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Laparoscopic cervico-isthmic cerclage: A "Needle-free" approach for managing cervical insufficiency in pregnant and non-pregnant patients.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department Obstetrics and Gynaecology, Universidad Austral de Chile, Chile.
This video-article describes a laparoscopic cervico-isthmic cerclage technique for managing cervical insufficiency in both pregnant and non-pregnant patients, utilizing a port-site closure device for precise suture placement. Two cases-one non-pregnant and one at 12 weeks gestation-underwent the procedure, with details on trocar placement, dissection, and suture passage documented. Both surgeries were completed successfully, with minimal blood loss and no complications.
View Article and Find Full Text PDFLaparoscopic abdominal cerclage during pregnancy: a simplified approach.
Am J Obstet Gynecol
August 2022
Key Laboratory of Reproductive Genetics (Ministry of Education) and Department of Obstetrics, Women's Hospital School of Medicine Zhejiang University, Hangzhou, China. Electronic address:
Cervical insufficiency is a major cause of second-trimester pregnancy loss and spontaneous preterm delivery. Transabdominal cervicoisthmic cerclage is usually performed before pregnancy for patients of cervical insufficiency, in whom transvaginal cervical cerclage procedure cannot be placed or has failed previously. Performing a transabdominal cerclage becomes a huge challenge owing to the enlargement of the pregnant uterus in patients who were indicated for transabdominal cervicoisthmic cerclage but were missed before pregnancy.
View Article and Find Full Text PDFMinimally Invasive Laparoscopic Transabdominal Cerclage with a "Needle-Free" Technique: A Single-Center Experience.
Gynecol Obstet Invest
May 2021
Department of Obstetrics & Gynecology, Medical University of Innsbruck, Innsbruck, Austria.
Background: In high-risk patients with cervical incompetence, laparoscopic cerclage is a promising treatment option. However, the procedure exhibits relevant surgical risks.
Aims: The purpose of this study was to evaluate a surgical "needle-free" technique for minimally invasive, laparoscopically placed cervico-isthmic cerclage in high-risk patients.
Suture thickness and transvaginal cervical cerclage outcomes.
Am J Obstet Gynecol MFM
November 2019
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of North Carolina School of Medicine and University of North Carolina Health Care, Chapel Hill, NC.
Background: Cervical cerclage placement has been shown to benefit women who have cervical insufficiency, however, the best type of suture to use for transvaginal cerclage placement is unknown.
Objective: To evaluate the association between transvaginal cerclage suture thickness and pregnancy outcomes.
Study Design: Retrospective cohort study of women with a singleton, non-anomalous gestation who underwent history-, ultrasound- or physical exam-indicated transvaginal cerclage at a single tertiary care center (2013-2016).
Emergency vaginal cervico-isthmic cerclage.
J Gynecol Obstet Hum Reprod
June 2019
AP-HP, Hôpital Bicêtre, GHU Sud, Department of Gynecology and Obstetrics, 94276 Le Kremlin-Bicêtre, France; Inserm, Centre of Research in Epidemiology and Population Health (CESP), U1018, 94276 Le Kremlin-Bicêtre, France; University Paris Sud Orsay, 94276 Le Kremlin-Bicêtre, France. Electronic address:
Objective: Cervical cerclage is the principal treatment for women with a cervical insufficiency, which is a predominant factor in second trimester loss and preterm birth. A cervico-isthmic cerclage is recommended in case of a previous failure of McDonald cerclage or in case of an absent portio vaginalis of the cervix. In women who have prolapsed membranes at or beyond a dilated external cervical os before 24 weeks of gestation, an emergency cerclage can sometimes be performed.
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