<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000500006</article-id>
<article-id pub-id-type="doi">10.24875/ciru.24000537</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Factors influencing the outcome of pregnancy and the clinical effects of emergency cervical cerclage in singleton and twin pregnancies]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores que influyen en el resultado del embarazo y efectos clínicos del cerclaje cervical de urgencia en embarazos únicos y gemelares]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bozbay]]></surname>
<given-names><![CDATA[Nizamettin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duymu&#351;]]></surname>
<given-names><![CDATA[Ay&#351;e Ceren]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yanar]]></surname>
<given-names><![CDATA[Ahmet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Altekin]]></surname>
<given-names><![CDATA[Yasin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Örgül]]></surname>
<given-names><![CDATA[Gökçen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tazegül-Pekin]]></surname>
<given-names><![CDATA[Aybike]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Selcuk University Faculty of Medicine Department of Perinatology ]]></institution>
<addr-line><![CDATA[Konya ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>5</numero>
<fpage>511</fpage>
<lpage>517</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000500006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: This study aimed to analyze pregnancy and perinatal outcomes in singleton and twin pregnancies undergoing ultrasonography (USG)-indicated and clinically indicated cervical cerclage.  Methods: The study population included pregnant women with a cervical length of &lt; 15 mm as determined by transvaginal ultrasonography between 16 and 27 weeks of gestation or a cervix &lt; 4 cm open as observed through USG measurement, who subsequently underwent emergency cervical cerclage. The study compared pregnancy and perinatal outcomes between the two groups.  Results: A comparison of the data according to USG (n = 18, 37%) or clinical (n = 31, 63%) indication revealed that the weeks of cerclage, weeks to delivery, and duration of pregnancy were similar between the groups (p = 0.509, p = 0.095, p = 0.090, respectively). In pregnancies involving a single fetus (n = 36, 73%) and those involving two fetuses (n = 13, 27%), the week of cerclage, the week of delivery, and the duration of pregnancy exhibited no statistically significant differences (p = 0.344, p = 0.309, p = 0.762, respectively).  Conclusions: In both singleton and twin pregnancies, emergency cerclage between 16 and 27 weeks of gestation in patients with cervical shortening or dehiscence has been demonstrated to prolong the gestation period under appropriate conditions by experienced specialists.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Analizar los resultados perinatales y del embarazo en gestaciones únicas y gemelares tras un cerclaje cervical indicado por ecografía y por indicación clínica.  Métodos: La población del estudio incluyó mujeres embarazadas con una longitud cervical de menos de 15 mm determinada por ecografía transvaginal entre las 16 y 27 semanas de gestación o con el cuello uterino abierto de menos de 4 cm medido por ecografía, que posteriormente se sometieron a cerclaje cervical de emergencia. El estudio comparó los resultados perinatales y del embarazo entre los dos grupos.  Resultados: La comparación de los datos según la indicación ecográfica (n = 18, 37%) o clínica (n = 31, 63%) reveló que las semanas de cerclaje, las semanas hasta el parto y la duración del embarazo fueron similares entre los grupos (p = 0.509, p = 0.095 y p = 0.090, respectivamente). En los embarazos con feto único (n = 36, 73%) y con dos fetos (n = 13, 27%), la semana del cerclaje, la semana del parto y la duración del embarazo no mostraron diferencias estadísticamente significativas (p = 0.344, p = 0.309 y p = 0.762, respectivamente).  Conclusiones: Tanto en los embarazos con feto único como en los gemelares se ha demostrado que el cerclaje de urgencia entre las 16 y 27 semanas de gestación en pacientes con acortamiento o dehiscencia cervical prolonga el periodo de gestación, en condiciones adecuadas y por especialistas experimentados.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Emergency cerclage]]></kwd>
<kwd lng="en"><![CDATA[Singleton pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Twin pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Perinatal outcomes]]></kwd>
<kwd lng="es"><![CDATA[Cerclaje de emergencia]]></kwd>
<kwd lng="es"><![CDATA[Embarazo único]]></kwd>
<kwd lng="es"><![CDATA[Embarazo gemelar]]></kwd>
<kwd lng="es"><![CDATA[Resultados perinatales]]></kwd>
</kwd-group>
</article-meta>
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