Laparoscopic cervico-isthmic cerclage: surgical technique and obstetric outcomes.

Full Abstract

OBJECTIVE: The purpose of the study is to review the surgical technique, complication rate and obstetric outcome associated with the laparoscopic approach to the placement of the cervico-isthmic cerclage. STUDY DESIGN: A prospective cohort study was conducted from 2003-2008 and compared with previously reported cases of cervico-isthmic cerclage by laparotomy and laparoscopy. RESULTS: Thirty-one patients underwent cerclage placement during pregnancy and 34 patients were not pregnant at the time of the surgery. Seven cases were converted to laparotomy due to complications arising from uterine vessel bleeding or impaired surgical visibility; 2 pregnancies were lost perioperatively. No other complications occurred. The fetal salvage rate (n = 67 pregnancies) was 89% with a mean gestational age of 35.8 +/- 2.9 weeks. Six pregnancies were lost in the second trimester due to the consequences of acute or subacute chorioamnionitis. CONCLUSION: Our findings suggest that the cervico-isthmic cerclage placed laparoscopically compares favorably with the traditional laparotomy approach.

Author information

Author/s: Whittle, Wendy L (WL); Singh, Sukhbir S (SS); Allen, Lisa (L); Glaude, Louise (L); Thomas, Jacqueline (J); Windrim, Rory (R); Leyland, Nicholas (N);

Affiliation: Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Journal and publication information

Publication Type: Journal Article

Journal: American journal of obstetrics and gynecology (Am J Obstet Gynecol), published in United States. (Language: eng)

Reference: 2009-Oct; vol 201 (issue 4) : pp 364.e1-7

Dates: Created 2009/09/30; Completed 2009/10/22;

PMID: 19788969, status: MEDLINE (last retrieval date: 10/22/2009, IMS Date: )

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