KMID : 0358420140570030232
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Korean Journal of Obstetrics and Gynecology 2014 Volume.57 No. 3 p.232 ~ p.235
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Laparoscopic transabdominal cervical cerclage: Case report of a woman without exocervix at 11 weeks gestation
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Shin Jae-Eun
Kim Min-Jeong Kim Guk-Won Lee Dae-Woo Lee Min-Kyung Kim Sa-Jin
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Abstract
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Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester. We report a 25-year-old patient, gravid 2, para 1, at 11 weeks¡¯ gestation with the diagnosis of cervical incompetence, in whom transvaginal cerclage was not technically possible and laparoscopic cervical cerclage was performed successfully. There were no operative or immediate postoperative complications. A healthy infant was delivered at 35 weeks by cesarean section. Laparoscopic cervical cerclage during pregnancy can be safe and effective treatment for well-selected patients with cervical incompetence and eliminates the need for open laparotomy.
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KEYWORD
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Cervical cerclage, Laparoscopy, Pregnancy
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