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Re: Should I do an abdominal cerclage? From: DoctorJoe@aol.com Thu Oct 24 06:29:13 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: What is the diagnosis?" Previous message: Eberhard Lisse: "Re: What is the diagnosis?" Maybe in reply to: jafar6: "Should I do an abdominal cerclage?" In a message dated 10/23/02 18:51:37, jafar6@optonline.net writes: > Three days later, the exam is unchanged. The membranes are not tense and > could probably be reduced, if I could close the cervix. I ran the thought > of > an abdominal cerclage past my partners. I thought it would be the only way > to grasp some tissue to keep the membranes in the uterus. I thought it > would > be a reasonable option to present to the patient. I realise there are > significant risks to the patient. The chance of success is probably not > high. I told her that I would not consider an abdominal cerclage without > first an amniocentesis to rule out infection, since the infection risk > would > be high. The patient is all for it and ready. She wants everything done to > save the baby. > Did one like that years ago. She was about 20 weeks, and her cerclage had failed for much the same reason. She was a DES patient. We did a transverse incision (a large one) and at one point had to exteriorize the uterus. Things ultimately went okay, and she delivered by c/s near term - I think a little premature because of some preterm labor, but no problem with the baby. I think it just depends on what everyone consents to, with much "informed" before the the consent. Joe P. Next message: DoctorJoe@aol.com: "Re: What is the diagnosis?" Previous message: Eberhard Lisse: "Re: What is the diagnosis?" Maybe in reply to: jafar6: "Should I do an abdominal cerclage?"

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