[Early prophylactic cervical cerclage for hypoplastic cervix following exposure to DES in utero].
OBJECTIVE
Presentation of a prophylactic cerclage technique, placed in the beginning of second trimester of the pregnancy, derived from McDonald cerclage and adapted to hypoplastic cervix following exposure to DES in utero.


METHODS
Prospective study including 20 pregnant patients exposed to DES in utero and presenting a hypoplastic cervix. Study of the location of the cerclage tape in the cervix and of changes in cervical length (before and after cerclage) assessed by physical examination of the cervix and by transvaginal ultrasonography.


RESULTS
The cervix was longer after cerclage as shown by physical examination and by ultrasound. The tape was localized near the internal cervical os, its posterior portion nearer the internal cervical os than its anterior portion.


CONCLUSIONS
This easy-to-perform technique of cerclage of hypoplastic cervix allows the tape to be localized near the internal cervical os without colpotomy and without use of the transabdominal approach, while allowing vaginal delivery.
Raynal
P
P
Service de Gynécologie-Obstétrique, Hôpital Saint-Vincent-de-Paul, avenue Denfert-Rochereau, 75674 Paris Cedex 14.
Le Meaux
J-P
JP
Epelboin
S
S
Tournaire
M
M
D023802:Cerclage, Cervical / Q000379:methods*; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D004054:Diethylstilbestrol / Q000009:adverse effects*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects; D011446:Prospective Studies; D014463:Ultrasonography; D002577:Uterine Cervical Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
D004054:Diethylstilbestrol