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Transabdominal cervicoisthmic cerclage after multiple failed vaginal cerclages
Shakeel A Faiz1, Abdulaziz A Al-Meshari
1Department of Obstetrics & Gynecology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. shakeel@ksu.edu.sa
Saudi Medical Journal
|September 18, 2002
Summary
Transabdominal cervicoisthmic cerclage offers a viable treatment for cervical incompetence when traditional methods fail. This approach successfully managed a patient with a history of multiple failed cervical cerclages, resulting in a healthy delivery.
Area of Science:
- Maternal-Fetal Medicine
- Surgical Obstetrics
Background:
- Cervical incompetence, a condition leading to premature birth, is typically managed with cervical cerclage.
- Multiple previous cervical cerclage procedures can complicate management and reduce success rates.
Observation:
- A case study detailing a patient with a history of six failed cervical cerclages.
- The patient underwent a transabdominal cervicoisthmic cerclage procedure.
Findings:
- The transabdominal cervicoisthmic cerclage procedure had no intra-operative or post-operative complications.
- The patient reached 36-weeks gestation, delivering a healthy male infant via cesarean section.
Implications:
- Transabdominal cervicoisthmic cerclage represents a potentially effective alternative for managing recurrent cervical incompetence.
- This surgical approach may improve pregnancy outcomes in cases refractory to traditional cerclage methods.