Study on Pregnancy Outcomes after Transabdominal Cervico-Isthmic Cerclage before Pregnancy.

Choi, Joong Sub; Park, Moon Il; Hwang, Jung Hye; Kim, Seung Ryong; Kim, Dae Woon; Yang, Jae Hyuck; Lee, Jae Auk; Hwang, Youn Yeung

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(9):1887-1894.
Published online January 1, 2001.

Study on Pregnancy Outcomes after Transabdominal Cervico-Isthmic Cerclage before Pregnancy.

Joong Sub Choi, Moon Il Park, Jung Hye Hwang, Seung Ryong Kim, Dae Woon Kim, Jae Hyuck Yang, Jae Auk Lee, Youn Yeung Hwang

¹Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea.
²Department of Obstetrics and Gynecology, Nowon Eulji Hospital, Seoul, Korea.
³Department of Obstetrics and Gynecology, Samsung Cheil Hospital, Seoul, Korea.

Abstract

OBJECTIVE
Our purpose was to evaluate the effect of transabdominal cervicoisthmic cerclage before pregnancy among the patients who had poor obstetric outcome from previous failed transvaginal cervical cerclage and/or an anatomically defective cervix. STUDY DESIGN: A retrospective review of pre-conceptional transabdominal cervicoisthmic cerclage patients was conducted at Hanyang University Medical Center from 1989 to 1997, and analysis of the pregnancy outcomes after preconceptional transabdominal cervicoisthmic cerclage operation. RESULTS: The fifteen patients had 11 successful pregnancy outcomes. Two patients had two consecutive succesful pregnancies and repeat cesarean section deliveries after TCIC. CONCLUSION: We conclude that the transabdominal cervicoisthmic cerclage before pregnancy offers a high rate of fetal salvage with a minimal complications in patients with extremely poor obstertric histories as a result of cervical incompetence, where vaginal cerclage is not warranted.

Key Words: Pre-conceptional transabdominal cervicoisthmic cerclage, Incompetent cervix, Pregnacy outcomes