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The Feasibility of a Modified Method of Laparoscopic Transabdominal Cervicoisthmic Cerclage During Pregnancy

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Author(s)
So-Jin ShinHyewon ChungSang-Hoon KwonSoon-Do ChaHee-Jung LeeAe-Ra KimIlseon HwangChi-Heum Cho
Keimyung Author(s)
Shin, So JinKwon, Sang HoonCha, Soon DoCho, Chi HeumHwang, Il SeonKim, Ae RaLee, Hee Jung
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Dept. of Pathology (병리학)
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Dept. of Radiology (영상의학)
Journal Title
Journal of Laparoendoscopic & Advanced Surgical Techniques
Issued Date
2015
Volume
25
Issue
8
Abstract
Objective: To evaluate a modified laparoscopic transabdominal cervicoisthmic cerclage (LTCC) technique after failure of transvaginal cerclage during pregnancy in women with cervical weakness.

Materials and Methods: Eighty women in whom transvaginal cerclage was unsuccessful or who were anatomically unsuitable for the procedure underwent modified LTCC between January 2003 and December 2008 at Keimyung University, Dongsan Medical Center, Daegu, South Korea. The modified LTCC was performed using a polyfilament polyester double-armed needle that was sutured laterally to the uterine vessels at the level of the internal cervical os. Survival of the fetus was used to calculate the successful pregnancy rate of this modified LTCC. The relationship between successful pregnancy rate and clinical variables was evaluated using a chi-squared test and a Mann–Whitney U test.

Results: The mean gestational age was 12.1 weeks (range, 11–15 weeks). The operation time was 52 minutes (range, 25–100 minutes). The successful pregnancy rate was 90% (72/80 pregnancies), with a mean gestational age of 36.3±2.7 weeks. The mean newborn weight was 2690 g (range, 1860–3750 g). Eight pregnancies were lost in the first and second trimesters due to spontaneous abortion, premature rupture of the membrane, and termination due to anomaly; no other complications occurred. No statistical difference was found between the successful pregnancy rate and the measured clinical variables.
Keimyung Author(s)(Kor)
신소진
권상훈
차순도
조치흠
황일선
김애라
이희정
Publisher
School of Medicine
Citation
So-Jin Shin et al. (2015). The Feasibility of a Modified Method of Laparoscopic Transabdominal Cervicoisthmic Cerclage During Pregnancy. Journal of Laparoendoscopic & Advanced Surgical Techniques, 25(8), 651–656. doi: 10.1089/lap.2015.0238
Type
Article
ISSN
1092-6429
Source
https://www.liebertpub.com/doi/abs/10.1089/lap.2015.0238?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI
10.1089/lap.2015.0238
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33059
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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