Repeat Transabdominal Laparoscopic Encerclage

Abstract

We report here the first case of placement of a repeat laparoscopic abdominal cervicoisthmic cerclage by using a suture passer. The report is on a 34-year-old G5P1L1A3 with a history of repeated second trimester pregnancy loss with one successful laparoscopic cerclage term LSCS delivery, again underwent repeat laparoscopic abdominal encerclage in present pregnancy at 12 weeks using suture passer suprapubically. Patient underwent procedure safely with blood loss less than 40 ml and discharged after 24 hours of observation without any postoperative complication. Repeat laparoscopic abdominal encerclage can be done safely in previous LSCS patient who had term pregnancy following laparoscopic abdominal cerclage using a simple instrument suture passer without any postoperative complication or discomfort to the patient.