Successful delivery after transabdominal cerclage of uterine cervix for cervical incompetence after radical trachelectomy

被引:11
|
作者
Ishioka, Shinichi [1 ]
Endo, Toshiaki [1 ]
Baba, Tsuyoshi [1 ]
Akashi, Yushi [1 ]
Morishita, Miyuki [1 ]
Sugio, Asuka [1 ]
Kanayama, Naohiro [2 ]
Saito, Tsuyoshi [1 ]
机构
[1] Sapporo Med Univ, Dept Obstet & Gynecol, Sapporo, Hokkaido 0608543, Japan
[2] Hamamatsu Univ, Dept Obstet & Gynecol, Sch Med, Hamamatsu, Shizuoka 4312102, Japan
关键词
Pregnancy; trachelectomy; transabdominal cerclage; uterine cervix; CERVICOISTHMIC CERCLAGE; PREGNANCY; MANAGEMENT;
D O I
10.1111/jog.12716
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Pregnancy after radical trachelectomy (RT) has a high risk of prematurity and complications such as pre-termpremature 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.
引用
收藏
页码:1295 / 1299
页数:5
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