Vaginal cervicoisthmic cerclage for cervical incompetence in pregnant women: Fernandez’s technique in 8 steps

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Submitted: September 21 2021
Published: Nov 12, 2021
DOI: 10.29328/journal.acr.1001054
Keywords:
Ambulatory care, Cervical incompe tence, Failure of Mac Donald cerclage, Surgical technique, Vaginal way
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Margaux Jegaden
Department of Gynecology and Obstetrics, AP-HP, GHU-Sud, Hospital Bicêtre, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France
Elodie Debras
Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
Anne-Gaëlle Pourcelot
Department of Gynecology and Obstetrics, AP-HP, GHU-Sud, Hospital Bicêtre, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France
Marie-Emmanuelle Neveu
Department of Gynecology and Obstetrics, AP-HP, GHU-Sud, Hospital Bicêtre, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France
Perrine Capmas
Department of Gynecology and Obstetrics, AP-HP, GHU-Sud, Hospital Bicêtre, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France
Hervé Fernandez*
Department of Gynecology and Obstetrics, AP-HP, GHU-Sud, Hospital Bicêtre, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France

Abstract

Video objective: To demonstrate that surgical technique of vaginal cervicoisthmic cerclage must be performed in women with history of cervical incompetence with more than two late miscarriages before 24 weeks or premature deliveries before 28 weeks and after prior failure of preventive Mc Donald cerclage. In this video, the authors describe the complete procedure in 8 steps to standardize and facilitate the procedure in a simple and safe way during pregnancy.


Design: Step-by-step video demonstration of the surgical technique.


Setting: Tertiary Center for University Hospital.

Article Details

Jegaden, M., Debras, E., Pourcelot, A.-G., Neveu, M.-E., Capmas, P., & Fernandez, H. (2021). Vaginal cervicoisthmic cerclage for cervical incompetence in pregnant women: Fernandez’s technique in 8 steps. Archives of Case Reports, 5(2), 032–033. https://doi.org/10.29328/journal.acr.1001054
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Copyright (c) 2021 Jegaden M, et al.

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Neveu ME, Fernandez H, Deffieux X, Senat MV, Houllier M, et al. Fertility and pregnancy outcomes after transvaginal cervico-isthmic cerclage. Eur J Obstet Gynecol Reprod Biol. 2017; 218: 21-26. PubMed: https://pubmed.ncbi.nlm.nih.gov/28926726/