Laparoscopic cerclage for isthmico-cervical insufficiency caused by previous surgery on the cervix


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Objective. To evaluate the expediency and efficiency of laparoscopic cerclage in women with isthmico-cervical insuff iciency (ICI) caused by previous surgery on the cervix Subject and methods. Laparoscopic cerclage was performed in 44 patients, including in 23 and 21 patients during (Group 1) and before (Group 2) pregnancy, respectively. Results. This surgery could yield positive results in 20 of the 23 pregnant women. Pregnancy occurred in 10 of the 21 women in Group 2. In 8 of them, laparoscopic cerclage proved to be effective. Conclusion. Experience with transabdominal laparoscopic cerclage showed its high efficiency in patients with ICN caused by previous surgery on the cervix.

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作者简介

Mark Kurtser

N.I. Pirogov Russian National Research Medical University

Email: m.kurtser@mcclinics.ru
Academician of the Russian Academy of Sciences, MD, Professor of the Department of Obstetrics and Gynecology

Oleg Aziev

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: oaziev@yandex.ru
MD, head of the endoscopic department

Alexander Panin

Lapino Clinical Hospital

Email: alexandrpanin@mail.ru
Candidate of Medical Science, Deputy Chief Physician for Surgery

Natalia Egikyan

Lapino Clinical Hospital

Email: mika2004@list.ru
Candidate of Medical Science, Head of the gynecological department

Elena Boldina

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: boldina_elena@mail.ru
MD, doctor obstetrician-gynecologist

Anna Grabovskaya

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: anna.e@list.ru
obstetrician-gynecologist

参考

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  4. Burger N.B., Brolmann H.A.M., Einarsson J.I., Langebrekke A., Huirne J.A.F. Effectiveness of abdominal cerclage placed via laparotomy or laparoscopy: systematic review. J. Minim. Invasive Gynecol. 2011; 18(6): 696-704.
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