Korean J Obstet Gynecol.  2012 May;55(5):332-334. 10.5468/KJOG.2012.55.5.332.

Successful term pregnancy after transabdominal cerclage with previous second trimester loss following vaginal radical trachelectomy

• Song JE
• Lee KY
• Choi SR

• KMID: 2078149
• DOI: http://doi.org/10.5468/KJOG.2012.55.5.332

Abstract

The ultimate goal of radical trachelectomy is to have a viable pregnancy. However, extremely short cervix following radical trachelectomy could result in cervical incompetence and nonviable preterm delivery. Although prophylactic cerclage is placed at the time of radical trachelectomy, it might not be sufficient to prolong pregnancy until term. We report a successful term pregnancy after transabdominal cerclage with previous second trimester loss following vaginal radical trachelectomy.

Keyword

Transabdominal cerclage; Vaginal radical trachelectomy; Cervical incompetence; Pregnancy outcome

MeSH Terms

Cervix Uteri
Female
Humans
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Second

Figure

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  Fig. 1 Transvaginal sonogram revealing a precerclage short cervical length (17.4 mm).

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  Fig. 2 Transvaginal sonogram of the cervix after abdominal cerclage (23.7 mm) at 13 5/7 weeks of gestation.

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  Fig. 3 Transvaginal sonogram of the cervical length at 35 weeks of gestation (20 mm).

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