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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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:
Online Access:https://journals.lww.com/10.4103/jmu.jmu_160_23
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author I-Ning Cheng
Meng-Hsing Wu
Lin Kang
author_facet I-Ning Cheng
Meng-Hsing Wu
Lin Kang
author_sort I-Ning Cheng
collection DOAJ
container_title Journal of Medical Ultrasound
description 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.
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spelling doaj-art-9c1c9507fdb0420db7b59c19042ebfd22025-10-08T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522025-07-0133327828110.4103/jmu.jmu_160_23Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic ConsiderationsI-Ning ChengMeng-Hsing WuLin KangCervical 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.https://journals.lww.com/10.4103/jmu.jmu_160_23cervical cerclagecervical incompetenceemergent cerclagepreterm birth
spellingShingle I-Ning Cheng
Meng-Hsing Wu
Lin Kang
Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
cervical cerclage
cervical incompetence
emergent cerclage
preterm birth
title Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
title_full Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
title_fullStr Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
title_full_unstemmed Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
title_short Exploring the Limits of Rescue Cerclage by Preoperative Sonography: Imaging Contribution and Therapeutic Considerations
title_sort exploring the limits of rescue cerclage by preoperative sonography imaging contribution and therapeutic considerations
topic cervical cerclage
cervical incompetence
emergent cerclage
preterm birth
url https://journals.lww.com/10.4103/jmu.jmu_160_23
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AT linkang exploringthelimitsofrescuecerclagebypreoperativesonographyimagingcontributionandtherapeuticconsiderations