Yunus Emre TOPDAĞI, Emsal Pınar TOPDAĞI YILMAZ, Seray KAYA TOPDAĞI, Ali GUZEL

Dev servikal myomu olan gebelikte başarılı servikal serklaj uygulanması

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.

Anahtar Kelimeler:

acil serklaj, servikal myom, servikal yetmezlik

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

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.

Keywords:

Emergency cerclage, cervical myoma, cervical insufficiency,

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Türk Kadın Sağlığı ve Neonatoloji Dergisi-Cover

Başlangıç: 2019
Yayıncı: Sağlık Bilimleri Üniversitesi Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi

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