We report here the first case of placement of a repeat laparoscopic abdominal cervicoisthmic cerclage by using a suture passer. The report is on a 34-year-old G5P1L1A3 with a history of repeated second trimester pregnancy loss with one successful laparoscopic cerclage term LSCS delivery, again underwent repeat laparoscopic abdominal encerclage in present pregnancy at 12 weeks using suture passer suprapubically. Patient underwent procedure safely with blood loss less than 40 ml and discharged after 24 hours of observation without any postoperative complication. Repeat laparoscopic abdominal encerclage can be done safely in previous LSCS patient who had term pregnancy following laparoscopic abdominal cerclage using a simple instrument suture passer without any postoperative complication or discomfort to the patient.

ABSTRACT:One of the post operative complications of abdominal surgeries that lead to very high morbidity and significant mortality is the enterocutaneous fistula. Incorrect judgement by the surgeon for surgery and inadequate preoperative assessments often lead to this complication. Tuberculosis is one of the rare associating causes of it. Our case report is about a 22 year old female, who was operated by a gynaecologist without prior preoperative assessment and laded in post operative enterocutaneous fistula. After thorough investigations it was diagnosed as a case of tuberculosis. The diagnosis was made by bacteriological and histopathological examination of the faecal matter and the local tissues respectively.