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Cerclage

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FIGO good practice recommendations on cervical cerclage for prevention of preterm birth.

Andrew Shennan, Lisa Story, Bo Jacobsson, William A Grobman, ,

Cervical cerclage is an intervention which when given to the right women can prevent preterm birth and second-trimester fetal losses. A history-indicated cerclage should be offered to women who have had three or more preterm deliveries and/or mid-trimester losses. An ultrasound-indicated cerclage should be offered to women with a cervical ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, 155(1):19-22]

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Emergency cervical cerclage in twin and singleton pregnancies with 0-mm cervical length or prolapsed membranes.

Georgina D Freegard, Vera Donadono, Lawrence W M Impey,

<h4>Introduction</h4>Cervical cerclage is controversial in twin pregnancies, although recent data from the USA supports its use where "physical examination-indicated". Limited data exist, however, in the extreme situation of 0-mm ultrasound-measured cervical length or even prolapsed membranes. This research compares the success of emergency cervical cerclage in multiple and singleton pregnancies.<h4>Material ... Read more >>

Acta Obstet Gynecol Scand (Acta obstetricia et gynecologica Scandinavica)
[2021, :]

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Reply to "Cervical cerclage in twin pregnancies".

Fang-Tzu Wu, Chen-Yu Chen,

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2021, 60(5):962]

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Subtrochanteric femur fractures treated with femoral nail: the effect of cerclage wire augmentation on complications, fracture union and reduction.

Wayne Hoskins, Laura McDonald, Tim Spelman, Roger Bingham,

<h4>Objective</h4>To perform a systematic review and meta-analysis of subtrochanteric femur fractures treated with an intramedullary nail, augmented with or without cerclage wiring, comparing the risk of re-operation, non-union, loss of fixation and implant failure; fracture reduction and time to union.<h4>Data source</h4>A systematic review according to PRISMA guidelines was performed through ... Read more >>

J Orthop Trauma (Journal of orthopaedic trauma)
[2021, :]

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Comparison the efficacy of vaginal progesterone versus 17-alpha-hydroxyprogesterone caproate to prevent preterm birth in high-risk pregnant women undergo cerclage: a randomized clinical trial.

Azin Alavi, Amene Ranjbar, Farzane Atighpoor, Shahram Zare,

<h4>Objective</h4>The aim of this study was to compare the effect of vaginal progesterone with 17-alpha-hydroxyprogesterone caproate (17OHP-C) in prevention of preterm birth in high-risk pregnant women undergo cerclage.<h4>Materials and methods</h4>This prospective randomized clinical trial registered in the Iranian Registry of Clinical Trials (IRCT20181107041585N4), was performed from May 2017 to August ... Read more >>

J Matern Fetal Neonatal Med (The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians)
[2021, :1-7]

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Gestational and Neonatal Outcomes of a New Three-Step Procedure for Emergency Cerclage

Manuel Gómez Castellano, Lorena Sabonet Morente, Ernesto González Mesa, Jesús Jiménez Lopez,

<h4>Background: </h4> The objective of our study was to evaluate a new technique for emergency cerclage performed in a cohort of patients with cervical incompetence in the second trimester of pregnancy. <h4>Design:</h4> Prospective observational study in Regional university hospital. Population: Twenty-four pregnant women at 15 to 24 weeks gestation with ... Read more >>

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No Difference in Clinical and Radiological Outcomes Following Fixation of Transverse Patella Fractures with either Suture Tape or Metallic Cerclage: A Retrospective Comparative Study.

Edoardo Monaco, Adnan Saithna, Silvia Cardarelli, Giorgio Bruni, Alessandro Carrozzo, Alessandro Annibaldi, Matthew Daggett, Andrea Del Duca, Andrea Ferretti,

<h4>Introduction</h4>Several surgical techniques have been proposed for the treatment of patellar fractures. The aim of this study is to compare the clinical efficacy and complication rates of treatment using suture tape circumferential cerclage (STCC) and metallic wire circumferential cerclage (MWCC) for the surgical treatment of displaced transverse patellar fractures (TPFs).<h4>Hypothesis</h4>The ... Read more >>

Orthop Traumatol Surg Res (Orthopaedics & traumatology, surgery & research : OTSR)
[2021, :103053]

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Effects of vaginal microbiota and cervical cerclage on obstetric outcomes of twin pregnancies with cervical incompetence: a retrospective study.

