The aim of this study was to evaluate the effectiveness and safety of emergency cervical cerclage in women with advanced cervical dilatation and bulging of fetal membranes. The study included 158 women who underwent emergency cervical cerclage because of cervix dilatation and protruding membranes in mid-trimester at Sun Yat-sen Memorial Hospital of Sun Yat-sen University. Pregnancy outcomes and...

This article describes a patient in whom a broken cerclage wire migrated from the left hip into the left ventricle. A 71-year-old woman was admitted to the authors' hospital for preoperative examination before femoral hernia repair. Chest radiograph showed a metallic wire in the left ventricle. Twenty-four years earlier, she had a revision arthroplasty. During revision surgery, fragments of the...

The ultimate goal of radical trachelectomy is to have a viable pregnancy. However, extremely short cervix following radical trachelectomy could result in cervical incompetence and nonviable preterm delivery. Although prophylactic cerclage is placed at the time of radical trachelectomy, it might not be suffi cient to prolong pregnancy until term. We report a successful term pregnancy after trans...

Background: The traditional surgical treatment for cervical insufficiency is vaginal placement of a cervical cerclage. However, in a small number of cases a vaginal approach is not possible. A transabdominal approach can become an option for these patients. Laparoscopic cervical cerclage is associated with good pregnancy outcomes but comes at the cost of a higher risk of serious surgical compli...

Ascending genital infection is one of the main causes for late abortions or early premature births. The Early Total Cervix Occlusion (ETCO) is an early preventive measure for women with a history of ≥ 2 late abortions or early premature births (< 32+0 gw). The operative technique, own results, as well as results from a multicenter-investigation undertaken in Germany are discussed. In both evalu...

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 ...

The ideal treatment for avulsion fractures of the inferior pole of the patella has not yet been identified. The options include internal fixation of the pole fragment and resection of the avulsed fragment along with the repair of patellar ligament to the patella. The purpose of the present study was to evaluate the result of pole resection with repair of patellar ligament with augmentation by P...

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 ...