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Re: ruptured membranes and ShirodkarFrom: DoctorJoe@aol.comSun Nov 30 11:20:39 1997
In a message dated 11/30/97 6:43:51 AM, you wrote: <<A cerclage seems to be vain. Results: success not far from 0% for a late cerclage in these conditions. A miscarriage is highly probable even after the cerclage. The patient may think it's your procedure that did it. Obtain an informed consent whatever you do.>> Agree with informed consent. However, I am not so pessimistic about emergency cerclage. There are, as I said, a number of series in the literature with some positive results. Compare this to the 0% survival if this type of patient is "let go" and I think you have to really consider cerclage a viable option. Joe P.
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