Transabdominal cervico-isthmic cerclage in the management of cervical incompetence.
The use of transabdominal cervico-isthmic cerclage is described in 13 patients with a diagnosis of cervical incompetence. The patients were recruited from seven Scottish Maternity Units over a period of 10 years. The 13 patients have had a successful pregnancy in 86.6% of pregnancies with this procedure compared with a success rate of 16% in their previous pregnancies. In carefully selected cases transabdominal cervico-isthmic cerclage is a worthwhile procedure in patients with cervical incompetence when the cervix is so damaged that it would be impossible to insert a vaginal suture or when a vaginal suture has previously failed.
Anthony
G S
GS
Rankin Maternity Unit, Greenock, UK.
Walker
R G
RG
Cameron
A D
AD
Price
J L
JL
Walker
J J
JJ
Calder
A A
AA
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D002581:Uterine Cervical Incompetence / Q000628:therapy*