Department of Obstetrics and Gynecology, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands (all authors)..
Department of Obstetrics and Gynecology, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands (all authors).
J Minim Invasive Gynecol. 2020 Nov-Dec;27(7):1636-1639. doi: 10.1016/j.jmig.2020.05.022. Epub 2020 May 28.
Abdominal cerclage is an effective treatment for cervical incompetence in patients with a previously failed vaginal cerclage or with anatomic restrictions to a vaginal cerclage. Management of second trimester complications that warrant a delivery impose a complex clinical situation in patients with an abdominal cerclage. We report 3 cases of successful removal of an abdominal cerclage by posterior and anterior colpotomy in the second trimester of pregnancy. This new and minimally invasive surgical technique avoids the need for extensive dilation, laparoscopy, or laparotomy to remove the cerclage and allow a vaginal delivery.
经阴道宫颈环扎术失败或存在阴道环扎术禁忌的宫颈机能不全患者，行腹扎术是一种有效的治疗方法。妊娠中期需要处理并发症而导致分娩的患者，存在复杂的临床情况，且腹扎术的管理较为棘手。我们报道了 3 例妊娠中期通过经阴道后穹窿和前穹窿切开术成功取出腹扎术缝线的病例。这种新的微创外科技术避免了广泛扩张、腹腔镜或剖腹术来取出缝线，并允许阴道分娩。
