Dr. R.K. Mishra's lecture on laparoscopic Cervical Cerclage for management of cervical incompetence at CAMLS, University of South Florida, United States of America. This lecture was delivered during the Fellowship of minimal access surgery course of the World Laparoscopy Training Institute, Florida USA.

Laparoscopic Cervical cerclage is a surgical procedure in which your doctor places a single stitch around your cervix, the opening to your uterus. The stitch sews your cervix closed. Doctors perform cerclage to prevent late (second trimester) miscarriages and preterm (early) delivery.

Laparoscopic cervical cerclage is a minimally invasive surgical procedure used to treat cervical incompetence, which is a condition in which the cervix is unable to stay closed during pregnancy, leading to miscarriage or premature birth. Here is an overview of the procedure:

Anesthesia: The patient will be placed under general anesthesia.

Port placement: Several small incisions will be made in the abdomen to allow access for the laparoscope and other instruments. Typically, three to four ports will be placed.

Dissection of the cervix: The laparoscope will be inserted through one of the incisions to allow the surgeon to view the cervix. The cervix will be dissected and a band of suture material will be placed around it.

Suturing of the cervix: The surgeon will carefully tie the suture material around the cervix to create a "belt" that holds the cervix closed during pregnancy.

Closure of incisions: The incisions will be closed with sutures or surgical glue.

Recovery: The patient will be monitored in the recovery room until they wake up from anesthesia, and then will be transferred to a regular hospital room. They may experience mild pain or discomfort, which can be managed with medication.

Laparoscopic cervical cerclage is generally associated with less postoperative pain, shorter hospital stays, and quicker recovery times compared to traditional open surgery. However, as with any surgical procedure, there are potential risks and complications, such as bleeding, infection, and injury to surrounding organs. It is important to discuss the risks and benefits of laparoscopic cervical cerclage with your healthcare provider to determine if it is the best option for you.