Laparoscopic transabdominal cerclage: new approach

Shaltout, Mohamed F.; Maged, Ahmed M.; Elsherbini, Moutaz; Elkomy, Rasha

doi:10.1080/14767058.2016.1181165

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…In our paper, only the transabdominal route (laparotomy and laparoscopy), was referred to as a method of cerclage of the cervical isthmus; however, we agree with Dr Vigoureux and colleagues that cervical‐isthmus cerclage via the vaginal route is also an effective technique,.…”

supporting

confidence: 54%

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Ichizuka

Seo

2018

Ultrasound in Obstet & Gyne

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supporting

confidence: 54%

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Ichizuka

Seo

2018

Ultrasound in Obstet & Gyne

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“…Modified LC was developed as an easy laparoscopic approach during pregnancy, with sutures for the cervicoisthmic cerclage placed lateral to the uterine vessels. Some successful modified LC approaches have been reported, including that performed during pregnancy; however, no published study has assessed the parametric changes in feto‐placental circulation evaluated chronologically and in detail via ultrasound.…”

Section: Introductionmentioning

confidence: 99%

Modified laparoscopic cervicoisthmic cerclage in early pregnancy for refractory cervical incompetence: A case report

Seo

Dohi

Ishikawa

et al. 2019

J of Obstet and Gynaecol

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Modified laparoscopic cerclage was developed as an easy laparoscopic approach during pregnancy, with sutures placed lateral to the uterine vessels. To the best of our knowledge, its successful use in the first trimester has not been reported in Japan. Additionally, there are no published data on chronological assessment of feto-placental circulation using Doppler. Here, we present the case of a 31-year-old Japanese woman (gravida 2, para 1) with refractory cervical incompetence who had a history of preterm birth at 32 weeks of gestation and cervical conization. Modified laparoscopic cervicoisthmic cerclage was performed. Doppler findings showed normal feto-placental circulation before and after the procedure. Her pregnancy progressed uneventfully with no significant feto-placental circulation or obstetric complications, and the baby showed normal growth. Elective cesarean section was performed at 37 + 0 weeks' gestation. Modified laparoscopic cervicoisthmic cerclage is suggested as one of the treatment methods for pregnant women with refractory cervical incompetence.

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“…However, the traditional LTCC has an inevitable drawback: patients have to undergo a second transabdominal removal of the tape or unindicated cesarean section when termination of pregnancy is needed. For this purpose, Shaltout et al [18] issued a new LTCC approach by which the tape was tied in the vagina. According to his study, a total of 12 cases in 15 participants realized transvaginal delivery or induced labor.…”

Section: Discussionmentioning

confidence: 99%

“…An inevitable negative aspect of traditional LTCC is the need for unindicated cesarean section at term or abdominal surgery in late miscarriages because of removing the intracorporal cerclage knots [15−17]. In 2016, Shaltout et al developed a new LTCC approach [18] by which the tape was tied behind the intravaginal segment of the cervix. Nevertheless, it was only performed in nongravid women, with complicated operation steps and demanding surgical techniques, which may limit its promotion.…”

mentioning

confidence: 99%

A Novel Cerclage Insertion: Modified Laparoscopic Transabdominal Cervical Cerclage with Transvaginal Removing (MLTCC-TR)

Wang

Duan

Zhang

et al. 2020

Journal of Minimally Invasive Gynecology

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To report on our center's experience of a novel modified approach for laparoscopic cervical cerclage and to evaluate its safety and efficacy preliminarily. Design: Retrospective descriptive study. Setting: Single academic institution. Patients: Pregnant and nonpregnant women who underwent the modified laparoscopic transabdominal cervical cerclage with transvaginal removing (MLTCC-TR) from June 2016 to April 2019. Eligible participants had multiple adverse obstetric histories or the short cervix and were not suitable for a second transvaginal cerclage. Interventions: Preconceptional or postconceptional MLTCC-TR. Measurements and Main Results: A total of 24 participants (including 3 first-trimester singleton pregnant women) underwent the MLTCC-TR, giving birth to 27 infants. Among 21 women who underwent preconceptional cerclage, 26 cases of postoperational pregnancies were noted, and the incidence of term labor was 73.07%, which was significantly higher than that in the precerclage group (p <.001). Their mean gestational age at delivery was 37.21 § 5.05 weeks. Among 3 cases of postconceptional cerclage, the mean gestational age at cerclage was 10.90 § 2.61 weeks, and all of them had term delivery. The overall neonatal survival rate was 100% (27/27), of which 81.48% (22/27) were term infants. There were no severe perioperative complications directly related to the insertion of cerclage. Conclusion:Our new approach of MLTCC-TR may be a relatively effective, feasible, and safe treatment for cervical insufficiency. It may be considered as an acceptable alternative to the traditional laparoscopic cervical cerclage with its superiority of transvaginal removing.

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Laparoscopic transabdominal cerclage: new approach

Abstract: The new approach for laparoscopic cerclage is a safe, effective and reasonable treatment after failure of vaginal cerclage.

Cited by 9 publications

References 11 publications

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Modified laparoscopic cervicoisthmic cerclage in early pregnancy for refractory cervical incompetence: A case report

A Novel Cerclage Insertion: Modified Laparoscopic Transabdominal Cervical Cerclage with Transvaginal Removing (MLTCC-TR)

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