Three Successful Cases of Transabdominal Cerclage: A Case Report

BACKGROUND AND OBJECTIVE: Cerclage surgeries for the treatment of cervical insufficiency are performed transvaginally. However, in some patients, due to anatomical changes of the cervix caused by congenital factors or previous surgery, they cannot be performed transvaginally. Transabdominal cervicoi...

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Autores principales: A Mansouri, M Sadeghi, S Rahimi, S Moazami, B Gholamveisi
Formato: article
Lenguaje:EN
FA
Publicado: Babol University of Medical Sciences 2021
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Acceso en línea:https://doaj.org/article/5a925d65ed804b6ebfd586a4af6f9ab0
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spelling oai:doaj.org-article:5a925d65ed804b6ebfd586a4af6f9ab02021-11-29T07:40:49ZThree Successful Cases of Transabdominal Cerclage: A Case Report1561-41072251-7170https://doaj.org/article/5a925d65ed804b6ebfd586a4af6f9ab02021-03-01T00:00:00Zhttp://jbums.org/article-1-9207-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Cerclage surgeries for the treatment of cervical insufficiency are performed transvaginally. However, in some patients, due to anatomical changes of the cervix caused by congenital factors or previous surgery, they cannot be performed transvaginally. Transabdominal cervicoisthmic cerclage (TCIC) is considered in these cases. The aim of the present study was to report the results of three successful cases of transabdominal cerclage. CASE REPORT: The first patient was a 34-year-old woman with a history of failed curettage and transvaginal cerclage. By the seventh week of pregnancy, the patient underwent transabdominal cerclage via laparotomy due to the possibility of preterm delivery and cervical insufficiency. The next patient was a 40-year-old woman with a history of performing six IVF sessions and having two live fetuses, underwent TCIC laparotomy at 13th week of pregnancy due to the possibility of preterm delivery and cervical insufficiency. Another patient was a 24-year-old woman with a history of transvaginal curettage and cerclage and 2 miscarriages. This patient also underwent laparoscopic TCIC surgery due to the possibility of preterm delivery and cervical insufficiency. All three patients underwent cesarean section at 38th week of gestation and gave birth to healthy babies. CONCLUSION: According to the present study, transabdominal cerclage via laparoscopy or laparotomy in patients with preterm delivery or cervical insufficiency has favorable results in women with unsuccessful transvaginal cerclage.A MansouriM SadeghiS RahimiS MoazamiB GholamveisiBabol University of Medical Sciencesarticlecerclageuterustransabdominalcase report.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 23, Iss 1, Pp 23-28 (2021)
institution DOAJ
collection DOAJ
language EN
FA
topic cerclage
uterus
transabdominal
case report.
Medicine
R
Medicine (General)
R5-920
spellingShingle cerclage
uterus
transabdominal
case report.
Medicine
R
Medicine (General)
R5-920
A Mansouri
M Sadeghi
S Rahimi
S Moazami
B Gholamveisi
Three Successful Cases of Transabdominal Cerclage: A Case Report
description BACKGROUND AND OBJECTIVE: Cerclage surgeries for the treatment of cervical insufficiency are performed transvaginally. However, in some patients, due to anatomical changes of the cervix caused by congenital factors or previous surgery, they cannot be performed transvaginally. Transabdominal cervicoisthmic cerclage (TCIC) is considered in these cases. The aim of the present study was to report the results of three successful cases of transabdominal cerclage. CASE REPORT: The first patient was a 34-year-old woman with a history of failed curettage and transvaginal cerclage. By the seventh week of pregnancy, the patient underwent transabdominal cerclage via laparotomy due to the possibility of preterm delivery and cervical insufficiency. The next patient was a 40-year-old woman with a history of performing six IVF sessions and having two live fetuses, underwent TCIC laparotomy at 13th week of pregnancy due to the possibility of preterm delivery and cervical insufficiency. Another patient was a 24-year-old woman with a history of transvaginal curettage and cerclage and 2 miscarriages. This patient also underwent laparoscopic TCIC surgery due to the possibility of preterm delivery and cervical insufficiency. All three patients underwent cesarean section at 38th week of gestation and gave birth to healthy babies. CONCLUSION: According to the present study, transabdominal cerclage via laparoscopy or laparotomy in patients with preterm delivery or cervical insufficiency has favorable results in women with unsuccessful transvaginal cerclage.
format article
author A Mansouri
M Sadeghi
S Rahimi
S Moazami
B Gholamveisi
author_facet A Mansouri
M Sadeghi
S Rahimi
S Moazami
B Gholamveisi
author_sort A Mansouri
title Three Successful Cases of Transabdominal Cerclage: A Case Report
title_short Three Successful Cases of Transabdominal Cerclage: A Case Report
title_full Three Successful Cases of Transabdominal Cerclage: A Case Report
title_fullStr Three Successful Cases of Transabdominal Cerclage: A Case Report
title_full_unstemmed Three Successful Cases of Transabdominal Cerclage: A Case Report
title_sort three successful cases of transabdominal cerclage: a case report
publisher Babol University of Medical Sciences
publishDate 2021
url https://doaj.org/article/5a925d65ed804b6ebfd586a4af6f9ab0
work_keys_str_mv AT amansouri threesuccessfulcasesoftransabdominalcerclageacasereport
AT msadeghi threesuccessfulcasesoftransabdominalcerclageacasereport
AT srahimi threesuccessfulcasesoftransabdominalcerclageacasereport
AT smoazami threesuccessfulcasesoftransabdominalcerclageacasereport
AT bgholamveisi threesuccessfulcasesoftransabdominalcerclageacasereport
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