Transabdominal Cervical Cerclage
- Resource Type
- Authors
- Sabahattin Anıl Arı; Ali Akdemir; Fatih Sendag
- Source
- Non-Obstetric Surgery During Pregnancy ISBN: 9783319907512
- Subject
- Laparoscopic surgery
medicine.medical_specialty
Pregnancy
030219 obstetrics & reproductive medicine
Cervical insufficiency
Obstetrics
business.industry
Incidence (epidemiology)
medicine.medical_treatment
media_common.quotation_subject
Fertility
medicine.disease
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
medicine
Gestation
Cervical cerclage
business
Developed country
media_common
- Language
Preterm delivery is the one of the major challenges in modern obstetrics. Preterm delivery increases the risk of neonatal morbidity and mortality in industrialized countries and imposes substantial costs on the healthcare system. Preterm birth has multiple risk factors, including cervical insufficiency. The reported incidence of cervical insufficiency is 0.1–1% of all pregnancies. Surgical treatment options for this condition are transvaginal or transabdominal cervical cerclage. Transabdominal cervicoisthmic cerclage is usually reserved for patients who have previously unsuccessful transvaginal cerclages or anatomical limitations and can have a pregnancy take home rate of 95%. The procedures generally are performed in the late first trimester, early second trimester (10–14 weeks of gestation), or prepregnancy.