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Dev servikal myomu olan gebelikte başarılı servikal serklaj uygulanması

Year 2020, , 112 - 114, 30.09.2020

Yunus Emre Topdağı , Emsal Pınar Topdağı Yılmaz , Seray Kaya Topdağı , Ali Guzel

https://doi.org/10.46969/ezh.742146

Abstract

Servikal yetmezlik veya erken servikal dilatasyon ikinci trimester gebelik kaybının önemli bir nedenidir. Servikal serklaj servikal yetmezlik olan kadınlar için temel tedavidir. Uterin myom üreme çağındaki kadınların yaklaşık %20'sinde görülen en sık benign jinekolojik tümördür, servikal myom ise nadirdir ve tüm myomların %5'ini oluşturur. Prematüre doğum için en önemli etiyolojik faktörlerden biri servikal yetmezliktir. Literatüre göre serklaj uygulamasının gebelik sürelerini uzatmadaki sonuçları çelişkili bildirilmekle birlikte, acil serklaj hamilelik süresini uzatmada etkilidir. Bu olguda, büyük servikal myomu olan gebede başarılı bir şekilde serklaj uygulanmasını sunmayı amaçladık.

Keywords

acil serklaj servikal myom servikal yetmezlik

References

  • Cunningham GF, Leveno KJ, Bloom SL et al. Williams Obstetrics, Twenty-Fifth Edition, 2018
  • Cockwell HA, Smith Gn. Cervical incompetence and role of emergency cerclage. J Obstet Gynaecol Can 2005; 27:123-129.
  • Matsuoka S, Kikuchi I, Kitade M, Kumakiri J, Kuroda K, Tokita S, Kuroda M, Takeda S. Strategy for laparoscopic cervical myomectomy. J Minim Invasive Gynecol 2010; 17:301-305.
  • Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 2011; 95: 2204-2208.
  • Khaund A, Lumsden MA. Impact of fibroids on reproductive function. Best Pract Res Clin Obstet Gynaecol 2008; 22: 749-760.
  • Laughlin, SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol 2009; 113:630-635.
  • Buttram VC, Reiter RC. Uterine leiomyomas: etiology, symptomatology, and management. Fertil Steril 1981; 36:433-445.
  • Kilpatrick, CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J 2010; 103: 1058-1060.
  • O'Hara, S, Zelesco M, Sun Z. Cervical length for predicting preterm birth and a comparison of ultrasonic measurement techniques. Australas J Ultrasound Med 2013; 16: 124-134.
  • Ehsanipoor R, Selligman N, Szymanski LI, Wissinger C, Werner E, Berghella V. Physical exam indicated cerclage versus expectant management: a systematic review and metaanalysis. Am J Obstet Gynecol 2013; 208: S76.
  • Şen C, Çelik E. Erken doğumun önceden belirlenmesi. Perinatoloji Dergisi 2002; 10:88-89.
  • Owen J, Hankins G, Iams JD, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length. Am J Obstet Gynecol 2009; 201:375.e1-8.
  • Karl K, Katz M. A stepwise approach to cervical cerclage. OBG Manag 2012; 24:30-37.
  • Rock AJ, Jones WH (eds). Te Linde’s Operative Gynecology 9th ed. Chap 30. Philadelphia: Wiliams & Wilkins Lippincott 2003; 753-798.
  • Wallach E, Vu K. Myomata uteri and infertility. Obstet Gynecol Clin North Am 1995; 22:791-799.
  • Sapmaz E, Çelik H, Altıngül A. Servikal yetmezlik vakalannda acil ve elektif serklaj operasyonu. Türkiye Klinikleri J Gynecol Obst 2001; 11:314-318.
  • Vidaeff AC, Ramin SM. From concept to practice:the recent history of preterm delivery prevention. Partll:Subclinical infection and hormonal effects. Am J Perinatol 2006; 23:75-84.

Successful cervical cerclage in a pregnant woman with a large cervical myoma

Year 2020, , 112 - 114, 30.09.2020

Yunus Emre Topdağı , Emsal Pınar Topdağı Yılmaz , Seray Kaya Topdağı , Ali Guzel

https://doi.org/10.46969/ezh.742146

Abstract

Cervical insufficiency or early cervical dilation is a fundamental cause of second-trimester pregnancy loss. Cervical cerclage is the principal treatment for women with cervical insufficiency. Uterine myoma is the most common benign gynaecologic tumour, occurring in approximately 20% of reproductive age women, whereas uterine cervical myoma is rare and constitutes 5% of all myomas. One of the most important aetiological factors for premature labour is cervical insufficiency. Emergency cerclage can be effective, although according to the literature cerclage placement as a means of prolonging the duration of pregnancy has provided conflicting results. Here, we aimed to present successful implementation of cerclage process in a pregnant patient with a large cervical myoma.

