{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T14:57:55Z","timestamp":1776524275716,"version":"3.51.2"},"reference-count":63,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T00:00:00Z","timestamp":1101859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Biomed Mater Res"],"published-print":{"date-parts":[[2005,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Our objective was to evaluate the effectiveness of a late or emergency (salvage) cerclage after tissue reinforcement with Pelvicol\u2122 natural implant, in preventing premature rupture of the fetal membranes and advancing pregnancy prolongation. A flat sheet of Pelvicol\u2122, a sterile acellular natural (porcine) implant was used in an emergency cerclage to reinforce the thin tissues of a widely dilated cervix in a 24weeks' twin gestation with prolapsed unruptured membranes, without contractions, placental abruption, or intrauterine infection. The gestation was extended to 38 weeks without any complications. Two live healthy newborns were delivered by elective cesarean section due to a nonvertex\/vertex presentation. The implant was found to be attached almost unaltered firmly on the outer surface of the membrane sac just opposite to the internal os. It seems that Pelvicol\u2122 is safe and apparently protects by clothing the thinned, soft, and weak wall of a significantly dilated uterine cervix and the bulging or protruding gestational membranes. It also reinforces and strengthens the tissue thickness and resistance, rendering more accurate and safe the otherwise delicate and risky late cerclage. The technique gives hopes that it can help in pregnancy prolongation. \u00a9 2004 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 72B: 368\u2013372, 2005<\/jats:p>","DOI":"10.1002\/jbm.b.30175","type":"journal-article","created":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T22:16:40Z","timestamp":1101939400000},"page":"368-372","source":"Crossref","is-referenced-by-count":3,"title":["Late or emergency (salvage) cerclage of a dilated cervix after tissue support with Pelvicol\u2122 implant: A case"],"prefix":"10.1002","volume":"72B","author":[{"given":"Vassilios S.","family":"Tsapanos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George O.","family":"Decavalas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George L.","family":"Adonakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George S.","family":"Kourounis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,12]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(67)90292-X"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(47)90273-1"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197909273011301"},{"key":"e_1_2_8_5_2","first-page":"1","article-title":"Cervical cerclage\u2014Elective and emergent","volume":"24","author":"Norwitz ER","year":"1999","journal-title":"ACOG Update"},{"key":"e_1_2_8_6_2","article-title":"Emergency cerclage: What do the data really show?","author":"Norwitz ER","year":"2002","journal-title":"Contemp OB\/GYN Arch"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(65)90205-X"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(87)80277-6"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2001.004"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0095-5108(18)30969-2"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-198902000-00004"},{"key":"e_1_2_8_12_2","volume-title":"Preterm labour","author":"American College of Obstetricians and Gynecologists","year":"1995"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)60839-7"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199506000-00022"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6661(199809\/10)7:5<230::AID-MFM4>3.0.CO;2-Z"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70542-9"},{"key":"e_1_2_8_17_2","unstructured":"VaalamoP KivikoskiA.The length of cervix uteri during pregnancy measured by ultrasound. XX Nordic Congress of Obstetrics and Gynecology Bergen 1978."},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1148\/130.2.417"},{"key":"e_1_2_8_19_2","series-title":"Recent advances in ultrasound diagnosis 2","first-page":"1423","author":"Mahran M","year":"1980"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1981.tb01222.x"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309155751"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016348609155176"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(87)90180-9"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-198803000-00012"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199602293340904"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70164-3"},{"key":"e_1_2_8_27_2","first-page":"170","article-title":"Emergency cerclage compared with bed rest for advanced cervical dilatation in pregnancy","volume":"80","author":"Olatunbosun OA","year":"1995","journal-title":"Int Surg"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.obstetgynecol.2003.09.029"},{"key":"e_1_2_8_29_2","first-page":"436","article-title":"ACOG releases bulletin on managing cervical insufficiency","volume":"69","author":"Ressel GW","year":"2004","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00120-3"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1998.12050318.x"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70306-6"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200333"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.108874"},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.115119"},{"key":"e_1_2_8_36_2","first-page":"1988","article-title":"Successful