Advertisement

Wiener klinische Wochenschrift

, Volume 118, Supplement 2, pp 76–79 | Cite as

Use of mesh cerclage in prevention of early preterm delivery: A promising new surgical method for women with dilated cervix and membrane herniation?

  • Marijan Lužnik
Case Report

Summary

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.

Keywords

Mesh Cerclage Incompetent cervix Membrane protrusion Prevention of prematurity 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Marilee CA (1998) Outcome and follow-up of high-risk infants. In: Taeusch HW, Ballard RA (eds) Avery's diseases of the newborn, 7th edn. Saunders, Philadelphia, pp 413–428Google Scholar
  2. Draper ES, Manktelow B, Field DJ, James D (1999) Prediction of survival for preterm births by weight and gestational age: retrospective population based study. BMJ 319: 1093–1097PubMedGoogle Scholar
  3. Koppe JG, Verloove-Vanhorick PSP, Ilsen A (1998) Long term out. In: Kurjak A (ed) Textbook of perinatal medicine, 1st edn. Parthenon Publishing, Cornforth, pp 1362–1374Google Scholar
  4. Petrou S (2003) Economic consequences of preterm birth and low birth weight. BJOG 110 [Suppl 20]: 17–23PubMedGoogle Scholar
  5. Heath VCF, Southall TR, Souka AP, Elisseou A, Nicolaides KH (1998) Cervical length at 23 weeks of gestation: prediction of spontaneous preterm delivery. Ultrasound Obstet Gynecol 12: 312–317PubMedCrossRefGoogle Scholar
  6. Heath VCF, Southall TR, Souka AP, Elisseou A, Nicolaides KH (1998) Cervical length at 23 weeks of gestation: prediction of spontaneous preterm delivery. Ultrasound Obstet Gynecol 1998: 318–322CrossRefGoogle Scholar
  7. To MS, Alfirevic Z, Heath VCF, Cicero S, Cacho AM, Williamson PR, Nicolaides KH, et al (2004) Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial. Lancet 363: 1849–1853PubMedCrossRefGoogle Scholar
  8. Iams JD (1999) Cervical incompetence. In: Creasy RK, Resnik R (eds) Maternal-fetal medicine, 4th edn. Saunders, Philadelphia, pp 445–464Google Scholar
  9. Falconer C, Ekman-Ordeberg G, Malström A, Ulmsten U (1996) Clinical outcome and changes in connective tissue metabolism after intravaginal slingplasty in stress incontinent women. Int Urogynecol J 7: 133–137CrossRefGoogle Scholar
  10. Lužnik M (2002) Mesh patch for correction of large rectocele: first experience. Mrežna krpa za korekcijo velike rektokele: prveizkušnje. Zdrav Vestn 71: 23–26Google Scholar
  11. Walters MD (2003) The use and misuse of prosthetic materials in reconstructive pelvic surgery: does the evidence support our surgical practice? Int Urogynecol J 14: 365–366CrossRefGoogle Scholar
  12. Lužnik M (2004) A four-year experience in use of mesh patch for correction of female pelvic organ prolapse (POP) and pelvic floor dysfunction (PFD): a vaginal approach. In: Lukanovič A, Tamussino K (eds) Urogynecology today. Joint Meeting of Slovene Urogynecological Society and Austrian Society for Urogynecology and Pelvic Reconstructive Surgery, Portorož, September 24–25, 2004, pp 181–182Google Scholar
  13. McDonald IA (1957) Suture of the cervix for inevitable miscarriage. J Obstet Gynecol Br Empire 64: 346–350Google Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of Gynecology and PerinatologyMaribor Teaching HospitalMariborSlovenia

Personalised recommendations