Balloon tamponade for successful emergency cervical cerclage

摘要

Abstract Aim To illustrate the method of emergency cerclage with the balloon tamponade and demonstrate the efficacy of this surgery method. Methods Procedures of the balloon tamponade assisted emergency cerclage were reviewed in detail and outcomes of 39 patients treated with this way were evaluated. Results From 2017 to 2019, emergency cerclage was successfully performed in 39 patients with a dilated cervix and bulging fetal membranes, assisted by the balloon tamponade. The diameter of the bulging prolapsed membranes ranged from 0.0–10.0?cm, with a median of 2.0?cm. Prolongation of the pregnancy period was from 8 to 138?days, with a median of 29?days. No maternal complications including infections, cervical laceration and cervical bleeding were observed perioperative period. Conclusion Emergency cerclage is an effective way to prolong gestational period in patients with advanced cervical dilatation and bulging membranes. The balloon tamponade assisted emergency cerclage makes the replacement of fetal membranes back into the uterine cavity easier and effectively, then a successful and convenient emergency cerclage can be performed.