Olgu Sunumu
BibTex RIS Kaynak Göster

Dev servikal myomu olan gebelikte başarılı servikal serklaj uygulanması

Yıl 2020, Cilt: 2 Sayı: 3, 112 - 114, 30.09.2020
https://doi.org/10.46969/ezh.742146

Öz

Servikal yetmezlik veya erken servikal dilatasyon ikinci trimester gebelik kaybının önemli bir nedenidir. Servikal serklaj servikal yetmezlik olan kadınlar için temel tedavidir. Uterin myom üreme çağındaki kadınların yaklaşık %20'sinde görülen en sık benign jinekolojik tümördür, servikal myom ise nadirdir ve tüm myomların %5'ini oluşturur. Prematüre doğum için en önemli etiyolojik faktörlerden biri servikal yetmezliktir. Literatüre göre serklaj uygulamasının gebelik sürelerini uzatmadaki sonuçları çelişkili bildirilmekle birlikte, acil serklaj hamilelik süresini uzatmada etkilidir. Bu olguda, büyük servikal myomu olan gebede başarılı bir şekilde serklaj uygulanmasını sunmayı amaçladık.

Kaynakça

  • Cunningham GF, Leveno KJ, Bloom SL et al. Williams Obstetrics, Twenty-Fifth Edition, 2018
  • Cockwell HA, Smith Gn. Cervical incompetence and role of emergency cerclage. J Obstet Gynaecol Can 2005; 27:123-129.
  • Matsuoka S, Kikuchi I, Kitade M, Kumakiri J, Kuroda K, Tokita S, Kuroda M, Takeda S. Strategy for laparoscopic cervical myomectomy. J Minim Invasive Gynecol 2010; 17:301-305.
  • Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 2011; 95: 2204-2208.
  • Khaund A, Lumsden MA. Impact of fibroids on reproductive function. Best Pract Res Clin Obstet Gynaecol 2008; 22: 749-760.
  • Laughlin, SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol 2009; 113:630-635.
  • Buttram VC, Reiter RC. Uterine leiomyomas: etiology, symptomatology, and management. Fertil Steril 1981; 36:433-445.
  • Kilpatrick, CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J 2010; 103: 1058-1060.
  • O'Hara, S, Zelesco M, Sun Z. Cervical length for predicting preterm birth and a comparison of ultrasonic measurement techniques. Australas J Ultrasound Med 2013; 16: 124-134.
  • Ehsanipoor R, Selligman N, Szymanski LI, Wissinger C, Werner E, Berghella V. Physical exam indicated cerclage versus expectant management: a systematic review and metaanalysis. Am J Obstet Gynecol 2013; 208: S76.
  • Şen C, Çelik E. Erken doğumun önceden belirlenmesi. Perinatoloji Dergisi 2002; 10:88-89.
  • Owen J, Hankins G, Iams JD, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length. Am J Obstet Gynecol 2009; 201:375.e1-8.
  • Karl K, Katz M. A stepwise approach to cervical cerclage. OBG Manag 2012; 24:30-37.
  • Rock AJ, Jones WH (eds). Te Linde’s Operative Gynecology 9th ed. Chap 30. Philadelphia: Wiliams & Wilkins Lippincott 2003; 753-798.
  • Wallach E, Vu K. Myomata uteri and infertility. Obstet Gynecol Clin North Am 1995; 22:791-799.
  • Sapmaz E, Çelik H, Altıngül A. Servikal yetmezlik vakalannda acil ve elektif serklaj operasyonu. Türkiye Klinikleri J Gynecol Obst 2001; 11:314-318.
  • Vidaeff AC, Ramin SM. From concept to practice:the recent history of preterm delivery prevention. Partll:Subclinical infection and hormonal effects. Am J Perinatol 2006; 23:75-84.

Successful cervical cerclage in a pregnant woman with a large cervical myoma

Yıl 2020, Cilt: 2 Sayı: 3, 112 - 114, 30.09.2020
https://doi.org/10.46969/ezh.742146

Öz

Cervical insufficiency or early cervical dilation is a fundamental cause of second-trimester pregnancy loss. Cervical cerclage is the principal treatment for women with cervical insufficiency. Uterine myoma is the most common benign gynaecologic tumour, occurring in approximately 20% of reproductive age women, whereas uterine cervical myoma is rare and constitutes 5% of all myomas. One of the most important aetiological factors for premature labour is cervical insufficiency. Emergency cerclage can be effective, although according to the literature cerclage placement as a means of prolonging the duration of pregnancy has provided conflicting results. Here, we aimed to present successful implementation of cerclage process in a pregnant patient with a large cervical myoma.

