Korean J Perinatol.  2010 Dec;21(4):412-417.

Two Case Review of Transvaginal Cervicoisthmic Cerclage

• Cho YK
• Kim MS
• Jo IH
• Jeong EJ
• Byun JM
• Kim YN
• Jeong DH
• Sung MS
• Kim KT
• Lee KB

Abstract

The conventional treatment of cervical incompetence is cerclage operation. In most cases, the classical surgical cerclage methods described by McDonald and Shirodkar are performed. The cervicoisthmic cerclage is beneficial for the treatment of patients who have short cervix due to conization, cervisectomy or congenital anatomical deformity of uterus. This procedure is different from the classical McDonald and Shirodkar cerclages in that the suture site is placed at the junction of the cervix and the isthmus of uterine body. There are two approaches in cervicoisthmic cerclages, transabdominal and transvaginal ones. The transvaginal cervicoisthmic cerclage is easier to perform and less dependent on uterine size compared with the transabdominal cerclage. In addition there is less chance of direct uterine handling associated with bladder laceraton or fetal loss in transvaginal cervicoisthmic cerclage. We report two cases of transvaginal cervicoisthmic cerclage for the first time in Korea, in which patients have delivered at full term by cesarean section.

Keyword

Cervical incompetence; Transvaginal; Cervicoisthmic cerclage

MeSH Terms

Cervix Uteri
Cesarean Section
Congenital Abnormalities
Conization
Female
Handling (Psychology)
Humans
Korea
Pregnancy
Sutures
Urinary Bladder
Uterus