Laparoscopic transabdominal cervical cerclage
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Case report
A 25-year-old woman at 9 weeks of gestation, gravid 2, para 1, was referred to our hospital with a highly suggestive of cervical incompetence. She had a past history of preterm delivery at 26 weeks before. After delivery she received two times of LEEP because of microinvasive squamous cell carcinoma of the cervix.

On physical examination, the cervix was exceedingly short, closed, and flush with the lateral vaginal fonix. Transvaginal ultrasound scanning confirmed a singleton intrauterine pregnancy and the size of fetus was consistent with 9 weeks of gestation.

Her cervical length was short with a functional length of 1.70 cm. It was determined that she was a candidate for a transabdominal cerclage because of virtually nonexistent exocervix. Extensive counseling regarding the risks and benefits of the procedure performed either laparoscopically or via laparotomy were provided. The patient was taken to surgery at 11 weeks for laparoscopic cervical cerclage...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038691/
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Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
Abdominal circlage is rarely required when the cervix is very short,badly torn or portiovaginalis nonexistent-as in this case. It is also indicated in prior >2 vaginal circlage failures in a proved case of cervical incompetence. Uptill now it was done by laprotomy. Recently with laproscopic expertise & experience this has become possible which is beneficial to the patient & less damaging for the index pregnancy as whole abdomen is not to be opened for single stitch & there is less handling of the uterus.... Read more
Mar 17, 2017Like