Transabdominal Cerclage: A Laparoscopic Approach

Lesser, Karen B.; Childers, Joel M.; Surwit, Earl A.

doi:10.1016/s0029-7844(97)00655-8

Cited by 71 publications

(71 citation statements)

References 7 publications

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“…Laparoscopic procedures to place sutures appear to be safe both for the mother and fetus and obviate the need for laparotomy [5,6]. In both cases described, the sutures were removed without undue event or complication.…”

Section: Discussionmentioning

confidence: 93%

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Long-term sequelae of abdominal cervical cerclage and a minimally invasive approach to resolution

McComiskey

Hunter

2008

Gynecol Surg

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Cervical incompetence is diagnosed in 0.1-1% of all pregnancies and in 8% of women with repeated midtrimester pregnancy loss. This condition may be managed by the application of a suture around the cervix, placed vaginally, abdominally, or laparoscopically. The case histories of two patients are presented, both of whom had abdominal cervical cerclage applied via laparotomy 4 and 6 years previously. Counselling and decision making processes are discussed, and the operative reports of the successful laparoscopic total removal of the cervical sutures are described. Published cases of laparoscopic cerclage removal are rare; indeed only four cases have been recorded. Three of these involved the removal of the suture after a very short period of time (5-7 weeks) with one further report of a partial removal being achieved laparoscopically. We have described successful laparoscopic total removal of two abdominally placed cervical sutures that had been in-situ for a prolonged period of time. In a unit with skilled laparoscopic surgeons and high-risk obstetricians, the potential for laparoscopic insertion and removal of abdominal cervical sutures exists.

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Section: Discussionmentioning

confidence: 93%

“…Numerous reports claim that the procedure is safe and has advantages over the open method [5,6]. There is mixed opinion however as to the optimal position of the suture knot.…”

Section: Discussionmentioning

confidence: 99%

Long-term sequelae of abdominal cervical cerclage and a minimally invasive approach to resolution

McComiskey

Hunter

2008

Gynecol Surg

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“…The ability to adapt to abnormal anatomy and bleeding difficulties cannot be overstated. 6,7 One must always keep the patient and fetus' health first, and if unable to succeed laparoscopically, must be prepared to perform the abdominal cerclage via laparotomy to complete the procedure.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic abdominal cerclage

Carter

Soper²

2007

Atlas of Laparoscopy and Hysteroscopy Techniques

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Abdominal cerclages are necessary when the standard transvaginal cerclages fail or anatomical abnormalities preclude the vaginal placement. The disadvantage of the transabdominal approach is that it requires at least 2 laparotomies with significant morbidity and hospital stays. We discuss a case of abdominal cerclage performed laparoscopically. We feel it offers less morbidity and in the proper hands eliminates or significantly shortens hospital stays.

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“…It compares favourably with the laparotomy approach to cerclage [12][13][14][15] but with the full benefits of a brief laparoscopic operation. The cervicoisthmic level, being the site of placement for the LTAC cannot be easily reached through a vaginal approach without major dissection or clear perception of anatomy, hence the laparoscopic approach offers greater advantage with reduced hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Preconception Laparoscopic Cervical Cerclage: The Preferred Technique for Cervical Incompetence?

Jape¹,

Rowlands²

2016

JFIV Reprod Med Genet

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Objective: To explore the ease and effectiveness of placing a cervical suture preconception using a laparoscopic technique.Design: A case study with systematic literature review.Setting: PIVET Medical Centre, a private facility providing comprehensive services over 35 years in gynaecology, andrology and reproductive endocrinology for infertility and recurrent pregnancy loss.Patients: Case report of a 35 year old woman with recurrent mid-trimester pregnancy losses and well-define cervical incompetence.Intervention: Preconception placement of cervical suture by laparoscopic trans-abdominal cerclage (LTAC) as a day case. Main outcome measure: Details of ensuing pregnancy.Results: Conception without delay and normal pregnancy with delivery by elective caesarean section near term of healthy 2645 g female infant. Conclusion:We are impressed with the ease of the LTAC technique which appears likely to have fewer complications than traditional vaginal techniques, as well as speedier recovery compared to a laparotomy approach.

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Transabdominal Cerclage: A Laparoscopic Approach

Abstract: Laparoscopic placement and removal of a transabdominal cerclage are promising options in the treatment of an incompetent cervix.

Cited by 71 publications

References 7 publications

Long-term sequelae of abdominal cervical cerclage and a minimally invasive approach to resolution

Long-term sequelae of abdominal cervical cerclage and a minimally invasive approach to resolution

Laparoscopic abdominal cerclage

Preconception Laparoscopic Cervical Cerclage: The Preferred Technique for Cervical Incompetence?

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