Use of mesh cerclage in prevention of early preterm delivery: a promising new surgical method for women with dilated cervix and membrane herniation?
OBJECTIVE
To present our innovative surgical method for prevention of early preterm delivery in women with cervical dilatation and membrane herniation.


METHODS
A woman in the 24th gestational week, with membrane herniation due to a 2-3 cm dilatation of the cervix, is presented. The surgical technique for occlusion and reinforcement of the dilated cervix with circular suture and polypropylene mesh is described.


RESULTS
We succeeded in preventing early preterm delivery and achieving 38 gestational weeks when the mesh cerclage was electively removed.


CONCLUSIONS
Occlusion of the dilated cervix by mesh cerclage is a promising new surgical possibility of preventing early preterm delivery and achieving fetal maturity in women with dilated cervix and membrane herniation.
Luznik
Marijan
M
Department of Gynecology and Perinatology, Maribor Teaching Hospital, Ljubljanska ulica 5, 2000 Maribor, Slovenia. marijan.luznik@volja.net
D000328:Adult; D023802:Cerclage, Cervical / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D047928:Premature Birth / Q000209:etiology / Q000517:prevention & control*; D013526:Surgical Mesh; D016896:Treatment Outcome