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Updated: Jan 30, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
477
No 373 - Insuffisance cervicale et cerclage cervical
Richard Brown1, Robert Gagnon2, Marie-France Delisle3
1Beaconsfield (Qc).
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|January 15, 2019
Summary
This clinical guideline helps clinicians identify women at high risk for cervical insufficiency. It outlines situations where cervical cerclage may be a beneficial treatment option for preventing pregnancy loss.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Cervical insufficiency is a significant cause of mid-trimester pregnancy loss.
- Accurate identification of at-risk women and appropriate intervention are crucial for improving pregnancy outcomes.
Purpose of the Study:
- To provide a clinical framework for identifying women with increased risk of cervical insufficiency.
- To guide clinicians on potential therapeutic value of cervical cerclage in specific situations.
Main Methods:
- Comprehensive literature search of multiple databases (PubMed, Medline, CINAHL, Cochrane Library) up to June 2018.
- Inclusion of systematic reviews, randomized controlled trials, controlled clinical trials, and observational studies.
- Consideration of grey literature from health technology assessment agencies and professional associations.
Main Results:
- The guideline synthesizes evidence to define risk factors for cervical insufficiency.
- It delineates scenarios where cervical cerclage demonstrates potential clinical value.
- Evidence quality was assessed using the Canadian Task Force on Preventive Health Care criteria.
Conclusions:
- Clinicians can utilize this framework to assess cervical insufficiency risk.
- The guideline supports informed decision-making regarding the use of cervical cerclage.
- This aims to optimize management and reduce adverse pregnancy outcomes.
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