Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Three successful cases of transabdominal cerclage: A case report

(2021) Three successful cases of transabdominal cerclage: A case report. Journal of Babol University of Medical Sciences.

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Abstract

BACKGROUND AND OBJECTIVE: Cerclage surgeries for the treatment of cervical insufficiency are performed transvaginally. However, in some patients, due to anatomical changes of the cervix caused by congenital factors or previous surgery, they cannot be performed transvaginally. Transabdominal cervicoisthmic cerclage (TCIC) is considered in these cases. The aim of the present study was to report the results of three successful cases of transabdominal cerclage. CASE REPORT: The first patient was a 34-year-old woman with a history of failed curettage and transvaginal cerclage. By the seventh week of pregnancy, the patient underwent transabdominal cerclage via laparotomy due to the possibility of preterm delivery and cervical insufficiency. The next patient was a 40-year-old woman with a history of performing six IVF sessions and having two live fetuses, underwent TCIC laparotomy at 13th week of pregnancy due to the possibility of preterm delivery and cervical insufficiency. Another patient was a 24-year-old woman with a history of transvaginal curettage and cerclage and 2 miscarriages. This patient also underwent laparoscopic TCIC surgery due to the possibility of preterm delivery and cervical insufficiency. All three patients underwent cesarean section at 38th week of gestation and gave birth to healthy babies. CONCLUSION: According to the present study, transabdominal cerclage via laparoscopy or laparotomy in patients with preterm delivery or cervical insufficiency has favorable results in women with unsuccessful transvaginal cerclage.

Item Type: Article
Keywords: Cerclage, Uterus, Transabdominal, Case Report.
Subjects: WP Gynecology and Obstetrics > WP 400-480 Uterus. Cervix
Divisions: Research Vice-Chancellor Department > Student Research Committee
Page Range: pp. 23-28
Journal or Publication Title: Journal of Babol University of Medical Sciences
Journal Index: Scopus
Volume: 23
Number: 1
Publisher: Babol University of Medical Sciences
ISSN: 15614107
Depositing User: مسعود رسول آبادی
URI: http://eprints.muk.ac.ir/id/eprint/4260

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