title: Transabdominal cervicoisthmic cerclage after multiple failed vaginal cerclages.
abstract: Cervical incompetence is a condition traditionally treated by cervical cerclage. We describe a patient who had 6 failed cervical cerclages and who was treated with transabdominal cervicoisthmic cerclage. There were no intra-operative or post-operative complications and the patient was regularly reviewed in the antenatal clinic by a senior physician and with a series of transvaginal ultrasounds. The patient went into labor at 36-weeks of gestation and had an emergency lower segment cesarean section, with a live male infant weighing 2.38 kg. Both mother and baby did well after delivery.
authors.affiliation: Department of Obstetrics & Gynecology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. shakeel@ksu.edu.sa
authors.forename: Shakeel A
authors.initials: SA
authors.lastname: Faiz
authors.forename: Abdulaziz A
authors.initials: AA
authors.lastname: Al-Meshari
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D002581:Uterine Cervical Incompetence / Q000601:surgery*