Transabdominal cerclage: a laparoscopic approach.

Abstract:

BACKGROUND:The placement of a transabdominal cervical cerclage has been regarded as considerably more morbid than a transvaginal cerclage, in part due to the need for two laparotomies. We describe a technique for the laparoscopic placement and removal of a transabdominal cerclage. CASES:Two cases of women with insufficient cervical tissue to place a transvaginal cerclage were managed with a transabdominal cerclage. In one case, the cerclage was placed laparoscopically; in the other, the band was removed, facilitating uterine evacuation following the diagnosis of a missed abortion. In both cases a laparotomy was avoided. CONCLUSION:Laparoscopic placement and removal of a transabdominal cerclage are promising options in the treatment of an incompetent cervix.

journal_name

Obstet Gynecol

authors

Lesser KB,Childers JM,Surwit EA

doi

10.1016/s0029-7844(97)00655-8

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

855-6

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

journal_volume

91

pub_type

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