Use of mesh cerclage in prevention of early preterm delivery: A promising new surgical method for 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.
KeywordsMesh Cerclage Incompetent cervix Membrane protrusion Prevention of prematurity
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