title: Successful delivery after transabdominal cerclage of uterine cervix for cervical incompetence after radical trachelectomy.
abstract: Pregnancy after radical trachelectomy (RT) has a high risk of prematurity and complications such as preterm premature rupture of the membrane and chorioamnionitis. Placing a cervical cerclage at the time of RT plays an important role in preventing such obstetrical complications. In patients who have trouble with the cervical cerclage, miscarriage during the second trimester seems to be inevitable. We have therefore started preconception transabdominal cerclage (TAC) for these patients. A 36-year-old Japanese woman who had a history of miscarriage due to trouble with the nylon thread used for cerclage, successfully delivered after TAC. TAC is a useful treatment modality to prevent miscarriage for patients who have trouble with cerclage after RT.
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ishioka
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Endo
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Baba
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Yushi
authors.initials: Y
authors.lastname: Akashi
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Miyuki
authors.initials: M
authors.lastname: Morishita
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Asuka
authors.initials: A
authors.lastname: Sugio
authors.affiliation: Department of Obstetrics and Gynecology, Hamamatsu University, School of Medicine, Hamamatsu, Shizuoka, Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Kanayama
authors.affiliation: Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Hokkaido.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Saito
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D000069339:Trachelectomy / Q000009:adverse effects*; D002581:Uterine Cervical Incompetence / Q000601:surgery*
keywords: Pregnancy; trachelectomy; transabdominal cerclage; uterine cervix