Laparoscopic cerclage in pregnant and nonpregnant uterus eme
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Cervical incompetence/insufficiency occurs In 0.1 to 1% of all pregnancies, and, traditionally, management Involves trans vaginal cervical cerclage. In some situations. however, such as in extremely short cervix following cone biopsy, congenital absent cervix, and in cases where transvaglnal cerdage fails or Is technically Impossible. transabdominal approach via laparotomy Is usually done. Recent data suggest mat these methods should be reviewed In light of the advantages seen In the developments of minimal access surgical techniques. This article, therefore. compares both approaches (conven tional and laparoscopy) and, in particular, discusses the use of laparoscopy In the management of cervical ìncompetencel insufficiency both In pregnant and nonpregnant uterus...

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