Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations

Cervical insufficiency poses risks for premature birth and neonatal outcomes. Preoperative sonography aids in the diagnosis and therapeutic considerations. Cervical cerclage is effective but carries risks. In our case series, 8 cases failed to complete emergent cerclage, leading to adverse outcomes....

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Bibliographic Details
Published in:Journal of Medical Ultrasound
Main Authors: I-Ning Cheng, Meng-Hsing Wu, Lin Kang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Subjects:
cervical cerclage
cervical incompetence
emergent cerclage
preterm birth
Online Access:https://journals.lww.com/10.4103/jmu.jmu_160_23
Description
Summary:Cervical insufficiency poses risks for premature birth and neonatal outcomes. Preoperative sonography aids in the diagnosis and therapeutic considerations. Cervical cerclage is effective but carries risks. In our case series, 8 cases failed to complete emergent cerclage, leading to adverse outcomes. Analysis of preoperative images revealed thicker cervixes and cervical strictures may affect the surgical outcomes. Larger studies are needed to determine the reliable cutoff values. Preoperative assessment is crucial to inform treatment decisions.
ISSN:0929-6441
2212-1552

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