title: [Early prophylactic cervical cerclage for hypoplastic cervix following exposure to DES in utero].
abstract: 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.
authors.affiliation: Service de Gynécologie-Obstétrique, Hôpital Saint-Vincent-de-Paul, avenue Denfert-Rochereau, 75674 Paris Cedex 14.
authors.forename: P
authors.initials: P
authors.lastname: Raynal
authors.forename: J-P
authors.initials: JP
authors.lastname: Le Meaux
authors.forename: S
authors.initials: S
authors.lastname: Epelboin
authors.forename: M
authors.initials: M
authors.lastname: Tournaire
mesh_terms: 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
chemical_list: D004054:Diethylstilbestrol