Transabdominal cerclage (TAC) for patients with ultra-short uterine cervix after uterine cervix surgery.


eMediNexus    18 November 2017

A new study published in The Journal of Obstetrics and Gynaecology Research examined the safety of transabdominal cerclage TAC of the uterine cervix and its impact on pregnancy. In this retrospective study TAC was performed in 11 patients before pregnancy in six after large cervical operations such as repeated conization and in five for difficulties with cervical cerclage after radical trachelectomy RT . After laparotomy a Teflon thread was placed in the avascular space between the uterine vessels and the uterine muscle and tied. The results revealed that the mean operative duration was 53 8201 8201 10 8201 min and the mean blood loss during the operation was 49 8201 8201 64 8201 mL. In addition seven women conceived within 2 8201 years after TAC and their pregnancy courses were favorable. Five among these underwent scheduled cesarean sections while the outcomes of two pregnancies are awaited. From the findings it was inferred that although there are risks of various complications as a result of the use of non absorbable thread and the need for two extra laparotomies TAC can be a safe and useful option for patients who show cervical incompetence after large uterine cervical operations such as RT or large conization.

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