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Transabdominal cervicoisthmic cerclage: the Riyadh Armed Forces Hospital experience
1Department of Obstetrics and Gynaecology, Armed Forced Hospital, Riyadh, Kingdom of Saudi Arabia.
Summary
Transabdominal cerclage, a surgical procedure, effectively prevents pregnancy loss. This safe operation improved pregnancy outcomes for selected women, restoring normal fetal survival rates.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Cervical insufficiency is a significant cause of mid-trimester pregnancy loss.
- Cervical cerclage aims to prevent premature birth by reinforcing the cervix.
Purpose of the Study:
- To evaluate the efficacy and safety of transabdominal cervicoisthmic cerclage in managing cervical insufficiency.
- To assess pregnancy outcomes following abdominal cerclage procedures.
Main Methods:
- A retrospective review of 17 transabdominal cervicoisthmic cerclage procedures performed between 1985 and 1996.
- Follow-up of 28 pregnancies, with procedures done during pregnancy or preconceptionally.
Main Results:
- Twenty-four of 28 pregnancies (85.7%) continued beyond 36 weeks of gestation.
- Fetal survival rate was 92%, with only one miscarriage at 6 weeks' gestation.
- All deliveries were by caesarean section.
Conclusions:
- Transabdominal cervicoisthmic cerclage is an effective and safe surgical option for selected patients with cervical insufficiency.
- The procedure can significantly reduce pregnancy wastage and improve fetal survival rates.
- Abdominal cerclage helped restore normal pregnancy patterns in patients experiencing recurrent pregnancy loss.