Laparoscopic placement of cervical cerclage.

Rev Obstet Gynecol

Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA.

Published: March 2013

AI Article Synopsis

  • Cervical shortening can indicate generalized intrauterine inflammation and is closely linked to spontaneous preterm birth.
  • Various treatments like progesterone therapy, pessaries, and cervical cerclage can help in certain situations.
  • The laparoscopic method for placing cervical cerclage may offer better surgical outcomes, lower costs, and less postoperative complications compared to the open transabdominal method.

Article Abstract

Cervical shortening is believed to be a marker for generalized intrauterine inflammation and has a strong association with spontaneous preterm birth. A variety of therapies, including vaginal and intramuscular progesterone, pessary, and cerclage, have been demonstrated to be effective in specific clinical circumstances. Cervical cerclage can be placed via transvaginal, open transabdominal, or laparoscopic transabdominal approach, preferably before pregnancy. A laparoscopic approach may be superior to the transabdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3594860PMC

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