Keywords

Emergency cerclage cervical myoma cervical insufficiency

References

  • Cunningham GF, Leveno KJ, Bloom SL et al. Williams Obstetrics, Twenty-Fifth Edition, 2018
  • Cockwell HA, Smith Gn. Cervical incompetence and role of emergency cerclage. J Obstet Gynaecol Can 2005; 27:123-129.
  • Matsuoka S, Kikuchi I, Kitade M, Kumakiri J, Kuroda K, Tokita S, Kuroda M, Takeda S. Strategy for laparoscopic cervical myomectomy. J Minim Invasive Gynecol 2010; 17:301-305.
  • Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 2011; 95: 2204-2208.
  • Khaund A, Lumsden MA. Impact of fibroids on reproductive function. Best Pract Res Clin Obstet Gynaecol 2008; 22: 749-760.
  • Laughlin, SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol 2009; 113:630-635.
  • Buttram VC, Reiter RC. Uterine leiomyomas: etiology, symptomatology, and management. Fertil Steril 1981; 36:433-445.
  • Kilpatrick, CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J 2010; 103: 1058-1060.
  • O'Hara, S, Zelesco M, Sun Z. Cervical length for predicting preterm birth and a comparison of ultrasonic measurement techniques. Australas J Ultrasound Med 2013; 16: 124-134.
  • Ehsanipoor R, Selligman N, Szymanski LI, Wissinger C, Werner E, Berghella V. Physical exam indicated cerclage versus expectant management: a systematic review and metaanalysis. Am J Obstet Gynecol 2013; 208: S76.
  • Şen C, Çelik E. Erken doğumun önceden belirlenmesi. Perinatoloji Dergisi 2002; 10:88-89.
  • Owen J, Hankins G, Iams JD, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length. Am J Obstet Gynecol 2009; 201:375.e1-8.
  • Karl K, Katz M. A stepwise approach to cervical cerclage. OBG Manag 2012; 24:30-37.
  • Rock AJ, Jones WH (eds). Te Linde’s Operative Gynecology 9th ed. Chap 30. Philadelphia: Wiliams & Wilkins Lippincott 2003; 753-798.
  • Wallach E, Vu K. Myomata uteri and infertility. Obstet Gynecol Clin North Am 1995; 22:791-799.
  • Sapmaz E, Çelik H, Altıngül A. Servikal yetmezlik vakalannda acil ve elektif serklaj operasyonu. Türkiye Klinikleri J Gynecol Obst 2001; 11:314-318.
  • Vidaeff AC, Ramin SM. From concept to practice:the recent history of preterm delivery prevention. Partll:Subclinical infection and hormonal effects. Am J Perinatol 2006; 23:75-84.
There are 17 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Case Report
Authors

Yunus Emre Topdağı 0000-0003-0656-0765

Emsal Pınar Topdağı Yılmaz 0000-0001-8593-5726

Seray Kaya Topdağı 0000-0001-6293-478X

Ali Guzel 0000-0002-9518-3772

Publication Date September 30, 2020
Acceptance Date September 17, 2020
Published in Issue Year 2020

Cite

APA Topdağı, Y. E., Topdağı Yılmaz, E. P., Kaya Topdağı, S., Guzel, A. (2020). Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 2(3), 112-114. https://doi.org/10.46969/ezh.742146
AMA Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. September 2020;2(3):112-114. doi:10.46969/ezh.742146
Chicago Topdağı, Yunus Emre, Emsal Pınar Topdağı Yılmaz, Seray Kaya Topdağı, and Ali Guzel. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 2, no. 3 (September 2020): 112-14. https://doi.org/10.46969/ezh.742146.
EndNote Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A (September 1, 2020) Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2 3 112–114.
IEEE Y. E. Topdağı, E. P. Topdağı Yılmaz, S. Kaya Topdağı, and A. Guzel, “Successful cervical cerclage in a pregnant woman with a large cervical myoma”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 2, no. 3, pp. 112–114, 2020, doi: 10.46969/ezh.742146.
ISNAD Topdağı, Yunus Emre et al. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2/3 (September 2020), 112-114. https://doi.org/10.46969/ezh.742146.
JAMA Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2:112–114.
MLA Topdağı, Yunus Emre et al. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 2, no. 3, 2020, pp. 112-4, doi:10.46969/ezh.742146.
Vancouver Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2(3):112-4.