Cervical Cerclage to Prevent Intrauterine Balloon Prolapse

Autor: Toshifumi Suzuki, Jun Takeda, Rie Seyama, Shintaro Makino, Satoru Takeda, Atsuo Itakura
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Surgery Journal, Vol 09, Iss 01, Pp e36-e38 (2023)
Druh dokumentu: article
ISSN: 2378-5128
2378-5136
DOI: 10.1055/s-0042-1749427
Popis: Intrauterine balloon prolapse sometimes occurs, and the intrauterine balloon must be reinserted. Furthermore, intrauterine balloon tamponade (IBT) failure can necessitate additional invasive procedures. We report a case of cervical cerclage with IBT for placenta previa with a cervical dilation. In our case, emergency cesarean section was performed at 35 + 4 weeks of gestation because of persistent hemorrhage. During the operation, we performed IBT to prevent further postpartum hemorrhage. However, immediately after the operation, uterine cervical dilatation was 6 cm, which resulted in cervical dilation and prolapse of the intrauterine balloon. Therefore, we performed cervical cerclage using absorbable sutures with IBT and blood transfusion. We speculated that the intrauterine balloon might have induced cervical canal ripening during the operation. Our case suggested that cervical cerclage with IBT is a useful method to prevent intrauterine balloon prolapse in cases with cervical dilation.
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