The authors present a technical tip on using the appropriate wire passer while passing cerclage wires around long bones in orthopaedic surgery.

OBJECTIVE To assess the incidence rate of cervical incompetence diagnoses in Denmark 1980-1990 according to maternal age, to analyse regional variations, to investigate how often cerclage is applied, and finally to estimate abortion rates among women with cervical incompetence with and without cerclage. DESIGN A register-based retrospective cross section study. SETTING All Danish gynecologi...

KEY CLINICAL MESSAGE Pregnancy outcome after trachelectomy has high risk of complications such as second trimester pregnancy loss and preterm birth. We report beneficial effect of a simple procedure of vaginal occlusion in addition to cerclage in a patient with trachelectomy and two prior second trimester pregnancy losses.

Objective: To evaluate the role of emergency cervical cerclage in prolongation of pregnancy and its effect on pregnancy outcome. Type of Study: a prospective clinical trial. Location: Tertiary Center Hospital, during the period from March 2012 to May 2015. Subjects and Method: Twenty patients fulfilled the inclusion criteria (who presented with a dilated cervical or with or without bulging feta...

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...

A 22-year-old, primigravida +/- 20 weeks of gestation presented with abdominal pain. She was diagnosed as a case of advanced cervical incompetence. We carried out an emergency cerclage after 24 hours from her admission, while the cervix was fully dilated with bulging of the membranes and prolapse of both lower limbs in the middle of the vagina. She delivered normally at 38 weeks of gestation wi...

Vaginal colonization and symptomatic vaginitis involving Candida albicans is common during pregnancy (1,2); however, infection of the amniotic fluid in the presence of intact membranes is encountered rarely in obstetrical practice and mostly recognized retrospectively (3). C albicans is able to cross intact fetal membranes (4) and several case reports describe the isolation of the organism from...

OBJECTIVES To establish the relationship of cervical length at 23 weeks of gestation to the risk of spontaneous delivery before 33 weeks and to determine the possible additional risk if funneling is present. METHODS During a 36-month period, 6819 women with singleton pregnancies underwent transvaginal sonographic cervical assessment at 22-24 weeks as a screening test for preterm delivery. The...

Abdominal cerclages are necessary when the standard transvaginal cerclages fail or anatomical abnormalities preclude the vaginal placement. The disadvantage of the transabdominal approach is that it requires at least 2 laparotomies with significant morbidity and hospital stays. We discuss a case of abdominal cerclage performed laparoscopically. We feel it offers less morbidity and in the proper...