Cerclaje abdominal realizado durante gestación: reporte de caso Cerclaje abdominal realizado durante la gestación: reporte de caso y revisión de la literatura

Abdominal Cerclage Performed during pregnancy: case report and literature review

La insuficiencia del cérvix es una alteración del tejido cervical que impide mantener el embarazo hasta su término, provocando pérdidas fetales recurrentes en el segundo trimestre de embarazo. Se presenta un caso de incompetencia cervical, causante de tres abortos previos, el último pese a cerclaje vaginal; por tanto, se realiza cerclaje por vía abdominal, logrando un embarazo viable hasta las 35,6 semanas, que termina en cesárea por amenaza de parto pretérmino y ruptura prematura de membranas. Además, se expone una revisión de la literatura sobre el tratamiento de esta patología.

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1. American College of Obstetricians and Gynecologists.
2. ACOG Practice Bulletin No. 142 Cerclage for
3. the management of cervical insufficiency. Obstet
4. Gynecol 2014; 123(2, PART 1):372–9. DOI:
5. https://doi.org/10.1097/01.AOG.0000443276.68274.cc
6. Lotgering FK, Gaugler-Senden IPM, Lotgering SF,
7. Wallenburg HCS. Outcome after transabdominal
8. cervicoisthmic cerclage. Obstet Gynecol 2006;
9. (4):779–784.
10. DOI: 10.1097/01.AOG.0000206817.97328.cd
11. Besio RM, Besio HC. Cerclaje Cérvico-Ístmico
12. transabdominal: Serie Clínica. Rev Chil Obstet
13. Ginecol 2004; 69(2):126–131. DOI:
14. https://doi.org/10.4067/S0717-75262004000200007
15. Debiève F, Joskin A, Steenhaut P, Bernard P, Hubinont
16. C. Transabdominal cerclage for cervical
17. insufficiency in twins: series of seven cases and
18. literature review. J Matern fetal Neonatal Med 2019;
19. :1-11.
20. DOI: https://doi.org/10.1080/14767058.2019.1579192
21. Mendoza-Tascón LA, Claros-Benítez DI, Mendoza-
22. Tascón LI, Arias-Guatibonza MD, Peñaranda-Ospina
23. CB. Epidemiología de la prematuridad, sus determinantes
24. y prevención del parto prematuro.
25. Rev Chil Obstet Ginecol 2016; 81(4):330–42. DOI:
26. https://doi.org//10.4067/S0717-75262016000400012
27. Chawanpaiboon S, Vogel JP, Moller AB, Lumbiganon
28. P, Petzold M, Hogan D, et al. Global, regional, and
29. national estimates of levels of preterm birth in
30. : a systematic review and modelling analysis.
31. Lancet Glob Heal 2019; 7(1):e37–e46. DOI:
32. https://doi.org/10.1016/S2214-109X(18)30451-0
33. Frey HA, Klebanoff MA. The epidemiology, etiology,
34. and costs of preterm birth. Semin Fetal
35. Neonatal Med 2016; 21(2):68–73.
36. DOI: 10.1016/j.siny.2015.12.011
37. Milhan D. DES exposure: implications for childbearing.
38. Int J Childbirth Educ 1992 7(4):21–28.
39. Novy MJ. Transabdominal cervicoisthmic cerclage
40. for the management of repetitive abortion
41. and premature delivery. Am J Obstet Gynecol
42. ; 143(1):44–54.
43. DOI: https://doi.org/10.1016/0002-9378(82)90682-2
44. Roman A, Suhag A, Berghella V. Overview of cervical
45. insufficiency: Diagnosis, etiologies and risk
46. factors. Clin Obstet Gynecol 2016; 59(2):237–240.
47. DOI:
48. https://doi.org/ 10.1097/GRF.0000000000000184
49. Sperling JD, Dahlke JD, Gonzalez JM. Cerclage
50. use: A review of 3 national guidelines. Obstet
51. Gynecol Surv 2017; 72(4):235–241. DOI:
52. https://doi.org/10.1097/OGX.0000000000000422
53. Markham KB, Iams JD. Measuring the cervical
54. length. Clin Obstet Gynecol 2016; 59(2):252–263.
55. DOI:
56. https://doi.org/10.1097/GRF.0000000000000204
57. Černohorská P, Vitásková H, Kokrdová Z, Hájek
58. Z, Koucký M, Pařízek A. Cervical cerclage – History
59. and contemporary use. Ces Gynekol 2019;
60. (1):55–60.
61. Harger JH. Cerclage and cervical insufficiency:
62. an evidence-based analysis. Obstet Gynecol 2002;
63. (6):1313–1327.
64. DOI: 10.1016/s0029-7844(02)02365-7
65. McDonald IA. Suture of cervix for inevitable miscarriage.
