Pregnancy outcome before and after insertion of transabdominal cervical cerclage is evaluated. The series also reports on the first cases of second pregnancies with the original suture left in situ. It is our view that transabdominal cervical cerclage should only be performed in units that have specialists in Perinatal Medicine.

OBJECTIVE To investigate the therapeutic effect and safety of cerclage placed in pregnancy via laparoscopy (CPL) in the first trimesteror in non-pregnant phase (CNL). METHODS A total of 134 cervical insufficiency patients who were treated with cervical cerclage were included. All the patients were divided into 3 groups. CPL group: 43 cases were treated with cerclage placed in pregnancy via la...

BACKGROUND Maternal cervical incompetence in pregnancy (CIP) showed an association with a higher rate of preterm births. The objective of this study was to determine the prevalence of CIP in Hungarian pregnant women, to determine the rate of preterm birth, and to check the preventive efficacy of preterm births due to CIP by therapeutic cerclage or bed rest alone. METHODS Analysis of the popul...

Objective To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of dichorionic–diamniotic (DCDA) twin gestation with an ultrasound-detected short cervix. Methods This was a retrospective cohort study of 40 consecutive DCDA twin gestations at Saint Peter’s University Hospital from November 2006 to November 2014 in which cervical cerclage was performed for...

BACKGROUND Our objective was to evaluate the use of cervical suture in cervical pregnancy. METHODS AND RESULTS All cases of cervical pregnancy diagnosed and treated in the gynaecological department at the Sheba Medical Center between 1994-2000 were included in the study. Eight such cases were diagnosed. The first four cases were treated medically. The last four cases (the study group) of cerv...

BACKGROUND Several techniques of emergency vaginal cerclage have been proposed in case of unexpected and abrupt cervical incompetence (CI), in order to prolong the pregnancy as much as possible and to reduce the adverse maternal-fetal outcomes. The aim of our study was to evaluate the effectiveness of emergency cervical cerclage, performed with the combined modified Shirodkar-McDonald technique...

OBJECTIVE To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of dichorionic-diamniotic (DCDA) twin gestation with an ultrasound-detected short cervix. METHODS This was a retrospective cohort study of 40 consecutive DCDA twin gestations at Saint Peter's University Hospital from November 2006 to November 2014 in which cervical cerclage was performed f...

OBJECTIVE The objective of this study is to estimate the risk of preterm birth in patients with an ultrasound or physical exam indicated cervical cerclage based on the results of fetal fibronectin (fFN) and cervical length (CL) screening. METHODS Retrospective cohort of patients with a singleton pregnancy and an ultrasound or physical exam indicated Shirodkar cerclage placed by one maternal-f...

BACKGROUND AND PURPOSE Fractures of the lateral malleolus often require open reduction and internal fixation (ORIF). Despite uneventful fracture healing, many patients will suffer from long-term detriments after ORIF, such as local tenderness that requires hardware removal. In Sweden, there are 2 major fixation methods, either the AO method (plate and screws) or the Cedell method (cerclage wire...