Preconceptional Transabdominal Cerclage for cervical incompetent after twice cervical conization ; A case report

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  • Kim Miseon
    Department of Obstetrics and Gynecology, Japanese Red Cross Kitami Hospital Department of Obstetrics and Gynecology, Sapporo Medical University
  • Ishioka Shinichi
    Department of Obstetrics and Gynecology, Sapporo Medical University
  • Kura Arisa
    Department of Obstetrics and Gynecology, Japanese Red Cross Kitami Hospital
  • Yamashita Mayuko
    Department of Obstetrics and Gynecology, Japanese Red Cross Kitami Hospital
  • Negishi Hideaki
    Department of Obstetrics and Gynecology, Japanese Red Cross Kitami Hospital
  • Saito Tsuyoshi
    Department of Obstetrics and Gynecology, Sapporo Medical University

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  • 妊娠前経腹的子宮頸管縫縮術（TAC）の実際と展望 〜地方病院での経験を踏まえて〜

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Abstract

<p> TAC（Transabdominal Cerclage）is performed for patients with ultra short uterine cervix who had a history of miscarriage or preterm labor twice or more.</p><p> TAC is not covered by public insurance system unlike standard transvaginal cerclage. Therefore, TAC is usual performed at limited institutes as a clinical research.</p><p> So we can not do the procedure for all patients who need TAC especially living in a remote places.</p><p> We underwent TAC for a non-pregnant patient who needs this operation at a regional perinatal center in Hokkaido.</p><p> She had natural conception 5 months after TAC, and delivered at 36 weeks 5 days by cesarean section.</p><p> We report the successful case of labor after TAC.</p>

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