In this educational lecture delivered at the University of South Florida (USF), Florida, Prof. Dr. R. K. Mishra presents an in-depth discussion on Laparoscopic Cervical Cerclage, an advanced minimally invasive procedure used in the management of cervical incompetence and recurrent pregnancy loss.

Cervical incompetence is a significant cause of second-trimester pregnancy loss and preterm birth. For patients who have failed conventional transvaginal cerclage or have anatomical limitations that prevent vaginal placement, laparoscopic cervical cerclage offers a highly effective alternative. This advanced procedure allows precise placement of a permanent cerclage at the cervico-isthmic junction, providing optimal cervical support during pregnancy.

During this lecture, Dr. Mishra explains the indications, patient selection criteria, preoperative evaluation, surgical anatomy, operative steps, and postoperative management of laparoscopic cervical cerclage. The presentation highlights the advantages of minimally invasive surgery, including enhanced visualization, precise suture placement, reduced blood loss, faster recovery, and improved reproductive outcomes.

The lecture also addresses the role of laparoscopic cerclage in women with recurrent mid-trimester pregnancy losses, previous failed cervical cerclage procedures, congenital cervical abnormalities, and complex obstetric histories. Real-world clinical experience, evidence-based recommendations, and technical pearls are shared to help surgeons and gynecologists optimize patient outcomes.

As a pioneer in laparoscopic surgery and surgical education, Dr. R. K. Mishra combines academic expertise with practical insights, making this presentation valuable for gynecologists, reproductive specialists, minimally invasive surgeons, residents, fellows, and healthcare professionals interested in advanced gynecologic surgery.

This lecture serves as an important educational resource demonstrating how modern laparoscopic techniques can significantly improve fertility preservation, pregnancy maintenance, and maternal outcomes in women affected by cervical insufficiency.

Watch this expert presentation to gain a deeper understanding of one of the most effective minimally invasive approaches for the management of cervical incompetence.