Laparoscopic transabdominal cervical cerclage by broad ligament window technique

Ramesh, B.; Chaithra, T. M.; Prasanna, Garapati Lakshmi

doi:10.4103/gmit.gmit_50_18

Cited by 5 publications

(3 citation statements)

References 4 publications

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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%

“…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%

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Interval laparoscopic transabdominal cervical cerclage (ILTACC) using needleless mersilene tape for cervical incompetence

Alas

Lee

Kuo

et al. 2020

Gynecol Minim Invasive Ther

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Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) has become a procedure of choice for many laparoscopic surgeons in nonpregnant patients diagnosed with cervical incompetence (CI) due to the inherent advantages it offers. The study was conducted to describe the feasibility of performing a three-step approach of ILTACC using a needleless mersilene tape in patients diagnosed with CI. A case series of three patients diagnosed with CI who underwent ILTACC using needleless mersilene tape referred at a tertiary hospital for cerclage. Women diagnosed with CI who underwent ILTACC using a needleless mersilene tape were included in the study, and surgical outcomes were measured. Descriptive statistics were used to describe the demographic profile and surgical outcomes of the patients. Three patients with a mean age of 31 (standard deviation [SD] = 4.96) years with a gravidity of 2.67 (SD, 0.82) and parity of 0.33 (SD, 0.47) were selected. The cervical length was 1.98 (SD, 0.76) cm. The average operative time was 149 (SD, 43.87) minutes. All patients had minimal blood loss (≤ 60 ml) without intraoperative blood transfusion. The hospital stay was 1.33 (SD, 0.47) days with a median of 1 and a range of 1–2 days. No intraoperative or postoperative complications were noted. No cases were converted to laparotomy. The result of this article shows the safety and feasibility of ILTACC using needleless mersilene tape. However, it should be evaluated in more cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interval laparoscopic transabdominal cervical cerclage (ILTACC) using needleless mersilene tape for cervical incompetence

Alas

Lee

Kuo

et al. 2020

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

show abstract

“…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%

Case Report of a 31-Year-Old Woman with COVID-19 and Chorioamnionitis at 18 Weeks of Gestation with a Twin Pregnancy and an Abdominal Cerclage for Cervical Incompetence Removed by Posterior Colpotomy Approach

et al. 2023

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Patient: Female, 31-year-old Final Diagnosis: Chorioamnionitis Symptoms: Nasal congestion • PPROM • rhinorrhea Clinical Procedure: — Specialty: Obstetrics and Gynecology Objective: Unusual clinical course Background: Cervical incompetence and deformities contribute significantly to mid-trimester pregnancy losses and preterm births. Abdominal cerclages prevent these complications, particularly in patients with a history of failed vaginal cerclage or severe cervical deformities. However, pregnancy complications such as chorioamnionitis and fetal demise may necessitate cerclage removal. The removal methods vary, with the least invasive being the colpotomy approach, associated with lower morbidity rates than the transabdominal approach or laparoscopy. Case Report: We detail a case involving a 31-year-old woman with a twin pregnancy at 18 weeks gestation, complicated by COVID-19 and chorioamnionitis. This clinical scenario necessitated the removal of an abdominal cerclage. Given the patient's risk profile, a posterior colpotomy approach was deemed most suitable. Conclusions: The posterior colpotomy approach provided an effective and less risky method for abdominal cerclage removal in a high-risk patient. It successfully mitigated the potential complications of general anesthesia and operative risks associated with laparoscopy/laparotomy, offering optimal operative conditions.

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Robotic single-site secondary abdominal cerclage replacement following initial repair of cervical isthmus injury arising from a history of open abdominal cerclage and subsequent PPROM at 14 weeks gestation

Abdul Latif,

Guan,

Thigpen

et al. 2023

Intelligent Surgery

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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.

Cited by 5 publications

References 4 publications

Interval laparoscopic transabdominal cervical cerclage (ILTACC) using needleless mersilene tape for cervical incompetence

Interval laparoscopic transabdominal cervical cerclage (ILTACC) using needleless mersilene tape for cervical incompetence

Case Report of a 31-Year-Old Woman with COVID-19 and Chorioamnionitis at 18 Weeks of Gestation with a Twin Pregnancy and an Abdominal Cerclage for Cervical Incompetence Removed by Posterior Colpotomy Approach

Robotic single-site secondary abdominal cerclage replacement following initial repair of cervical isthmus injury arising from a history of open abdominal cerclage and subsequent PPROM at 14 weeks gestation

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