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Akladios CY, Sananes N, Gaudineau A, et al. Le cerclage cervical. [Cervical cerclage]. J Gynecol Obstet Biol Reprod (Paris). 2015;44(8):771-5doi: 10.1016/j.jgyn.2015.06.004.
Akladios, C. Y., Sananes, N., Gaudineau, A., Boudier, E., & Langer, B. (2015). Le cerclage cervical. [Cervical cerclage]. Journal de gynecologie, obstetrique et biologie de la reproduction, 44(8), 771-5. https://doi.org/10.1016/j.jgyn.2015.06.004
Akladios, C Y, et al. "Le cerclage cervical." [Cervical cerclage]. Journal de gynecologie, obstetrique et biologie de la reproduction vol. 44,8 (2015): 771-5. doi: https://doi.org/10.1016/j.jgyn.2015.06.004
Akladios CY, Sananes N, Gaudineau A, Boudier E, Langer B. Le cerclage cervical. [Cervical cerclage]. J Gynecol Obstet Biol Reprod (Paris). 2015 Oct;44(8):771-5. doi: 10.1016/j.jgyn.2015.06.004. Epub 2015 Jul 03. French. PMID: 26144289.
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J Gynecol Obstet Biol Reprod (Paris). 2015 Oct;44(8):771-5. doi: 10.1016/j.jgyn.2015.06.004. Epub 2015 Jul 03.

[Cervical cerclage].

Journal de gynecologie, obstetrique et biologie de la reproduction

[Article in French]
C Y Akladios, N Sananes, A Gaudineau, E Boudier, B Langer

Affiliations

  1. Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
  2. Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France. Electronic address: [email protected].

PMID: 26144289 DOI: 10.1016/j.jgyn.2015.06.004

Abstract

Cervical cerclage aims to strengthen not only the mechanical properties of the cervix, but also its immunological and anti-infectious functions. The demonstration of a strong interrelation between cervical insufficiency as well as decreased cervical length at endo-vaginal ultrasonography and infection has changed the indications cerclage. Actually we can distinguish three indications for cerclage: prophylactic, for obstetrical history; therapeutic, for shortened cervical length at ultrasonography in patients at risk and; emergency cerclage in case of threatening cervix at physical examination. The McDonald's technique is the most recommended. In case of failure, it is proposed to realize cerclage at a higher level on the cervix either by vaginal or abdominal route.

Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Keywords: Avortement tardif; Béance cervicale; Cerclage; Cervical incompetence; Cervical insufficiency; Cervical length; Insuffisance cervicale; Late abortion; Longueur du col; Premature birth; Prématurité

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