Treatment for failed trans vaginal cerclage

Objective: To compare the anterior uterocervical angle and cervical length as predictors of spontaneous preterm delivery in patients with transvaginal cerclage. Study design: We retrospectively evaluated a cohort of pregnant women with transvaginal cerclage placed over a 5-year period to were evaluated. Cervical morphology characteristics were measured from endovaginal imaging, including cervical length, cerclage height, funnel volume and anterior uterocervical angle prior to cerclage placement UCA 1 , shortly after cerclage placement UCA 2 and the last image prior to delivery UCA 3. Cerclage failure was defined as delivery prior to 36 weeks. Univariate analysis, receiver operator characteristic curves and binary logistic regression were used for statistical analysis. The mean gestational age at birth was

ISSN: How to cite this article: Svigos J. Trans-abdominal cervical cerclage revisited. Clin J Obstet Gynecol.

Correspondence Address : Dr. Laparoscopic transabdominal cerclage LTAC is a well documented procedure for cervical incompetence. In this article we have done a detailed stepwise description of LTAC by broadligament window technique. This technique makes the procedure simpler, safer and easy to reproduce.

Transabdominal cerclage TAC is reported to be effective for preventing preterm birth in women with unsuccessful transvaginal cerclage TVC history. However, TAC has rarely been performed in twin pregnancy given the lack of sufficient evidence and the technical difficulty of the operation. Thus, it is unclear whether TAC is an effective procedure for twin pregnancy in women with a history of unsuccessful TVC. The aim of this study is to compare the characteristics and pregnancy outcomes after TAC in twin pregnancy versus singleton pregnancy, to examine whether twin pregnancy is a risk factor for very preterm birth before 32 weeks after TAC, and to determine whether TAC is effective in preventing preterm birth in twin pregnancy. Of women who underwent TAC, 19 had twins and had singletons.