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Successful delivery after transabdominal cerclage of uterine cervix for cervical incompetence after radical trachelectomy
Author(s) -
Ishioka Shinichi,
Endo Toshiaki,
Baba Tsuyoshi,
Akashi Yushi,
Morishita Miyuki,
Sugio Asuka,
Kanayama Naohiro,
Saito Tsuyoshi
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12716
Subject(s) - medicine , trachelectomy , cervical cerclage , miscarriage , chorioamnionitis , obstetrics , cervical insufficiency , premature rupture of membranes , pregnancy , preterm delivery , cervix , cervical cancer , gestational age , gestation , cancer , biology , genetics
Pregnancy after radical trachelectomy (RT) has a high risk of prematurity and complications such as preterm premature rupture of the membrane and chorioamnionitis. Placing a cervical cerclage at the time of RT plays an important role in preventing such obstetrical complications. In patients who have trouble with the cervical cerclage, miscarriage during the second trimester seems to be inevitable. We have therefore started preconception transabdominal cerclage (TAC) for these patients. A 36‐year‐old Japanese woman who had a history of miscarriage due to trouble with the nylon thread used for cerclage, successfully delivered after TAC. TAC is a useful treatment modality to prevent miscarriage for patients who have trouble with cerclage after RT.