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Balloon tamponade for successful emergency cervical cerclage
Author(s) -
Lv Min,
Zhao Baihui,
Chen Yuan,
Xi Fangfang,
Zhan Qitao,
Wang Yayun,
Pu Yuqun,
Luo Qiong
Publication year - 2020
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.14186
Subject(s) - medicine , cervical cerclage , balloon tamponade , balloon , tamponade , surgery , cervical insufficiency , cervical dilatation , perioperative , pregnancy , gestational age , cervix , genetics , cancer , biology
Aim To illustrate the method of emergency cerclage with the balloon tamponade and demonstrate the efficacy of this surgery method. Methods Procedures of the balloon tamponade assisted emergency cerclage were reviewed in detail and outcomes of 39 patients treated with this way were evaluated. Results From 2017 to 2019, emergency cerclage was successfully performed in 39 patients with a dilated cervix and bulging fetal membranes, assisted by the balloon tamponade. The diameter of the bulging prolapsed membranes ranged from 0.0–10.0 cm, with a median of 2.0 cm. Prolongation of the pregnancy period was from 8 to 138 days, with a median of 29 days. No maternal complications including infections, cervical laceration and cervical bleeding were observed perioperative period. Conclusion Emergency cerclage is an effective way to prolong gestational period in patients with advanced cervical dilatation and bulging membranes. The balloon tamponade assisted emergency cerclage makes the replacement of fetal membranes back into the uterine cavity easier and effectively, then a successful and convenient emergency cerclage can be performed.