cervical cerclage: reply

From: A.P. VAN DER COLF (rvdcolf@iwwn.com.na)
Thu Nov 28 04:35:06 1996


thank you very much for all the intersting replies. it seems that the patient with partial bicornuate uterus needs a cerclage.

interesting stats that i came across: 30% of patients with bicornuate uteri presented with cx incompetence in pregnancy (A GOLAN: INT J FERT 92).

a few more questions: 1. shirodkar or mcdonald stitch? does the patient's cx length make any difference (shorter cx or previous stitch - rather shirodkar). 2. type of material used? prolene or mersilene 3. place of prohylactic tocolytics ( indomethacin, slow releasing Mg++) 4. antibiotics ( routine or only with +cx culture)

thanks riaan vd colf HOD: O&G, WINDHOEK, NAMIBIA PRIV. PRAC. rvdcolf@iwwn.com.na





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