Comparison of delayed absorbable suture v nonabsorbable suture for treatment of incompetent cervix

Abdelhak, Yaakov; Sheen, Jean‐Ju; Kuczynski, Edward; Bianco, A.

doi:10.1515/jpm.1999.035

Cited by 18 publications

(10 citation statements)

References 8 publications

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“…These include human fascia lata [1], sutures such as Mersilene ™ (Ethicon, NJ) (2), silk, Prolene ™ (Ethicon, NJ), Tevdek ™ (Teleflex, PA), metal wire, as well as Mersilene tape ™ (Ethicon, NJ), and others [5–7,9]. Today, most commonly used ones are Mersilene 5mm tape ™ (Thicon RS-21 or D-8113; Ethicon, NJ) [8,10–13] and large nonabsorbable monofilament (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Another small retrospective study found braided suture to be associated with decreased PTB < 28weeks and improved neonatal survival compared to Mersilene tape ™ [6]. In a small study which included women undergoing either history- or physical exam-indicated McDonald cerclage, gestational age at delivery and interval from cerclage to birth were similar in women who received a Mersilene tape ™ vs those who received a Prolene ™ suture [7]. …”

Section: Discussionmentioning

confidence: 99%

“…There is very limited, and non-randomized, data assessing effect of suture type on cerclage efficacy only on physical-exam indicated cerclage [5–7]. Our objective was to estimate the effect of different types of suture material on ultrasound-indicated cerclage efficacy for PTB prevention in women at high risk for recurrent PTB.…”

Section: Introductionmentioning

confidence: 99%

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Suture type and ultrasound-indicated cerclage efficacy

Berghella

Szychowski

Owen

et al. 2012

The Journal of Maternal-Fetal & Neonatal Medicine

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OBJECTIVE To assess whether type of suture material affects cerclage efficacy for preterm birth (PTB) prevention. METHODS Secondary analysis of a multicenter trial of ultrasound-indicated cerclage for short cervical length (CL), in which women with prior spontaneous PTB at 16–33 6/7 weeks, a singleton gestation and CL<25mm between 16–22 6/7 weeks, were randomized to McDonald cerclage or no cerclage. Outcomes of women who underwent cerclage were analyzed by type of suture material, comparing polyester braided thread (Mersilene™ or Ethibond™) to Mersilene tape™. Primary outcome was PTB<35weeks. RESULTS 138 women underwent McDonald cerclage: 84 (61%) received polyester braided thread and 46 (33%) Mersilene tape™. Eight (6%) received monofilament suture and were excluded from analysis. Rates of PTB < 35 weeks were similar, 35% for polyester braided thread vs 24% for Mersilene tape™ (p=0.24). Birth gestational age was also similar among the 2 groups (p=0.18). CONCLUSION Type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Polyester braided thread (Mersilene™ or Ethibond™) and polyester braided Mersilene tape™ seem to have similar efficacy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Suture type and ultrasound-indicated cerclage efficacy

Berghella

Szychowski

Owen

et al. 2012

The Journal of Maternal-Fetal & Neonatal Medicine

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“…No prospective studies have been performed to compare suture type in this setting, however retrospective data suggest similar outcomes regardless of suture. 38 Results from a secondary analysis from the Expectant Management compared with Physical Examination-indicated Cerclage study presented in abstract form at the 27th annual meeting of the Society of Maternal Fetal Medicine in San Francisco, CA suggested improved outcomes with use of braided suture when compared with Mersilene tape. 39 Advocates of Mersilene tape cite stronger circumferential support with this suture when compared with monofilament suture.…”

Section: Shirodkar Versus Mcdonaldmentioning

confidence: 99%

Emergency Cerclage: Outcomes, Patient Selection, and Operative Considerations

Naqvi

Barth

2016

Clinical Obstetrics &Amp; Gynecology

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Emergency cerclage refers to a cerclage placed during the second trimester in a woman noted to have painless cervical dilation. Although randomized-controlled trials are limited, observational studies suggest an improvement in neonatal outcomes in selected patients undergoing an emergency cerclage. Labor and chorioamniontis are contraindications for cerclage placement. Advanced dilation (>3 to 4 cm) and a later gestational age (22 to 24 wk) are associated with poorer outcomes. This chapter reviews the indications, outcomes and perioperative management strategies for cerclage placement in this setting.

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“…Vincenzo Berghella 34 conducted a study to assess whether type of suture material affects cerclage efficacy for preterm birth prevention and they concluded that type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Y. E. Abdelhak 35 compared the efficacy of traditional non absorbable suture to delayed absorbable suture for used in McDonald cervical cerclage. They conducted a retrospective analysis of all cerclage procedures over a one year interval and stratified by the type of suture material.…”

mentioning

confidence: 99%