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Laparoscopic Cervical Cerclage Surgery
Gynecology / Feb 14th, 2016 7:51 am     A+ | a-
 

Cervical shortening in reproductive age group female is believed to be a marker for generalized intrauterine recurrent inflammation and has a strong association in pregnant women with spontaneous preterm birth. For these patients who has recurrent abortion a variety of therapies, including vaginal and intramuscular progesterone, pessary, and cervical cerclage, have been demonstrated to be effective in specific clinical circumstances.

For these female patients cervical cerclage can be placed via transvaginal, open transabdominal, or laparoscopic transabdominal approach, preferably before pregnancy or during thirteen week of pregnancy. A laparoscopic approach may be superior to the transabdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.

Recent advancement in the field of laparoscopic and robotic surgery resulted in development of a new approach to cervical cerclage placement. Laparoscopic cervical cerclage offers the benefit of reduced blood loss, reduced postoperative pain, and fewer adhesions, as well as decreased length of hospital stay and overall faster recovery time.

Similar to the transabdominal approach, laparoscopic cerclage can be placed during pregnancy or as an interval procedure. Success rates for laparoscopic cerclage were reported in the range of 76% to 100%), which is comparable with fetal survival rates following transabdominal cerclage. Complications of laparoscopic cerclage are similar to those associated with transabdominal cerclage and include uterine vessel bleeding, impaired surgical visibility due to morbid obesity, perioperative pregnancy loss, infection, and thromboembolism.
 
A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth. Laparoscopic or da Vinci robotic approaches yield similar obstetric outcomes, and laparoscopic cerclage may be a superior method in terms of surgical outcomes, as suggested by several studies. A prospective, randomized trial is needed in order to clearly establish the specific benefits to both surgical and obstetrical outcomes.
 
6 COMMENTS
Dr. Suman Singh
#1
Apr 27th, 2020 5:15 am
Teaching skill is very easy to understand. Thanks for uploading of Laparoscopic Cervical Cerclage Surgery. Thanks.
Dr. Appolina Tooppo
#2
May 18th, 2020 1:18 pm
Awesome... I just had an "ah ha" moment with this video!!! Thank you this is very helpful now have i a better understanding than before. Doctor Mishra you are a great teacher. Hats off sir your surgical skill.
Dr. Resa mihira
#3
May 23rd, 2020 6:39 am
Thanks for posting a video of laparoscopic Cervical Cerclage Surgery Absolutely amazing!!. Thank you so much for this inspirational video.
Dr. Ajit Patil
#4
Jun 16th, 2020 5:42 am
Thanks Dr. Mishra for sharing this educative and impressive video of Laparoscopic Cervical Cerclage Surgery.you are great surgeon in this world.
Dr Nitish Kumar Yadav
#5
Jun 22nd, 2020 11:04 am
Thank you for giving much needed information on this video of Laparoscopic Cervical Cerclage Surgery, This was wonderful! very informative so easy to understand. you were very helpful, God Bless...
Dr. Gilbart Mic
#6
Jun 22nd, 2020 11:17 am
Getting ready to start my laparoscopy surgery practice, It is very interesting to learn useful technique in laparoscopy surgery. Really it's very helpful! Thank you! I just found my mentor Laparoscopic surgeon, great teacher Prof Dr. R. K. Mishra. Much appreciation DOC!
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