Transabdominal Cerclage: A Laparoscopic Approach

作者：Karen B. Lesser · 发表于：Obstetrics and Gynecology · 年份：1998 · DOI：10.1016/s0029-7844(97)00655-8 · 被引用次数：105 · 研究领域：Preterm Birth and Chorioamnionitis、Pelvic floor disorders treatments、Reproductive tract infections research

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.