Kaynakça

  • Cunningham GF, Leveno KJ, Bloom SL et al. Williams Obstetrics, Twenty-Fifth Edition, 2018
  • Cockwell HA, Smith Gn. Cervical incompetence and role of emergency cerclage. J Obstet Gynaecol Can 2005; 27:123-129.
  • Matsuoka S, Kikuchi I, Kitade M, Kumakiri J, Kuroda K, Tokita S, Kuroda M, Takeda S. Strategy for laparoscopic cervical myomectomy. J Minim Invasive Gynecol 2010; 17:301-305.
  • Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 2011; 95: 2204-2208.
  • Khaund A, Lumsden MA. Impact of fibroids on reproductive function. Best Pract Res Clin Obstet Gynaecol 2008; 22: 749-760.
  • Laughlin, SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol 2009; 113:630-635.
  • Buttram VC, Reiter RC. Uterine leiomyomas: etiology, symptomatology, and management. Fertil Steril 1981; 36:433-445.
  • Kilpatrick, CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J 2010; 103: 1058-1060.
  • O'Hara, S, Zelesco M, Sun Z. Cervical length for predicting preterm birth and a comparison of ultrasonic measurement techniques. Australas J Ultrasound Med 2013; 16: 124-134.
  • Ehsanipoor R, Selligman N, Szymanski LI, Wissinger C, Werner E, Berghella V. Physical exam indicated cerclage versus expectant management: a systematic review and metaanalysis. Am J Obstet Gynecol 2013; 208: S76.
  • Şen C, Çelik E. Erken doğumun önceden belirlenmesi. Perinatoloji Dergisi 2002; 10:88-89.
  • Owen J, Hankins G, Iams JD, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length. Am J Obstet Gynecol 2009; 201:375.e1-8.
  • Karl K, Katz M. A stepwise approach to cervical cerclage. OBG Manag 2012; 24:30-37.
  • Rock AJ, Jones WH (eds). Te Linde’s Operative Gynecology 9th ed. Chap 30. Philadelphia: Wiliams & Wilkins Lippincott 2003; 753-798.
  • Wallach E, Vu K. Myomata uteri and infertility. Obstet Gynecol Clin North Am 1995; 22:791-799.
  • Sapmaz E, Çelik H, Altıngül A. Servikal yetmezlik vakalannda acil ve elektif serklaj operasyonu. Türkiye Klinikleri J Gynecol Obst 2001; 11:314-318.
  • Vidaeff AC, Ramin SM. From concept to practice:the recent history of preterm delivery prevention. Partll:Subclinical infection and hormonal effects. Am J Perinatol 2006; 23:75-84.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Olgu Sunumu
Yazarlar

Yunus Emre Topdağı 0000-0003-0656-0765

Emsal Pınar Topdağı Yılmaz 0000-0001-8593-5726

Seray Kaya Topdağı 0000-0001-6293-478X

Ali Guzel 0000-0002-9518-3772

Yayımlanma Tarihi 30 Eylül 2020
Kabul Tarihi 17 Eylül 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 2 Sayı: 3

Kaynak Göster

APA Topdağı, Y. E., Topdağı Yılmaz, E. P., Kaya Topdağı, S., Guzel, A. (2020). Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 2(3), 112-114. https://doi.org/10.46969/ezh.742146
AMA Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. Eylül 2020;2(3):112-114. doi:10.46969/ezh.742146
Chicago Topdağı, Yunus Emre, Emsal Pınar Topdağı Yılmaz, Seray Kaya Topdağı, ve Ali Guzel. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 2, sy. 3 (Eylül 2020): 112-14. https://doi.org/10.46969/ezh.742146.
EndNote Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A (01 Eylül 2020) Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2 3 112–114.
IEEE Y. E. Topdağı, E. P. Topdağı Yılmaz, S. Kaya Topdağı, ve A. Guzel, “Successful cervical cerclage in a pregnant woman with a large cervical myoma”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, c. 2, sy. 3, ss. 112–114, 2020, doi: 10.46969/ezh.742146.
ISNAD Topdağı, Yunus Emre vd. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2/3 (Eylül 2020), 112-114. https://doi.org/10.46969/ezh.742146.
JAMA Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2:112–114.
MLA Topdağı, Yunus Emre vd. “Successful Cervical Cerclage in a Pregnant Woman With a Large Cervical Myoma”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, c. 2, sy. 3, 2020, ss. 112-4, doi:10.46969/ezh.742146.
Vancouver Topdağı YE, Topdağı Yılmaz EP, Kaya Topdağı S, Guzel A. Successful cervical cerclage in a pregnant woman with a large cervical myoma. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2(3):112-4.