{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:23:33Z","timestamp":1762917813886,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Patients with an ultra\u2010short uterine cervix as a result of large conization, repeated conization or radical trachelectomy (<jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>), are at high risk of preterm premature rupture of the membrane, which leads to preterm birth. We have commenced performing transabdominal cerclage (<jats:styled-content style=\"fixed-case\">TAC<\/jats:styled-content>) of the uterine cervix for these patients. In this study, we examined the safety of <jats:styled-content style=\"fixed-case\">TAC<\/jats:styled-content> and its impact on pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We have performed <jats:styled-content style=\"fixed-case\">TAC<\/jats:styled-content> in 11 patients before pregnancy: in six after large cervical operations, such as repeated conization; and in five for difficulties with cervical cerclage after <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>. After laparotomy, a Teflon thread was placed in the avascular space between the uterine vessels and the uterine muscle, and tied. The clinical course of the patients after TAC and their pregnancy course were retrospectively reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">TAC<\/jats:styled-content> was performed safely without any complications. The mean operative duration was 53\u2009\u00b1\u200910\u2009min, and the mean blood loss during the operation was 49\u2009\u00b1\u200964\u2009mL. Seven women conceived within 2\u2009years after <jats:styled-content style=\"fixed-case\">TAC<\/jats:styled-content>. Their pregnancy courses were favorable. Five of the women underwent scheduled cesarean sections, while two pregnancies are ongoing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although there are risks of various complications as a result of the use of non\u2010absorbable thread and the need for two extra laparotomies, TAC can be a safe and useful option for patients who show cervical incompetence after large uterine cervical operations, such as <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content> or large conization.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13487","type":"journal-article","created":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T20:41:47Z","timestamp":1510260107000},"page":"61-66","source":"Crossref","is-referenced-by-count":23,"title":["Transabdominal cerclage (<scp>TAC<\/scp>) for patients with ultra\u2010short uterine cervix after uterine cervix surgery and its impact on pregnancy"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2851-3118","authenticated-orcid":false,"given":"Shinichi","family":"Ishioka","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miseon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Mizugaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"Kon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Isoyama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahito","family":"Mizuuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyuki","family":"Morishita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Sekiya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Fujita Health University  Toyoake Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo 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