Cervical incompetence in the mare is widely recognized as a major cause of pregnancy failure. Failure to attain adequate closure during pregnancy is a key predisposing factor to ascending placentitis. In humans, cervical insufficiency is of major concern and can result in preterm birth and lateterm abortions, similar to observations in mares. Emerging clinical and laboratory-based evidence sugg...

OBJECTIVE To determine the relationship between high vaginal pro-inflammatory cytokines and cervical shortening in women at high risk of spontaneous preterm labor and to assess the influence of cervical cerclage and vaginal progesterone on this relationship. METHODS This prospective longitudinal observational study assessed 112 women with at least one previous preterm delivery between 16 and ...

OBJECTIVES To study the fetal outcome with the use of McDonald cerclage and total cervical occlusion in women with recurrent mid-trimester miscarriages or preterm deliveries, as well as complications of total cervical occlusion in the women. METHODS Prospective descriptive observational study on patients with two or more mid-trimester miscarriages, deliveries before 36 weeks, or patients who ...

Introduction Cerclage wiring has been used in the past for osteosynthesis of femoral fractures. However, the technique went into disrepute as extensive soft tissue dissection, and periosteal stripping increased the risk of bone necrosis and delayed union. Advent of new instrumentation and minimally invasive technique has significantly reduced these complications. In spite of the limited indicat...

Background: Patella fractures make from 0.5% to 1.5% of all bone fractures. The most common fracture type, transverse fracture, impairs knee extension mechanics due fragment displacement. In the years that followed, newer procedures were pursued in order alleviate aforementioned difficulties. K-wires successfully replaced with cannulated screws. Furthermore, cerclage wiring was alternative impl...

Cervical cerclage remains a proven method for the prevention of preterm birth caused by a ‘weak cervix’. However, there is controversy as regards the precise diagnosis and definition of ‘cervical incompetence’, the actual surgical technique, choice of suture material and number of sutures and ties to be made during the procedure. There is now emerging evidence that other alternatives to cervica...

BACKGROUND Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity. CASE A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embr...

OBJECTIVE Emergency cervical cerclage is one of the treatment options for the reduction of preterm birth. The aim of this study is to assess neonatal outcome after cerclage with special focus on adverse effects in very low birth weight infants. STUDY DESIGN Retrospective cohort study. Classification of cerclages in history-indicated (HIC, n = 38), ultrasound-indicated (UIC, n = 29) and emerge...