Should it really be called a heroic cerclage? The obstetrical results of emergency late second-trimester cerclage compared with early history-indicated elective cerclage: a retrospective trial

Mor, Matan; Levi, Amit; Rafaeli-Yehudai, Tal; Ezratty, Jodi; Shiber, Yair; Smorgick, Noam; Vaknin, Zvi

doi:10.1007/s00404-023-07224-0

Arch Gynecol Obstet

2023

DOI: 10.1007/s00404-023-07224-0

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Should it really be called a heroic cerclage? The obstetrical results of emergency late second-trimester cerclage compared with early history-indicated elective cerclage: a retrospective trial

Matan Mor,

Amit Levi,

Tal Rafaeli-Yehudai

et al.

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2024

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Cited by 3 publications

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Development and validation of a cost-effective DIY simulation model for McDonald cerclage training

Buechel,

Kalisz,

Herbert

et al. 2024

Arch Gynecol Obstet

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Purpose The prevention of preterm birth is a challenging task for obstetricians. Cervical cerclage, used as both a primary and secondary prevention method for spontaneous preterm birth, is a crucial surgical intervention. It is essential that obstetricians can learn this procedure in a simulated environment before performing the stitches on high-risk patients. This study aimed to develop a simulator based on 3D printing and evaluate its validity for clinical training. Methods The objectives of this study were (1) to design and construct a cost-effective simulator for McDonald cerclage with two different cervix models—a closed cervix and a cervix with bulging membranes—using common material from a DIY store and 3D printing technology and (2) to validate its effectiveness through feedback from learners and experts in cervical cerclage. The self-made simulator was evaluated by obstetricians using a questionnaire with Likert scale. Results Obstetricians and gynecologists assessed the simulator and found it useful for learning and practicing cervical cerclage. The simulator was deemed valuable for skill training. Conclusion Cervical cerclage is a complex procedure that should be mastered through simulation rather than initial practice on real patients. Our simulator is a cost-effective model suitable for various clinical settings. It has been validated by obstetricians for both preventive and therapeutic cerclage, demonstrating its efficacy for training in cerclage techniques. Future research should focus on less skilled obstetricians and gynecologists and investigate how repeated use of the simulator can enhance their performance in cerclage stitching.

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Development and validation of a cost-effective DIY simulation model for McDonald cerclage training

Buechel,

Kalisz,

Herbert

et al. 2024

Arch Gynecol Obstet

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Variation between countries for routine transvaginal cervical length measurement and interventions to prevent preterm birth

van Limburg Stirum,

Pilarski,

de Boer

et al. 2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Late emergency cervical cerclage placement in a patient with early recurrent pregnancy loss and bicorporeal uterus: A case report

Bashiri,

Zaga,

Shpringer

et al. 2024

Int J Case Rep Images

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Introduction: Uterine Müllerian anomalies are relatively common among the population, affecting approximately 4% of women, and can lead to various pregnancy-related pathologies. Cervical cerclage, a surgical procedure involving the placement of a stitch around the cervix, has been recognized as an optional treatment to mitigate the risk factors associated with these anomalies. Case Report: A 33-year-old woman with a bicorporeal uterus and a history of early recurrent pregnancy loss, who was diagnosed with a cervical os shortening during her second anatomy screening at 22+3 weeks gestation. A cervical cerclage was performed to prevent preterm delivery, and subsequently. An elective cesarean section was conducted at 37+0 weeks of gestation, resulting in the birth of a healthy baby boy. Conclusion: Although the literature about the effectiveness of cervical cerclage in pregnant women with Müllerian anomalies is limited, this case highlights its potential as an effective treatment option.

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Should it really be called a heroic cerclage? The obstetrical results of emergency late second-trimester cerclage compared with early history-indicated elective cerclage: a retrospective trial

Cited by 3 publications

References 14 publications

Development and validation of a cost-effective DIY simulation model for McDonald cerclage training

Development and validation of a cost-effective DIY simulation model for McDonald cerclage training

Variation between countries for routine transvaginal cervical length measurement and interventions to prevent preterm birth

Late emergency cervical cerclage placement in a patient with early recurrent pregnancy loss and bicorporeal uterus: A case report

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