Marijan Luznik1. 1. Department of Gynecology and Perinatology, Maribor Teaching Hospital, Ljubljanska ulica 5, 2000 Maribor, Slovenia. marijan.luznik@volja.net
Abstract
OBJECTIVE: To present our innovative surgical method for prevention of early preterm delivery in women with cervical dilatation and membrane herniation. STUDY DESIGN: A woman in the 24th gestational week, with membrane herniation due to a 2-3 cm dilatation of the cervix, is presented. The surgical technique for occlusion and reinforcement of the dilated cervix with circular suture and polypropylene mesh is described. RESULTS: We succeeded in preventing early preterm delivery and achieving 38 gestational weeks when the mesh cerclage was electively removed. CONCLUSIONS: Occlusion of the dilated cervix by mesh cerclage is a promising new surgical possibility of preventing early preterm delivery and achieving fetal maturity in women with dilated cervix and membrane herniation.
OBJECTIVE: To present our innovative surgical method for prevention of early preterm delivery in women with cervical dilatation and membrane herniation. STUDY DESIGN: A woman in the 24th gestational week, with membrane herniation due to a 2-3 cm dilatation of the cervix, is presented. The surgical technique for occlusion and reinforcement of the dilated cervix with circular suture and polypropylene mesh is described. RESULTS: We succeeded in preventing early preterm delivery and achieving 38 gestational weeks when the mesh cerclage was electively removed. CONCLUSIONS:Occlusion of the dilated cervix by mesh cerclage is a promising new surgical possibility of preventing early preterm delivery and achieving fetal maturity in women with dilated cervix and membrane herniation.
Authors: Meekai S To; Zarko Alfirevic; Victoria C F Heath; Simona Cicero; Ana Maria Cacho; Paula R Williamson; Kypros H Nicolaides Journal: Lancet Date: 2004-06-05 Impact factor: 79.321