Diagnosis and treatment of cervical incompetence combined with intrauterine adhesions | Zendy

Waixing Li | Zendy; Yueran Li | Zendy; Xingping Zhao | Zendy; Chunxia Cheng | Zendy; Arvind Burjoo | Zendy; Yimin Yang | Zendy; Dabao Xu | Zendy

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Diagnosis and treatment of cervical incompetence combined with intrauterine adhesions

Author(s) -

Waixing Li,

Yueran Li,

Xingping Zhao,

Chunxia Cheng,

Arvind Burjoo,

Yimin Yang,

Dabao Xu

Publication year - 2020

Publication title -

annals of translational medicine

Language(s) - English

Resource type - Journals

eISSN - 2305-5847

pISSN - 2305-5839

DOI - 10.21037/atm.2019.12.148

Subject(s) - medicine , dilator , cervical canal , hysteroscopy , surgery , concomitant , pregnancy , retrospective cohort study , cervix , gynecology , cancer , biology , genetics

In patients with CI and concomitant cervical or lower uterine segment IUAs, it is necessary to separate the adhesion prior to evaluating the cervical competency with the No. 7 Hegar dilator, to confirm the diagnosis. However, when the cervix is too loose, laparoscopic cervical cerclage is exceptionally carried out first and then IUAs is treated. Pre-pregnancy laparoscopic cervical cerclage has a good prognosis in patients with CI complicated by moderate to severe IUAs.

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