Cervical insufficiency
Conditions
Interventions
1:a novel cervical cerclage procedure was performedd by laparoscopic transabdominal combined with transvaginal.
2:Traditional transabdominal cervical cerclage
Sponsors
Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. The operation of vaginal cerclage failed; 2. Have a history of cervical surgery, and the cervix and vagina are short in gynecological examination; 3. The cervix is too short (the length of cervical tube measured by vaginal ultrasound before pregnancy is = 25mm); 4. Have deep cervical laceration, cervical vaginal fistula, hard cervical scar and difficult vaginal suture in the past; 5. = 2 painless cervical dilatation related fetal loss in mid pregnancy; 6. = 2 preterm births before 34 weeks; 7. Cervical incompetence with infertility or recurrent abortion.
Exclusion criteria
Exclusion criteria: 1. Advanced malignant tumor; 2. The patient's general condition cannot tolerate anesthesia or laparoscopic surgery; 3. Acute genital tract inflammation; 4. The pelvic cavity is seriously adhered, and the uterine rectal recess is closed; 5. Pregnant patients with severe internal and external diseases (heart disease, immune disease) or familial genetic diseases are not recommended.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pregnancy and delivery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation related indexes;Basic clinical characteristics of participants;Neonatal condition; | — |
Countries
China
Contacts
Public ContactZhaolin Gong
Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China
Outcome results
None listed