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Related Experiment Videos

[Late cerclage].

G Barau1, V Boitouzet, S Bulwa

  • 1Service de Gynécologie-Obstétrique, Hôpital Louis-Mourier, Colombes.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 1, 1990
PubMed
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Late "parachute" cerclage can help achieve live births in cases of cervical incompetence. While risks like infection exist, this procedure offers significant benefits when performed carefully.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Cervico-isthmial incompetence is a condition complicating the second trimester of pregnancy.
  • Effective treatment strategies for this condition remain a challenge.

Observation:

  • The study reports on four cases utilizing the "parachute" cerclage technique for late cervical cerclage.
  • This intervention facilitated the successful delivery of four live infants.

Findings:

  • Literature review indicates that late cerclage results in normal pregnancy continuation in 60-90% of cases.
  • Potential complications include chorioamnionitis and premature rupture of membranes, both carrying poor obstetric prognosis.

Implications:

  • Despite associated risks, the "parachute" cerclage is recommended due to its potential benefits in achieving viable births.

Related Experiment Videos

  • The procedure necessitates absence of cervico-vaginal infection (confirmed by negative swabs) and concurrent tocolytic treatment.