1. Removal of an Abdominal Cerclage by Colpotomy
- Author
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Eline M. van ‘t Hof, Judith A.F. Huirne, Nicole B. Burger, Obstetrics and Gynaecology, 04 Woman - Child, Obstetrics and gynaecology, ACS - Atherosclerosis & ischemic syndromes, APH - Quality of Care, APH - Societal Participation & Health, and Amsterdam Reproduction & Development (AR&D)
- Subjects
Minimally Invasive Surgical Procedures/methods ,medicine.medical_treatment ,Colpotomy ,Colpotomy/instrumentation ,0302 clinical medicine ,Pregnancy ,Laparotomy ,Abdomen ,Sutures/adverse effects ,Medicine ,Laparoscopy ,Cerclage, Cervical ,Cerclage, Cervical/adverse effects ,Laparoscopy/instrumentation ,030219 obstetrics & reproductive medicine ,medicine.diagnostic_test ,Vaginal delivery ,Obstetrics and Gynecology ,Cervical/adverse effects ,Treatment Outcome ,030220 oncology & carcinogenesis ,Pregnancy Trimester, Second ,Abdomen/pathology ,Uterine Cervical Incompetence ,Female ,Pregnancy Trimester ,Delivery ,Adult ,Uterine Cervical Incompetence/surgery ,medicine.medical_specialty ,03 medical and health sciences ,Posterior colpotomy ,Pregnancy Complications/surgery ,Second trimester ,Device Removal/methods ,Effective treatment ,Minimally Invasive Surgical Procedures ,Humans ,In patient ,Device Removal ,Sutures ,business.industry ,Infant, Newborn ,Infant ,Obstetric ,Second ,medicine.disease ,Delivery, Obstetric ,Cerclage ,Newborn ,Surgery ,Pregnancy Complications ,business - Abstract
Abdominal cerclage is an effective treatment for cervical incompetence in patients with a previously failed vaginal cerclage or with anatomic restrictions to a vaginal cerclage. Management of second trimester complications that warrant a delivery impose a complex clinical situation in patients with an abdominal cerclage. We report 3 cases of successful removal of an abdominal cerclage by posterior and anterior colpotomy in the second trimester of pregnancy. This new and minimally invasive surgical technique avoids the need for extensive dilation, laparoscopy, or laparotomy to remove the cerclage and allow a vaginal delivery.
- Published
- 2020