The role of prophylactic cerclage in preventing preterm delivery after electrosurgical conization

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The role of prophylactic cerclage in preventing preterm delivery after electrosurgical conization.

OBJECTIVE To evaluate pregnancy outcomes after electrosurgical conization. METHODS We retrospectively analyzed the outcomes of 56 singleton pregnancies after electrosurgical conization of the uterine cervix. Of the 56 cases, 25 women underwent prophylactic cerclage with McDonald procedure (cerclage group), and 31 were managed expectantly (expectant group). Pregnancy outcomes including rate of...

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Pregnancy outcome after cervical conization: risk factors for preterm delivery and the efficacy of prophylactic cerclage.

OBJECTIVE This study examined the risk factors for preterm birth and the efficacy of prophylactic cerclage in patients who had undergone cervical conization due to cervical intraepithelial neoplasia before pregnancy. METHODS We reviewed the medical records of all patients who gave live singleton births between May 1996 and April 2009, after having cervical conization. Delivery before 37 gesta...

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Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization

Radical and repeated cone biopsies are associated with a high risk of spontaneous preterm birth. A 30-year-old gravida 1 presented with a spontaneous dichorionic twin pregnancy. She had a history of two radical surgical conizations. By speculum examination, no cervical tissue was detected. A history-indicated transabdominal cervicoisthmic cerclage was performed at 12 + 4/7 gestational weeks bec...

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Preterm Birth Prevention Post-Conization: A Model of Cervical Length Screening with Targeted Cerclage

Women with a history of excisional treatment (conization) for cervical intra-epithelial neoplasia (CIN) are at increased risk of preterm birth, perinatal morbidity and mortality in subsequent pregnancy. We aimed to develop a screening model to effectively differentiate pregnancies post-conization into low- and high-risk for preterm birth, and to evaluate the impact of suture material on the eff...

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ژورنال

عنوان ژورنال: Journal of Gynecologic Oncology

سال: 2010

ISSN: 2005-0380

DOI: 10.3802/jgo.2010.21.4.230