Laparoscopic cerclage for isthmico-cervical insufficiency caused by previous surgery on the cervix
Objective. To evaluate the expediency and efficiency of laparoscopic cerclage in women with isthmico-cervical insufficiency (ICI) caused by previous surgery on the cervixKurtser M.A., Aziev O.V., Panin A.V., Egikyan N.M., Boldina E.B., Grabovskaya A.A.
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.
Keywords
laparoscopic cerclage
isthmico-cervical insufficiency
premature termination of pregnancy
References
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Received 25.10.2016
Accepted 11.11.2016
About the Authors
Kurtser Mark Arkadevich, Academician of the Russian Academy of Sciences, MD, Professor of the Department of Obstetrics and Gynecology,N.I. Pirogov Russian National Research Medical University. 117997, Russia, Moscow, Ostrovityanova str. 1. E-mail: m.kurtser@mcclinics.ru
Aziev Oleg Vladimirovich, MD, head of the endoscopic department, Center for Family Planning and Reproduction, Moscow Healthcare Department.
117209, Russia, Moscow, Sevastopol Avenue 24A. Tel.: +74953318749. E-mail: oaziev@yandex.ru
Panin Alexander Viktorovich, Candidate of Medical Science, Deputy Chief Physician for Surgery of Lapino Clinical Hospital.
143081, Russia, Moscow, Odintsovo district, village Lapino, Uspenskoe shosse, 111. E-mail: alexandrpanin@mail.ru
Egikyan Natalia Mikhailovna, Candidate of Medical Science, Head of the gynecological department of Lapino Clinical Hospital.
143081, Russia, Moscow, Odintsovo district, village Lapino, Uspenskoe shosse, 111. E-mail: mika2004@list.ru
Boldina Elena Borisovna, MD, doctor obstetrician-gynecologist, Center for Family Planning and Reproduction, Moscow Healthcare Department.
117209, Russia, Moscow, Sevastopol Avenue 24A. Tel.: +74953318749. E-mail: boldina_elena@mail.ru
Grabovskaya Anna Andreevna, obstetrician-gynecologist, Center for Family Planning and Reproduction, Moscow Healthcare Department.
117209, Russia, Moscow, Sevastopol Avenue 24A. Tel.: +74953318749, +79654297489. E-mail: anna.e@list.ru
For citations: Kurtser M.A., Aziev O.V., Panin A.V., Egikyan N.M., Boldina E.B.,
Grabovskaya A.A. Laparoscopic cerclage for isthmico-cervical
insufficiency caused by previous surgery on the cervix.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (5): 58-62. (in Russian)
http://dx.doi.org/10.18565/aig.2017.5.58-62
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