Laparoscopic cervicoisthmic cerclage.

YAO Shu-zhong; JIANG Hong-ye.

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Chinese Journal of Practical Gynecology and Obstetrics ›› 2014, Vol. 30 ›› Issue (2) : 102-105.

YAO Shu-zhong,JIANG Hong-ye.

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Abstract

Abstract:Cervicoisthmic cerclage is the main procedure for cervical incompetence. Laparoscopic cervicoisthmic cerclage is an alternative and effective method for those who have the history of transvaginal approach or abnormal cervical anatomy. Laparoscopic cervicoisthmic cerclage can be carried out before pregnancy or during first trimester pregnancy.For women who have a fetal demise in the second trimester, vaginal delivery can still be achieved after cutting or removal of Mersilene tape through laparotomy or laparoscopy. Cesarean section should be performed for women with term pregnancy. Laparoscopic cervicoisthmic cerclage is one of the most effective procedures for the treatment of cervical incompetence. However, there is still lack of strong evidences from randomized clinical trials, especially from domestic research;to support that laparoscopic cervicoisthmic cerclage should be the standard procedure in the treatment of cervical incompetence.

Key words

cervical incompetence / cervicoisthmic cerclage / laparoscopy

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YAO Shu-zhong,JIANG Hong-ye.. Laparoscopic cervicoisthmic cerclage.[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2014, 30(2): 102-105

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