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 |
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container_title | Obstetrics and gynecology (New York. 1953) |
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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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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.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1016/S0029-7844(97)00655-8</identifier><identifier>PMID: 9572190</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1998-05, Vol.91 (5), p.855-856</ispartof><rights>1998 The American College of Obstetricians and Gynecologists</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4348-57ac3db039de8fb1264f16a6ae823b50fe846b5017a2ad4ea88de3cd6ebd790f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2229690$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9572190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lesser, Karen B</creatorcontrib><creatorcontrib>Childers, Joel M</creatorcontrib><creatorcontrib>Surwit, Earl A</creatorcontrib><title>Transabdominal Cerclage: A Laparoscopic Approach</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><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.
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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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9572190</pmid><doi>10.1016/S0029-7844(97)00655-8</doi><tpages>2</tpages></addata></record> |
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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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