Transabdominal Cervical Cerclage
Preterm delivery is the one of the major challenges in modern obstetrics. Preterm delivery increases the risk of neonatal morbidity and mortality in industrialized countries and imposes substantial costs on the healthcare system. Preterm birth has multiple risk factors, including cervical insufficiency. The reported incidence of cervical insufficiency is 0.1–1% of all pregnancies. Surgical treatment options for this condition are transvaginal or transabdominal cervical cerclage. Transabdominal cervicoisthmic cerclage is usually reserved for patients who have previously unsuccessful transvaginal cerclages or anatomical limitations and can have a pregnancy take home rate of 95%. The procedures generally are performed in the late first trimester, early second trimester (10–14 weeks of gestation), or prepregnancy.
KeywordsCervical insufficiency Preterm delivery Transabdominal cerclage Painless cervical dilation Cervicoisthmic cerclage Laparoscopic surgery Minimal invasive surgery Fertility Removal of cerclage Neonatal mortality
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