66. Obstet Gynecol 1957; 64(3):346–350. DOI:
67. https://doi.org/10.1111/j.1471-0528.1957.tb02650.x
68. Sunners JE, Kuper SG, Foster TL. Transabdominal
69. Cerclage. Clin Obstet Gynecol 2016; 59(2):295–301.
70. DOI:
71. https://doi.org/ 10.1097/GRF.0000000000000183
72. Benson RC, Durfee RB. Transabdominal cervico
73. uterine cerclage during pregnancy for the treatment
74. of cervical incompetency. Obstet Gynecol
75. ; 25:145–155.
76. García-Martínez M, Leal-González R,Vela-Antillón
77. G,Gómez-Pue D. Cerclaje cervical transabdominal:
78. Reporte de un caso de incompetencia
79. cervical resistente a cerclaje vaginal. Avances
80. ; 3(9):15–17.
81. Mahran M. Transabdominal cervical cerclage
82. during pregnancy: A modified technique. Obstet
83. Gynecol 1978; 52(4):502–506.
84. Lesser KB, Childers JM, Surwit EA. Transabdominal
85. cerclage: a laparoscopic approach. Obstet
86. Gynecol 1998; 91(5 Pt 2):855–856. DOI:
87. https://doi.org/10.1016/s0029-7844(97)00655-8
88. Clark NV, Einarsson JI. Laparoscopic abdominal
89. cerclage: a highly effective option for refractory
90. cervical insufficiency. Fertil Steri 2020;
91. (4):717–722. DOI:
92. https://doi.org/10.1016/j.fertnstert.2020.02.007
93. Gowda SL. Transabdominal cervical cerclage:
94. laparoscopy or laparotomy. World J Laparosc Surg
95. ; 9(2):78–81.
96. DOI: https://doi.org/10.5005/jp-journals-10033-1277
97. Ades A, Dobromilsky KC, Cheung KT, Umstad MP.
98. Transabdominal Cervical Cerclage: Laparoscopy
99. Versus Laparotomy. J Minim Invasive Gynecol
100. ; 22(6):968–973.
101. DOI: https://doi.org/10.1016/j.jmig.2015.04.019
102. Shennan A, Chandiramani M, Bennett P, David AL,
103. Girling J, Ridout A, et al. MAVRIC: a multicenter
104. randomized controlled trial of transabdominal
105. vs transvaginal cervical cerclage. Am J Obstet
106. Gynecol 2020; 222(3):261.e1-261.e9.
107. DOI: https://doi.org/10.1016/j.ajog.2019.09.040
108. Shin SJ, Chung H, Kwon SH, Cha SD, Lee HJ, Kim
109. AR, et al. The Feasibility of a Modified Method
110. of Laparoscopic Transabdominal Cervicoisthmic
111. Cerclage During Pregnancy. J Laparoendosc Adv
112. Surg Tech 2015; 25(8):651–656.
113. DOI: https://doi.org/10.1089/lap.2015.0238
114. Huang X, Ma N, Li TC, Guo Y, Song D, Zhao Y,
115. et al. Simplified laparoscopic cervical cerclage
116. after failure of vaginal suture: technique and
117. results of a consecutive series of 100 cases. Eur
118. J Obstet Gynecol Reprod Biol 2016; 201:146–150.
119. DOI: https://doi.org/10.1016/j.ejogrb.2016.04.008
120. Royal College of Obstetricians and Gynaecologist.
121. Green-top Guideline No. 60 Cervical Cerclage.
122. Obstet Gynecol 2011.
123. Auber M, Hamou L, Roman H, Resch B, Verspyck
124. E, Marpeau L. Cerclage cervico-isthmique par
125. voie abdominale: 13 cas au CHU de Rouen.
126. Gynécologie Obs Fertil 2012; 40(12):741–745. DOI:
127. https://doi.org/10.1016/J.GYOBFE.2011.07.036
128. Tulandi T, Alghanaim N, Hakeem G, Tan X. Pre
129. and post-conceptional abdominal cerclage by
130. laparoscopy or laparotomy. J Minim Invasive
131. Gynecol 2014; 21(6):987–993.
132. DOI: https://doi.org/10.1016/j.jmig.2014.05.015
133. Dawood F, Farquharson RG. Transabdominal
134. cerclage: preconceptual versus first trimester
135. insertion. Eur J Obstet Gynecol Reprod Biol 2016;
136. :27–31.
137. DOI: https://doi.org/10.1016/j.ejogrb.2016.01.035
138. Gremeau AS, Corvaisier M, Bourdel N, Canis M,
139. Gallot D, Pouly JL. Laparoscopic cervico-isthmic
140. cerclage: About 25 cases. J Gynecol Obstet Hum
141. Reprod 2018; 47(8):385–389.
142. DOI: https://doi.org/10.1016/j.jogoh.2018.07.002
143. Moawad GN, Tyan P, Bracke T, Abi-Khalil ED, Vargas
144. V, Gimovsky A, et al. Systematic Review of Transabdominal
145. Cerclage Placed via Laparoscopy for
146. the Prevention of Preterm Birth. J Minim Invasive
147. Gynecol 2018; 25(2):277–286.
148. DOI: https://doi.org/10.1016/j.jmig.2017.07.021