Evidence map›Paper›PMID 40741800›Full record

ArticleJournal of the Turkish German Gynecological Association2025

Retrospective evaluation of transvaginal cervical cerclage cases in a tertiary reference center: comparison of indications and suture materials.

Umutcan Kayıkçı, Erdem Fadıloğlu, Ayşe Çiğdem Bayrak, İlgi Adalı, Edip Alptuğ Kır, Özgür Deren

Abstract read
In one paragraph

Article in Journal of the Turkish German Gynecological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Umutcan KayıkçıDepartment of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine and Perinatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0000-0003-3710-0462
Erdem FadıloğluDepartment of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine and Perinatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0000-0001-7953-2517
Ayşe Çiğdem BayrakDepartment of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine and Perinatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0000-0003-1547-3663
İlgi AdalıDepartment of Obstetrics and Gynaecology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0009-0001-0407-6083
Edip Alptuğ KırDepartment of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine and Perinatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0000-0002-2293-3624
Özgür DerenDepartment of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine and Perinatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.ORCID 0000-0003-4735-2444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare history-indicated cervical cerclage (HICC), ultrasound-indicated CC (UICC) and physical examination-indicated CC (PEICC) in terms of obstetric outcomes and to compare the outcomes related to braided and non-braided suture materials (Prolene suture vs. Mersilene tape). Material and Methods: We retrospectively evaluated 173 transvaginal CC procedures performed in a single center. Cases were classified based on procedure indications and the type of suture material used. Results: Of the 173 cases reviewed, 103 (59.5%), 45 (26.0%) and 25 (14.4%) cases were in the HICC, UICC and PEICC groups, respectively. Patients in the PEICC group underwent cerclage at significantly later gestational weeks, had higher hospitalization rates, longer hospital stays following the procedure, a shorter interval between cerclage and delivery, and a higher rate of procedure-related pregnancy loss compared to the other groups (p<0.05 for all). Both the gestational age at delivery and the take-home baby rate were lower in this group compared to the other groups (p<0.05 for both). There were no significant differences identified in terms of suture materials used. Subgroup analyses revealed similar obstetric outcomes between different suture materials. Conclusion: PEICC had worse perinatal outcomes compared to HICC and UICC procedures. CC indication was the major determinant of perinatal outcome in this cohort while suture material had no significant effect on perinatal outcomes.

Indexed as

Cervical cerclageindicationmersilene sutureprolene suturesuture material

Identifiers

PMID40741800
PMCPMC12406971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.