Transabdominal Cerclage: A Laparoscopic Approach

Background: The placement of a transabdominal cervical cerclage has been regarded as considerably more morbid than a transvaginal cerclage, in part due to the need for two laparotomies. We describe a technique for the laparoscopic placement and removal of a transabdominal cerclage. Cases: Two cases...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1998-05, Vol.91 (5), p.855-856
Hauptverfasser: Lesser, Karen B, Childers, Joel M, Surwit, Earl A
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container_issue 5
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container_title Obstetrics and gynecology (New York. 1953)
container_volume 91
creator Lesser, Karen B
Childers, Joel M
Surwit, Earl A
description Background: The placement of a transabdominal cervical cerclage has been regarded as considerably more morbid than a transvaginal cerclage, in part due to the need for two laparotomies. We describe a technique for the laparoscopic placement and removal of a transabdominal cerclage. Cases: Two cases of women with insufficient cervical tissue to place a transvaginal cerclage were managed with a transabdominal cerclage. In one case, the cerclage was placed laparoscopically; in the other, the band was removed, facilitating uterine evacuation following the diagnosis of a missed abortion. In both cases a laparotomy was avoided. Conclusion: Laparoscopic placement and removal of a transabdominal cerclage are promising options in the treatment of an incompetent cervix.
doi_str_mv 10.1016/S0029-7844(97)00655-8
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subjects Adult
Biological and medical sciences
Cervix Uteri - surgery
Female
Humans
Laparoscopy
Medical sciences
Obstetric Surgical Procedures
Pregnancy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Uterine Cervical Incompetence - surgery
title Transabdominal Cerclage: A Laparoscopic Approach
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