Xuan Zhou, Xiao-Xue Li, Yi-Meng Ge, Shao-Yang Lai, Luo-Qi Zhou, Ling Feng, Jie Zhao,

<h4>Purpose</h4>To determine the role of vaginal microbiota in the efficacy of cervical cerclage in obstetric outcomes of twin pregnancies.<h4>Methods</h4>This retrospective study enrolled 68 twin pregnant women diagnosed with cervical incompetence (CIC) and 68 twin pregnancies without CIC. The CIC group was further divided into two subgroups: cerclage group (n = 51) and ... Read more >>

Arch Gynecol Obstet (Archives of gynecology and obstetrics)
[2021, :]

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Vancomycin-Resistant Enterococci and Extended-Spectrum β-Lactamase-Producing Bacterial Colonization of the Cervix after Emergency Cerclage: Is It Safe?

Won-Kyu Jang, Jin-Gon Bae,

Antimicrobial resistance is currently becoming a global threat to human health. We performed a retrospective study on patients who underwent emergency cerclage between January 2016 and December 2018 at the Dongsan Medical Center. Cervical culture was first performed before surgery to confirm that there was no infection and was repeated ... Read more >>

Antibiotics (Basel) (Antibiotics (Basel, Switzerland))
[2021, 10(8):]

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C-STICH2: emergency cervical cerclage to prevent miscarriage and preterm birth-study protocol for a randomised controlled trial.

Victoria Hodgetts-Morton, Catherine A Hewitt, Laura Jones, Lisa Leighton, Nicole Pilarski, Eleanor Molloy, Kim Hinshaw, Jane Norman, Jason Waugh, Sarah Stock, Jim Thornton, Philip Toozs-Hobson, Tracey Johnston, Arri Coomarasamy, Shakila Thangaratinam, Ben Mol, Eva Pajkrt, Neil Marlow, Tracy Roberts, Lee Middleton, Peter Brocklehurst, Katie Morris,

<h4>Background</h4>Cervical cerclage is a recognised treatment to prevent late miscarriage and pre-term birth (PTB). Emergency cervical cerclage (ECC) for cervical dilatation with exposed unruptured membranes is less common and the potential benefits of cerclage are less certain. A randomised control trial is needed to accurately assess the effectiveness of ECC ... Read more >>

Trials (Trials)
[2021, 22(1):529]

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Should singleton gestations without prior preterm birth receive an ultrasound-indicated cerclage? Tempting, but we must wait for more level 1 data.

Rupsa C Boelig,

Am J Obstet Gynecol MFM (American journal of obstetrics & gynecology MFM)
[2021, 3(5):100431]

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In Silico Analysis of Elastomer-Coated Cerclage for Reducing Sternal Cut-Through in High-Risk Patients.

Omer Subasi, Atacan Oral, Shams Torabnia, Deniz Erdogan, Mustafa Bilge Erdogan, Ismail Lazoglu,

<h4>Background</h4>AISI 316 L stainless steel wire cerclage routinely used in sternotomy closure causes lateral cut-through damage and fracture, especially in cases of high-risk patients, which leads to postoperative complications. A biocompatible elastomer (Pellethane®) coating on the standard wire is proposed to mitigate the cut-through effect.<h4>Methods</h4>Simplified peri-sternal and transsternal, sternum-cerclage contact models ... Read more >>

J Biomech Eng (Journal of biomechanical engineering)
[2021, 143(9):]

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Peripartum cardiomyopathy and acute heart failure associated with prolonged tocolytic therapy in pregnancy: A case report.

Pei-Chen Li, Huai-Ren Chang, Sheng-Po Kao,

<h4>Rationale</h4>Peripartum cardiomyopathy (PPCM) is a rare and sometimes fatal systolic heart failure that affects women during late pregnancy or the early postpartum period. Heart failure symptoms can mimic the physiological changes of normal pregnancy, and the diagnosis is based on echocardiography.<h4>Patient concerns</h4>A 38-year-old multiparous woman with a history of cervical ... Read more >>

Medicine (Baltimore) (Medicine)
[2021, 100(34):e27080]

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Cerclage in singleton gestations with an extremely short cervix (≤10 mm) and no history of spontaneous preterm birth.

