title: [Cervical cerclage].
abstract: Cervical cerclage aims to strengthen not only the mechanical properties of the cervix, but also its immunological and anti-infectious functions. The demonstration of a strong interrelation between cervical insufficiency as well as decreased cervical length at endo-vaginal ultrasonography and infection has changed the indications cerclage. Actually we can distinguish three indications for cerclage: prophylactic, for obstetrical history; therapeutic, for shortened cervical length at ultrasonography in patients at risk and; emergency cerclage in case of threatening cervix at physical examination. The McDonald's technique is the most recommended. In case of failure, it is proposed to realize cerclage at a higher level on the cervix either by vaginal or abdominal route.
authors.affiliation: Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
authors.forename: C Y
authors.initials: CY
authors.lastname: Akladios
authors.affiliation: Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
authors.forename: N
authors.initials: N
authors.lastname: Sananes
authors.affiliation: Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
authors.forename: A
authors.initials: A
authors.lastname: Gaudineau
authors.affiliation: Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
authors.forename: E
authors.initials: E
authors.lastname: Boudier
authors.affiliation: Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France. Electronic address: Bruno.Langer@chru-strasbourg.fr.
authors.forename: B
authors.initials: B
authors.lastname: Langer
mesh_terms: D023802:Cerclage, Cervical / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D011247:Pregnancy
keywords: Avortement tardif; Béance cervicale; Cerclage; Cervical incompetence; Cervical insufficiency; Cervical length; Insuffisance cervicale; Late abortion; Longueur du col; Premature birth; Prématurité