Transvaginal cervicoisthmic cerclage using a polypropylene sling: Pregnancy outcome
| Autor: | Erika Faivre, Xavier Deffieux, Marie-Victoire Senat, Amélie Gervaise, Hervé Fernandez |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Pregnancy Intraoperative Complication Obstetrics business.industry Population Obstetrics and Gynecology Gestational age Retrospective cohort study medicine.disease Surgery medicine.anatomical_structure Interquartile range medicine Gestation business education Cervix |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 37:1297-1302 |
| ISSN: | 1341-8076 |
| DOI: | 10.1111/j.1447-0756.2010.01514.x |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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