Moti Gulersen, Eran Bornstein, Alixandra Domney, Matthew J Blitz, Timothy J Rafael, Xueying Li, David Krantz, Burton Rochelson,

<h4>Background</h4>Data regarding the efficacy of a cervical cerclage for preterm birth prevention in patients with a short cervix and no history of spontaneous preterm birth are limited and inconclusive.<h4>Objective</h4>This study aimed to determine whether cervical cerclage is associated with an increased time interval to delivery in asymptomatic patients with singleton ... Read more >>

Am J Obstet Gynecol MFM (American journal of obstetrics & gynecology MFM)
[2021, 3(5):100430]

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"Does the use of gestation-specific centiles for cervical length change the management of pregnancies at risk of recurrent spontaneous preterm birth?"

Pauric O'Reilly, Alex Dakin, Niamh Keating, Larissa Luethe, Siobhan Corcoran,

<h4>Introduction</h4>Preterm birth is the leading cause of neonatal morbidity and mortality. Spontaneous Preterm Birth (sPTB) has many and varied causes but is known to be strongly associated with a short or shortening cervix in the midtrimester of pregnancy. The strongest risk factor for sPTB is a previous sPTB. In women ... Read more >>

Eur J Obstet Gynecol Reprod Biol (European journal of obstetrics, gynecology, and reproductive biology)
[2021, 264:349-352]

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Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution.

Daisuke Tachibana, Takuya Misugi, Ritsuko K Pooh, Kohei Kitada, Yasushi Kurihara, Mie Tahara, Akihiro Hamuro, Akemi Nakano, Masayasu Koyama,

<h4>Background</h4>We aimed to identify clinical characteristics and outcomes for each placental type of vasa previa (VP).<h4>Methods</h4>Placental types of vasa previa were defined as follows: Type 1, vasa previa with velamentous cord insertion and non-type 1, vasa previa with a multilobed or succenturiate placenta and vasa previa with vessels branching out ... Read more >>

Diagnostics (Basel) (Diagnostics (Basel, Switzerland))
[2021, 11(8):]

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Effectiveness of Cross Double McDonald Cerclage for Intractable Bleeding from a Cervical Varix in Pregnant Women.

Yuya Fujibe, Tasuku Mariya, Masahito Mizuuchi, Shinichi Ishioka, Tsuyoshi Saito,

Cervical varix during pregnancy is a rare condition, and standard management for bleeding from a varix has not been established. We performed cross double cervical cerclage and effectively stopped bleeding. A 41-year-old female had a twin pregnancy. The development of a cervical varix was observed during pregnancy and bleeding from ... Read more >>

Gynecol Minim Invasive Ther (Gynecology and minimally invasive therapy)
[2021, 10(3):177-180]

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Revisions to mid-pregnancy cervical length reference range for preterm birth screening among singleton pregnancies in Taiwan - 10 years' experiences.

Ksenia Olisova, Chan-Yu Sung, Eric C Lussier, Tung-Yao Chang,

<h4>Objective</h4>Our study aimed to build a normal reference range for routine mid-pregnancy cervical length screening for preterm birth (PTB) based on a large cross-section of Taiwanese singleton pregnancies. Based on our reference range findings, we aim to develop a Z-score and centile calculator.<h4>Materials and methods</h4>We performed a retrospective analysis of ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2021, 60(5):836-839]

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Cervical cerclage after prior uterine and cervical surgery.

Ivana Paljk, Isaac Blickstein, Manca Bregar, Andreja Trojner-Bregar,

<h4>Objective</h4>To evaluate cerclage placement after uterine and cervical surgery.<h4>Patients and methods</h4>We compared patients with a prior uterine surgery (with or without cervical surgery) with women having a cerclage for the "classical" indications. Under the classical indications fall history of one or more second-trimester pregnancy losses related to painless cervical dilation, ... Read more >>

J Matern Fetal Neonatal Med (The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians)
[2021, :1-3]

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First case of four spontaneously conceived successful pregnancies after fertility-sparing surgery for cervical cancer.

