Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester. We report a 25-year-old patient, gravid 2, para 1, at 11 weeks' gestation with the diagnosis of cervical incompetence, in whom transvaginal cerclage was not technically possible and laparoscopic cervical cerclage was performed successfully. There were no operative or immediate postoperative complications. A healthy infant was delivered at 35 weeks by cesarean section. Laparoscopic cervical cerclage during pregnancy can be safe and effective treatment for well-selected patients with cervical incompetence and eliminates the need for open laparotomy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038691 | PMC |
| http://dx.doi.org/10.5468/ogs.2014.57.3.232 | DOI Listing |
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Article Synopsis
- - The study investigated the impact of prepregnancy cerclage on women with cervical incompetence and absent ecto-cervix, aiming to see how it affects the time to conception and pregnancy outcomes.
- - Out of 40 cases, 37 women conceived after the cerclage, resulting in 36 live births, with low miscarriage (8.11%) and preterm birth rates (29.73%).
- - The findings suggest that prepregnancy cerclage is beneficial for these patients, not significantly altering the time it takes to conceive while ensuring a high live birth rate and no maternal complications.
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