A novel method for laparoscopic abdominal cerclage utilizing minimally invasive hydrodissection: a case report

Cervical incompetence can lead to the inability to sustain an intrauterine pregnancy and may account for a substantial portion of second-trimester losses. Placement of a transvaginal cerclage has been shown to decrease morbidity in a substantial number of such cases. In patients lacking sufficient c...

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Bibliographic Details
Published inJournal of reproductive medicine Vol. 52; no. 5; p. 428
Main Authors Aboujaoude, Ramzi, Maloof, Paul, Alvarez, Manuel, Al Khan, Abdulla
Format Journal Article
LanguageEnglish
Published United States 01.05.2007
Subjects
Adult
Cerclage, Cervical - methods
Diagnosis, Differential
Female
Humans
Pregnancy
Pregnancy Trimester, Second
Prenatal Diagnosis
Uterine Cervical Incompetence - diagnosis
Uterine Cervical Incompetence - pathology
Uterine Cervical Incompetence - surgery
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Summary:Cervical incompetence can lead to the inability to sustain an intrauterine pregnancy and may account for a substantial portion of second-trimester losses. Placement of a transvaginal cerclage has been shown to decrease morbidity in a substantial number of such cases. In patients lacking sufficient cervical tissue, a cerclage may be placed by a transabdominal approach. This procedure carries risks of significant morbidity to the maternal-fetal unit if done by laparotomy. A 22-year-old gravida at 13 weeks' gestation with a past history significant for cervical incompetence and absence of cervical tissue underwent placement of an abdominal cerclage. We utilized laparoscopic operative techniques and employed hydrodissection to decrease manipulation and bleeding around the gravid uterus. A laparoscopic approach to cerclage in patients diagnosed with cervical incompetence can be performed with minimal risks to the gravid uterus.
ISSN:0024-7758