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Human Reproduction, Vol. 17, No. 2, 493-496, February 2002
© 2002 European Society of Human Reproduction and Embryology

Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy

Shlomo Mashiach1, Dahlia Admon1, Gabriel Oelsner1, Baram Paz2, R. Achiron1 and Yaron Zalel1,3

1 Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer (affiliated to the Sackler School of Medicine, Tel-Aviv University) and 2 Bnei-Zion Medical Center (Technion Faculty of Medicine, Haifa), Israel

BACKGROUND: Our objective was to evaluate the use of cervical suture in cervical pregnancy. METHODS AND RESULTS: All cases of cervical pregnancy diagnosed and treated in the gynaecological department at the Sheba Medical Center between 1994–2000 were included in the study. Eight such cases were diagnosed. The first four cases were treated medically. The last four cases (the study group) of cervical pregnancy, including one case of heterotopic pregnancy, were treated successfully with placement of Shirodkar cerclage. CONCLUSION: Cervical cerclage may be considered as the treatment of choice in cases of cervical pregnancies. It may be the only therapy in cases of heterotopic pregnancies (intrauterine and cervical pregnancy).

Key words: cervical pregnancy/heterotopic pregnancy/Shirodkar suture

3 To whom correspondence should be addressed at: US Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 52621, Israel. E-mail: zalel_y{at}netvision.net.il

Submitted on January 11, 2001


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