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THE BLOODLESS BLOOD KNOT

From the Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of Medicine and Dentistry of New Jersey— Robert Wood Johnson Medical School/Saint Peter’s University Hospital, New Brunswick, New Jersey.

Address reprint requests to: William E. Scorza, MD UMDNJ—Robert Wood Johnson Medical School Saint Peter’s University Hospital Department of Obstetrics, Gynecology, and Reproductive Sciences Division of Maternal Fetal Medicine 254 Easton Avenue, MOB 4th Floor New Brunswick, NJ 08903-0591 E-mail: scorzawe{at}umdnj.edu

Just as it is difficult to describe adequately the exhilaration one feels when using a fly rod to land a trout caught from a mountain stream, there is also a tremendous amount of satisfaction in the successful completion of an obstetric operation. Until recently, we were woefully ignorant of how fly fishing expertise could benefit pregnancy. We report with great pride an instance in which fly fishing knot skill was essential to successful placement of a cervical cerclage for a woman with an incompetent cervix.¹