title: Transabdominal cervico-isthmic cerclage in the management of cervical incompetence.
abstract: 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.
authors.affiliation: Rankin Maternity Unit, Greenock, UK.
authors.forename: G S
authors.initials: GS
authors.lastname: Anthony
authors.forename: R G
authors.initials: RG
authors.lastname: Walker
authors.forename: A D
authors.initials: AD
authors.lastname: Cameron
authors.forename: J L
authors.initials: JL
authors.lastname: Price
authors.forename: J J
authors.initials: JJ
authors.lastname: Walker
authors.forename: A A
authors.initials: AA
authors.lastname: Calder
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D002581:Uterine Cervical Incompetence / Q000628:therapy*