Fiche publication
Date publication
octobre 2015
Journal
Journal de gynecologie, obstetrique et biologie de la reproduction
Auteurs
Membres identifiés du Cancéropôle Est :
Pr AKLADIOS Chérif
Tous les auteurs :
Akladios CY, Sananes N, Gaudineau A, Boudier E, Langer B
Lien Pubmed
Résumé
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.
Mots clés
Avortement tardif, Béance cervicale, Cerclage, Cervical incompetence, Cervical insufficiency, Cervical length, Insuffisance cervicale, Late abortion, Longueur du col, Premature birth, Prématurité
Référence
J Gynecol Obstet Biol Reprod (Paris). 2015 10;44(8):771-5