Julian Matthias Metzler, Gabriel Schaer, Patrick Imesch,

Cervical cancer represents a particular burden when affecting women in their fertile years. Fertility-sparing surgery such as trachelectomy can maintain a woman`s childbearing ability. Favorable outcomes are possible, as depicted in this case. ... Read more >>

Clin Case Rep (Clinical case reports)
[2021, 9(9):e04534]

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C-STICH2: Emergency Cervical Cerclage To Prevent Miscarriage And Preterm Birth: Study Protocol For A Randomised Controlled Trial

Victoria Ann Hodgetts Morton, Catherine Hewitt, Laura Jones, Lisa Leighton, Nicole Pilarski, Eleanor Molloy, Kim Hinshaw, Jane Norman, Jason Waugh, Sarah Stock, Jim Thornton, Philip Toozs-Hobson, Tracey Johnston, Andrew Ewer, Arri Coomarasamy, Shakila Thangaratinam, Ben Mol, Eva Pajkrt, Neil Marlow, Tracy Roberts, Lee Middleton, Peter Brocklehurst, Katie Morris,

<h4>Background: </h4> Cervical cerclage is a recognised treatment to prevent late miscarriage and pre-term birth (PTB). Emergency cervical cerclage (ECC) for cervical dilatation with exposed unruptured membranes is less common and the potential benefits of cerclage are less certain. A randomised control trial is needed to accurately assess the effectiveness ... Read more >>

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A modified cable wiring technique with C-shaped passer through a mini-open approach to assist reduction in femoral fractures.

Pilar Camacho-Carrasco, Marina Renau-Cerrillo, Borja Campuzano-Bitterling, Jessica Martinez-de-la-Mata, Marian Vives-Barquiel,

Femur fractures reduction can be technically challenging due to the deforming forces exerted by the muscles causing displacement of the fracture fragments. Cerclage wiring is one of the reduction techniques frequently performed, allowing anatomical reduction of the fragments and a more stable fixation when an accurate closed reduction is not ... Read more >>

Eur J Orthop Surg Traumatol (European journal of orthopaedic surgery & traumatology : orthopedie traumatologie)
[2021, :]

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Weekly 17 alpha-hydroxyprogesterone caproate to prevent preterm birth among women living with HIV: a randomised, double-blind, placebo-controlled trial.

Joan T Price, Bellington Vwalika, Bethany L Freeman, Stephen R Cole, Pooja T Saha, Felistas M Mbewe, Winifreda M Phiri, Marc Peterson, Dorothy Muyangwa, Ntazana Sindano, Humphrey Mwape, Megan E Smithmyer, Margaret P Kasaro, Dwight J Rouse, Robert L Goldenberg, Elwyn Chomba, Jeffrey S A Stringer,

<h4>Background</h4>Women with HIV face an increased risk of preterm birth. 17 alpha-hydroxyprogesterone caproate (17P) has been shown in some trials to reduce early delivery among women with a history of spontaneous preterm birth. We investigated whether 17P would reduce this risk among women with HIV.<h4>Methods</h4>We did a randomised, double-blind, placebo-controlled ... Read more >>

Lancet HIV (The lancet. HIV)
[2021, :]

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A combination of second trimester oral metronidazole and no sexual intercourse during second and third trimester may reduce late miscarriage and premature delivery after fertility sparing radical trachelectomy.

Linnea Ekdahl, Kyung Jin Eoh, Kavitha Madhuri Thumuluru, Simon A Butler-Manuel, Young Tae Kim, Celine Lönnerfors, Henrik Falconer, Jan Persson,

<h4>Objectives</h4>Women with a previous trachelectomy have an increased risk of premature delivery and second trimester miscarriage. In this study we aim to evaluate factors and regimes possibly affecting the risk for prematurity following fertility sparing robotic radical trachelectomy (RRT) in cervical cancer.<h4>Methods</h4>A retrospective study of the reproductive outcome following RRT ... Read more >>

Eur J Obstet Gynecol Reprod Biol (European journal of obstetrics, gynecology, and reproductive biology)
[2021, 265:90-95]

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Association of adherence to guidelines for cervical cerclage with perinatal outcomes and placental inflammation in women with cervical length ≥2.0 cm.

Hyea Park, Do Youn Kwon, Seo-Yeon Kim, Juyoung Park, Yoo-Min Kim, Ji-Hee Sung, Suk-Joo Choi, Soo-Young Oh, Jung-Sun Kim, Cheong-Rae Roh,

<h4>Objectives</h4>Cerclage operation is one of the most common obstetric controversies. The aim of this study was to compare the perinatal outcomes and placental inflammation of cerclage performed adherent and non-adherent to international guidelines.<h4>Material and methods</h4>This study included all consecutive women with singleton deliveries who underwent cerclage. According to the current ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2021, 60(4):665-673]

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