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KMID : 0390320070170010001
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Chungbuk Medical Journal
2007 Volume.17 No. 1 p.1 ~ p.7
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Ligation of Hourglass Membranes for Emergency Cervical Cerclage
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Jeong Eun-Hwan
Ji Il-Woon
Hong Seung-Hwa
Park Yeon-Jin
Kim Hak-Soon
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Abstract
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Purpose: This study was performed to evaluate the efficacy of ligation and resection of hourglass membranes for emergency cervical cerclage in incompetentent cervix.
Materials and Methods: Hourglass chorioamniotic membranes were ligated with laparoscopic Endo-Loop and redundant membranes were resected for the patients whose fetal membranes were persistently prolapsing through cervical canal even after emergency cerclage.
Results: The procedure was performed in two indicated cases. Pregnancy was prolonged for 7 weeks and living baby was born at 28th weeks of gestation in the first case. Second case was terminated as a stillbirth at 22th weeks of gestation 2 weeks after the procedure.
Conclusion: This procedure is anticipated to be useful for prolongation of pregnancy long enough for live birth in which abortion is inevitable due to unreducible hourglass membranes in incompetent cervix.
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KEYWORD
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Hourglass membrane, Incompetent internal os of cervix, Ligation & resection of fetal membrane
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