Laparoscopic Transabdominal Cervicoisthmic Cerclage during Pregnancy

Authors
Chi-Heum ChoTaek-Hoon KimSang-Hoon KwonJong-In KimSung-Do YoonSoon-Do Cha
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Issue Date
2003
Citation
Journal of the American Association of Gynecologic Laparoscopists., Vol.10(3) : 363-366, 2003
ISSN
1074-3804
Abstract
Study Objective. To evaluate and describe our experience in the management of recurrent second-trimester miscarriage and preterm delivery by laparoscopic transabdominal cervicoisthmic cerclage (LTCC), after failure of transvaginal cervical cerclage. Design. Retrospective review (Canadian Task Force classification III). Setting. Tertiary care teaching hospital. Patients. Twenty women in whom it was not technically possible to perform transvaginal cerclage. Intervention. LTCC. Measurements and Main Results. Mean operating time was 55 minutes (range 40–75 min). There were no operative or immediate postoperative complications. Mean gestational age at the time of cerclage placement was 12.1weeks (range 11–14wks). Nineteen women successfully delivered 21 live babies (2 sets of twins; live birth rate 95%). One loss occurred after rupture of membrane at 19 weeks’ after cerclage. Conclusion. LTCC during pregnancy can be safe and effective treatment for well-selected patients with cervical incompetence, and eliminates the need for open laparotomy.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34914
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
Keimyung Author(s)
조치흠; 김택훈; 권상훈; 김종인; 윤성도; 차순도
Full Text
https://www.sciencedirect.com/science/article/pii/S1074380405602630?via%3Dihub
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