emergency cerclage for advanced cervical incompetence","volume":"38","author":"Jeong EH","year":"1995","journal-title":"Korean J Obstet Gynecol"},{"key":"e_1_2_8_37_2","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.1999.23"},{"key":"e_1_2_8_38_2","first-page":"299","article-title":"A new method of operative treatment for habitual abortion in the second trimester of pregnancy","volume":"52","author":"Shirodkar UN","year":"1955","journal-title":"Antiseptic"},{"key":"e_1_2_8_39_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1957.tb02650.x"},{"key":"e_1_2_8_40_2","first-page":"188","article-title":"Cerclaje de urgencia: experiencia institucional (Emergency cerclage: Institutional experience)","volume":"15","author":"Menocal TG","year":"2001","journal-title":"Perinatol Reprod Hum"},{"key":"e_1_2_8_41_2","series-title":"Atlas of gynecological surgery","first-page":"1","author":"Kaser O","year":"1985"},{"key":"e_1_2_8_42_2","first-page":"166","article-title":"Cervical cerclage operation for a dilated cervix","volume":"57","author":"Olatunbosun OA","year":"1981","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_43_2","volume-title":"A new technique for cervical cerclage in the presence of prolapsed fetal membranes","author":"Scheerer LJ","year":"1987"},{"key":"e_1_2_8_44_2","first-page":"408","article-title":"A new technique for reduction of prolapsed fetal membranes for emergency cervical cerclage","volume":"74","author":"Scheerer LJ","year":"1989","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_45_2","first-page":"478","article-title":"An aid for cervical cerclage","volume":"42","author":"Holman MR","year":"1973","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_46_2","first-page":"165","article-title":"Congenital incompetence of the cervical os: Reduction of bulging membranes with a modified Foley catheter","volume":"22","author":"Sher G","year":"1979","journal-title":"J Reprod Med"},{"key":"e_1_2_8_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01143-1"},{"key":"e_1_2_8_48_2","first-page":"748","article-title":"Cervical incompetence, hour glassing membranes, and amniocentesis","volume":"54","author":"Goodlin RC","year":"1979","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_49_2","first-page":"48","article-title":"Reducing prolapsed membranes","volume":"35","author":"Katz M","year":"1990","journal-title":"Contemp Obstet Gynecol"},{"key":"e_1_2_8_50_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-993839"},{"key":"e_1_2_8_51_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200005000-00004"},{"key":"e_1_2_8_52_2","first-page":"502","article-title":"Transabdominal cervical cerclage during pregnancy. A modified technique","volume":"52","author":"Mahran M","year":"1978","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)91448-6"},{"key":"e_1_2_8_54_2","first-page":"596","article-title":"Elective and emergency transabdominal cervicoisthmic cerclage for cervical incompetence","volume":"48","author":"Hole J","year":"2003","journal-title":"J Reprod Med"},{"key":"e_1_2_8_55_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00673.x"},{"key":"e_1_2_8_56_2","first-page":"602","volume-title":"The perinatal medicine of the new millenium","author":"Saling E.","year":"2001"},{"key":"e_1_2_8_57_2","first-page":"3001","article-title":"Clinical efficacy of emergency cerclage for advanced cervical incompetence","volume":"41","author":"Jeong EH","year":"1998","journal-title":"Korean J Obstet Gynecol"},{"key":"e_1_2_8_58_2","first-page":"113","article-title":"Cerclaje de emergencia.Experiencia en el Hospital ABC","volume":"46","author":"Alfaro AJ","year":"2001","journal-title":"An Med Asoc Med Hosp ABC"},{"key":"e_1_2_8_59_2","first-page":"131","article-title":"Emergency cerclage: 10 years experience at the ABC Hospital","volume":"71","author":"Alfaro JA","year":"2003","journal-title":"Ginecol Obstet Mex"},{"key":"e_1_2_8_60_2","doi-asserted-by":"publisher","DOI":"10.1067\/S0002-9378(03)00718-X"},{"key":"e_1_2_8_61_2","first-page":"235","article-title":"Obstetric management of incompetent cervix and bulging fetal membranes","volume":"41","author":"Schorr SJ","year":"1996","journal-title":"J Reprod Med"},{"key":"e_1_2_8_62_2","volume-title":"Cervical stitch (cerclage) for preventing pregnancy loss in women (Cochrane Review)","author":"Drakeley AJ","year":"2004"},{"key":"e_1_2_8_63_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02365-7"},{"key":"e_1_2_8_64_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200309000-00035"}],"container-title":["Journal of Biomedical Materials Research Part B: Applied Biomaterials"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjbm.b.30175","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jbm.b.30175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T00:39:00Z","timestamp":1697503140000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jbm.b.30175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12]]},"references-count":63,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,2,15]]}},"alternative-id":["10.1002\/jbm.b.30175"],"URL":"https:\/\/doi.org\/10.1002\/jbm.b.30175","archive":["Portico"],"relation":{},"ISSN":["1552-4973","1552-4981"],"issn-type":[{"value":"1552-4973","type":"print"},{"value":"1552-4981","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,12]]}}}