Evidence map›Paper›PMID 39797942›Full record

ArticleArchives of gynecology and obstetrics2025

Mechanical analysis of cerclage as a treatment for cervical insufficiency.

Jihee Lee, Thomas H-K Kang, Soyeon Jeong, Jeong Sook Kim, Soo-Jeong Lee

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jihee Lee *Department of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan, College of Medicine, 25 Daehakbyeongwon-ro, Dong-gu, Ulsan, 44033, South Korea.
Thomas H-K Kang *Department of Architecture and Architectural Engineering, College of Engineering, Seoul National University, Seoul, South Korea.
Soyeon JeongDepartment of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan, College of Medicine, 25 Daehakbyeongwon-ro, Dong-gu, Ulsan, 44033, South Korea.
Jeong Sook KimDepartment of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan, College of Medicine, 25 Daehakbyeongwon-ro, Dong-gu, Ulsan, 44033, South Korea.
Soo-Jeong LeeDepartment of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan, College of Medicine, 25 Daehakbyeongwon-ro, Dong-gu, Ulsan, 44033, South Korea. exsjlee@uuh.ulsan.kr.ORCID 0000-0001-9272-6770

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary treatment for cervical insufficiency is cervical cerclage (mechanical support) with vaginal progesterone (biochemical support). Cerclage is a surgical procedure that mechanically increases the tensile capacity of the cervix. Therefore, it is necessary to analyse the effects of cerclage from a mechanical point of view. PURPOSE: To analyse cerclage techniques based on physical principles and mechanical forces.

methodsWe assumed that the cervix is a thin-walled pressure vessel and applied a uniform vertical distribution model, a linear vertical model, and a non-linear vertical distribution model.

resultsAccording to our model analysis, the higher the position of the thread, the thicker the thread used, and the greater the number of threads, the more effective the confining force on the suture, when performing a cerclage.

conclusionIt is necessary to provide an appropriate cerclage for each patient based on these mechanical characteristics, in addition to considering the risks and benefits and biochemical interactions of the cerclage.

Indexed as

Cerclage, CervicalUterine Cervical IncompetenceBiomechanical PhenomenaCervix UteriFemaleHumansPregnancyCervical cerclageCervical insufficiencyMechanical interpretationNumber of stitchesPosition of knotThickness of thread

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.