Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula
Obstetric fistula usually originates from obstructed labor or, less often, from invasive maneuvers on the genital tract or the pregnant uterus. Overall, it is a rare finding in the obstetric practice of high income countries. In this report we describe the case of a successful term pregnancy in a pa...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2015/784025 |
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| author | Giovanni Zanconato Valentino Bergamini Silvia Baggio Elena Cavaliere Massimo Franchi |
| author_facet | Giovanni Zanconato Valentino Bergamini Silvia Baggio Elena Cavaliere Massimo Franchi |
| author_sort | Giovanni Zanconato |
| collection | DOAJ |
| description | Obstetric fistula usually originates from obstructed labor or, less often, from invasive maneuvers on the genital tract or the pregnant uterus. Overall, it is a rare finding in the obstetric practice of high income countries. In this report we describe the case of a successful term pregnancy in a patient with a history of recurrent late miscarriage due to a large cervical fistula of traumatic origin, connecting the uterine cavity and the posterior vaginal fornix. A combined approach of laparoscopic cerclage and transvaginal fistula repair effectively restored cervical competence and created the conditions for a viable birth in a subsequent pregnancy. This unusual cause of cervical incompetence may be included in the indications which benefit from an abdominal cerclage carried out as a minimally invasive procedure in the nonpregnant state. |
| format | Article |
| id | doaj-art-aee9990fa14643948e7478aca2d57b1b |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-aee9990fa14643948e7478aca2d57b1b2025-08-20T03:39:04ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/784025784025Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal FistulaGiovanni Zanconato0Valentino Bergamini1Silvia Baggio2Elena Cavaliere3Massimo Franchi4Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, ItalyAzienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, ItalyObstetric fistula usually originates from obstructed labor or, less often, from invasive maneuvers on the genital tract or the pregnant uterus. Overall, it is a rare finding in the obstetric practice of high income countries. In this report we describe the case of a successful term pregnancy in a patient with a history of recurrent late miscarriage due to a large cervical fistula of traumatic origin, connecting the uterine cavity and the posterior vaginal fornix. A combined approach of laparoscopic cerclage and transvaginal fistula repair effectively restored cervical competence and created the conditions for a viable birth in a subsequent pregnancy. This unusual cause of cervical incompetence may be included in the indications which benefit from an abdominal cerclage carried out as a minimally invasive procedure in the nonpregnant state.http://dx.doi.org/10.1155/2015/784025 |
| spellingShingle | Giovanni Zanconato Valentino Bergamini Silvia Baggio Elena Cavaliere Massimo Franchi Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula Case Reports in Obstetrics and Gynecology |
| title | Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula |
| title_full | Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula |
| title_fullStr | Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula |
| title_full_unstemmed | Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula |
| title_short | Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula |
| title_sort | successful pregnancy outcome after laparoscopic cerclage in a patient with cervicovaginal fistula |
| url | http://dx.doi.org/10.1155/2015/784025 |
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