynaecology of the British Empire·I A MCDONALD
Apr 1, 1958·The Journal of Obstetrics and Gynaecology of the British Empire·J W JOHNSTONE
May 1, 1965·The Australian & New Zealand Journal of Obstetrics & Gynaecology·F M Forster

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Citations

Nov 11, 2003·Obstetrics and Gynecology·Olufemi OlatunbosunRoger Pierson
Dec 1, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·F GolfierD Raudrant
Jul 17, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·M J Bennett, G J Duncombe
Nov 17, 2011·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·T L FosterJ E Sumners
Oct 26, 2011·Journal of Minimally Invasive Gynecology·N B BurgerJ A F Huirne
Apr 14, 2009·Gynécologie, obstétrique & fertilité·G NicoletH Déchaud
Sep 20, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Roy G FarquharsonSiobhan M Quenby
Apr 19, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·M NooriP J Steer
May 4, 2011·The Journal of Obstetrics and Gynaecology Research·Xavier DeffieuxHervé Fernandez
May 16, 2006·Journal of Minimally Invasive Gynecology·Xavier DeffieuxHervé Fernandez
Sep 11, 2007·American Journal of Obstetrics and Gynecology·Robert H DebbsJack Ludmir
Apr 21, 2009·American Journal of Obstetrics and Gynecology·Marili U WittJohn M Thorp
Oct 22, 2002·American Journal of Obstetrics and Gynecology·Veena ZaveriMary Hannah
Oct 1, 2009·American Journal of Obstetrics and Gynecology·Wendy L WhittleNicholas Leyland
Mar 10, 2016·Clinical Obstetrics and Gynecology·James E SumnersTodd L Foster

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