Successful management of intraoperative haemorrhage during emergency cervical cerclage using balloon tamponade

Kanbayashi, Shota; Kondoh, Eiji; Suginami, Koh; Io, Shingo; Hamanishi, Junzo; Konishi, Ikuo

doi:10.1080/01443615.2016.1268581

Cited by 1 publication

(2 citation statements)

References 3 publications

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“…Emergency cerclage is a remedial way to extend the pregnancy period in women whose cervix is already dilated with bulging membranes. Thus, rescue cerclage may have higher chance of failure and other complications such as preterm premature rupture of membranes, chorioamnionitis and bleeding . Currently, many reports have suggested promising outcomes with emergency cerclage.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, rescue cerclage may have higher chance of failure and other complications such as preterm premature rupture of membranes, chorioamnionitis and bleeding. 2 Currently, many reports have suggested promising outcomes with emergency cerclage. It was proved as an effective treatment to patients with bulging fetal membranes against bed rest or other nonsurgical approaches.…”

Section: Introductionmentioning

confidence: 99%

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Balloon tamponade for successful emergency cervical cerclage

Zhao

Chen

et al. 2020

J of Obstet and Gynaecol

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Aim To illustrate the method of emergency cerclage with the balloon tamponade and demonstrate the efficacy of this surgery method. Methods Procedures of the balloon tamponade assisted emergency cerclage were reviewed in detail and outcomes of 39 patients treated with this way were evaluated. Results From 2017 to 2019, emergency cerclage was successfully performed in 39 patients with a dilated cervix and bulging fetal membranes, assisted by the balloon tamponade. The diameter of the bulging prolapsed membranes ranged from 0.0–10.0 cm, with a median of 2.0 cm. Prolongation of the pregnancy period was from 8 to 138 days, with a median of 29 days. No maternal complications including infections, cervical laceration and cervical bleeding were observed perioperative period. Conclusion Emergency cerclage is an effective way to prolong gestational period in patients with advanced cervical dilatation and bulging membranes. The balloon tamponade assisted emergency cerclage makes the replacement of fetal membranes back into the uterine cavity easier and effectively, then a successful and convenient emergency cerclage can be performed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%