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Updated: Jan 16, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic
I-Ning Cheng1, Meng-Hsing Wu1, Lin Kang1
1Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taiwan.
Abstract:
Cervical insufficiency poses risks for premature birth and neonatal outcomes. Preoperative sonography aids in the diagnosis and therapeutic considerations. Cervical cerclage is effective but carries risks. In our case series, 8 cases failed to complete emergent cerclage, leading to adverse outcomes. Analysis of preoperative images revealed thicker cervixes and cervical strictures may affect the surgical outcomes. Larger studies are needed to determine the reliable cutoff values. Preoperative assessment is crucial to inform treatment decisions.
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