Dev servikal myomu olan gebelikte başarılı servikal serklaj uygulanması

Year 2020, Volume: 2 Issue: 3, 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

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

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

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