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SURGICAL CORRECTION OF ISTHMIC CERVICAL INSUFFICIENCY IN NON-PREGNANT WOMEN: A CLINICAL CASE

https://doi.org/10.17749/2313-7347.2017.11.4.072-075

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Abstract

Clinicians often see a recurrent miscarriage caused by isthmic cervical incompetence. Today, obstetric pessaries and surgical sutures are widely used to correct cervical incompetence during pregnancy. The occurrence rate of this abnormality continues to rise, which emphasizes the need to diagnose and correct cervical incompetence prior to the upcoming pregnancy. In the available literature there is little information about the «hidden» defects of the cervix that can lead to miscarriage in the I-III trimesters of pregnancy. Here we present a case of two different pregnancy outcomes in a single patient with cervical incompetence before and after surgical correction of the cervix by the LASH procedure. The present case supports the importance of surgical correction of cervical incompetence in non-pregnant women.

About the Authors

A. G. Yashuk
Bashkir State Medical University, Health Ministry of Russian Federation.
Russian Federation

Yashuk Alfiya Galimovna – MD, Professor, Head of Department of Obstetrics and Gynecology № 2.

Lenina, 3, Ufa, 450000.



R. A. Naftulovich
Bashkir State Medical University, Health Ministry of Russian Federation.
Russian Federation

Naftulovich Raisa Arkadyevna – PhD, Аssociate Рrofessor, Department of Obstetrics and Gynecology № 2.

ul. Lenina, 3, Ufa,  450000. 



R. M. Zainullina
Bashkir State Medical University, Health Ministry of Russian Federation.
Russian Federation

Zainullina Raisa Makhmutovna – PhD, Аssociate Рrofessor, Department of Obstetrics and Gynecology № 2.

ul. Lenina, 3, Ufa,  450000. 



E. M. Popova
Bashkir State Medical University, Health Ministry of Russian Federation.
Russian Federation

Popova Elena Mikhaylovna – Assistant, Department of Obstetrics and Gynecology № 2.

ul. Lenina, 3, Ufa,  450000.  



O. V. Yakovleva
Bashkir State Medical University, Health Ministry of Russian Federation.
Russian Federation

Yakovleva Olga Vladimirovna – Postgraduate student, Department of Obstetrics and Gynecology № 2.

ul. Lenina, 3, Ufa, Russia, 450000. 



References

1. Kulakov V.I., Serov V.N., Adamyan L.V. Guidelines for reproductive health [Rukovodstvo po ohrane reproduktivnogo zdorov'ya]. Moskva: Triada-X. 2001: 568 s (in Russian).

2. Barsukov A.N., Sushkova O.S. Surgical treatment of isthmic cervical incompetence [Operativnoe lechenie istmiko-cervikal'noj nedostatochnosti]. Ohrana materinstva i detstva. 2014; 2: 60-70 (in Russian).

3. Chernyaeva V.I., Neudakhina I.O., Zarechneva T.A. Characteristics of pregnancy and labor outcomes in isthmic cervical incompetence [Osobennosti techeniya beremennosti i iskhody rodov pri istmiko-cervikal'noj nedostatochnosti]. Fundamental'naya klinicheskaya medicina. 2016; 2: 70-75 (in Russian).


For citation:


Yashuk A.G., Naftulovich R.A., Zainullina R.M., Popova E.M., Yakovleva O.V. SURGICAL CORRECTION OF ISTHMIC CERVICAL INSUFFICIENCY IN NON-PREGNANT WOMEN: A CLINICAL CASE. Obstetrics, Gynecology and Reproduction. 2017;11(4):72-75. (In Russ.) https://doi.org/10.17749/2313-7347.2017.11.4.072-075

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)