Transabdominal cervico-isthmic cerclage in the management of cervical incompetence
- PMID: 9134389
- DOI: 10.1016/s0301-2115(96)02669-3
Transabdominal cervico-isthmic cerclage in the management of cervical incompetence
Abstract
The use of transabdominal cervico-isthmic cerclage is described in 13 patients with a diagnosis of cervical incompetence. The patients were recruited from seven Scottish Maternity Units over a period of 10 years. The 13 patients have had a successful pregnancy in 86.6% of pregnancies with this procedure compared with a success rate of 16% in their previous pregnancies. In carefully selected cases transabdominal cervico-isthmic cerclage is a worthwhile procedure in patients with cervical incompetence when the cervix is so damaged that it would be impossible to insert a vaginal suture or when a vaginal suture has previously failed.