2018
DOI: 10.4103/gmit.gmit_50_18
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Laparoscopic transabdominal cervical cerclage by broad ligament window technique

Abstract: Laparoscopic transabdominal cerclage (LTAC) is a well documented procedure for cervical incompetence. In this article we have done a detailed stepwise description of LTAC by broadligament window technique. This technique makes the procedure simpler, safer and easy to reproduce.

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Cited by 5 publications
(3 citation statements)
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“…Some studies report tying the knot anteriorly while others posteriorly. [ 2 3 4 5 6 8 9 10 11 12 13 16 17 18 19 ] A method of opening the broad ligament known as “broad ligament window technique” was reported by Ramesh, whereby passing of needle was made under direct visualization to prevent complications. [ 17 ]…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Some studies report tying the knot anteriorly while others posteriorly. [ 2 3 4 5 6 8 9 10 11 12 13 16 17 18 19 ] A method of opening the broad ligament known as “broad ligament window technique” was reported by Ramesh, whereby passing of needle was made under direct visualization to prevent complications. [ 17 ]…”
Section: Discussionmentioning
confidence: 99%
“…This is in contrast to what is reported in the literature where the placement of the tape is done medial to the uterine vessels. [ 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 ] Placement of mersilene tape medial to the uterine vessel is believed to prevent possible blockage of blood supply to the uterus from the uterine artery. In this report, the procedure was carried out successfully by utilizing a needleless mersilene tape, which was passed along the broad ligament orifice in a posteroanterior manner lateral to the uterine vessels with a two-fingerbreadth space.…”
Section: Discussionmentioning
confidence: 99%
“…Transabdominal cerclage can be done either by laparotomy or with a minimally invasive technique, such as laparoscopy or robotics, which offer the opportunity to avoid a large abdominal incision and result in a much shorter hospital stay, a faster recovery, and better cosmesis [ 6 8 ]. Most of these laparoscopic procedures are reported to have been placed pre-conceptionally owing to concerns that laparoscopic manipulation of the pregnant uterus can increase the risk of post-procedure pregnancy loss [ 6 ].…”
Section: Introductionmentioning
confidence: 99%