Open Access

Anatomical and functional changes in arteries of uterine circulation after modified laparoscopic transabdominal cerclage in pregnancy: A case report and review of the literature

  • Authors:
    • Dragos Nemescu
    • Ingrid Andrada Tanasa
    • Roxana Elena Bohiltea
    • Ciprian Coroleuca
    • Elvira Bratila
    • Angela Elena Vinturache
  • View Affiliations

  • Published online on: May 28, 2020     https://doi.org/10.3892/etm.2020.8807
  • Pages: 2465-2469
  • Copyright: © Nemescu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Modified laparoscopic transabdominal cerclage (LTAC) was developed as a safer approach for the treatment of cervical insufficiency in pregnancy, with the cerclage tape placed lateral to the uterine vessels. We describe and review the evolution of a woman who successfully underwent an LTAC at 12 weeks of gestation, whose fetus developed growth retardation after 32 weeks. Three‑dimensional power Doppler reconstruction viewed both uterine arteries (UtAs) inside of the cerclage until the second trimester. Thereafter, the visualization of UtAs showed the development of a rich array of collateral vascularization, adaptation supported by the findings of low velocity and pulsatility of blood flow in the UtAs. The appearance of the UtAs varies throughout the gestation. There is a moderate variation of the shape and curvature that could result due to their elongation. Furthermore, the cervical length increased during gestation, from 20 to 30 mm. We speculate that this is a mechanical modeling during the late gestation. More studies are needed to understand the hemodynamic and mechanical effects as well as the impact on fetal growth and development of modified LTAC in women with a short cervix or cervical incompetence.

Related Articles

Copy and paste a formatted citation
x
Spandidos Publications style
Nemescu D, Tanasa IA, Bohiltea RE, Coroleuca C, Bratila E and Vinturache AE: Anatomical and functional changes in arteries of uterine circulation after modified laparoscopic transabdominal cerclage in pregnancy: A case report and review of the literature. Exp Ther Med 20: 2465-2469, 2020
APA
Nemescu, D., Tanasa, I.A., Bohiltea, R.E., Coroleuca, C., Bratila, E., & Vinturache, A.E. (2020). Anatomical and functional changes in arteries of uterine circulation after modified laparoscopic transabdominal cerclage in pregnancy: A case report and review of the literature. Experimental and Therapeutic Medicine, 20, 2465-2469. https://doi.org/10.3892/etm.2020.8807
MLA
Nemescu, D., Tanasa, I. A., Bohiltea, R. E., Coroleuca, C., Bratila, E., Vinturache, A. E."Anatomical and functional changes in arteries of uterine circulation after modified laparoscopic transabdominal cerclage in pregnancy: A case report and review of the literature". Experimental and Therapeutic Medicine 20.3 (2020): 2465-2469.
Chicago
Nemescu, D., Tanasa, I. A., Bohiltea, R. E., Coroleuca, C., Bratila, E., Vinturache, A. E."Anatomical and functional changes in arteries of uterine circulation after modified laparoscopic transabdominal cerclage in pregnancy: A case report and review of the literature". Experimental and Therapeutic Medicine 20, no. 3 (2020): 2465-2469. https://doi.org/10.3892/etm.2020.8807