Operative control via a thoracic approach of chylothorax can be difficult to achieve, particularly if the chyle leak is secondary to previous thoracic surgery. This report describes the ligation of the thoracic duct at the level of the diaphragmatic hiatus, via an abdominal approach. This technique was the definitive management in four of the last 5 patients presenting with chylothorax in our unit. Typically the leak ceased within 24 h with early discharge of the patient from hospital.

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Objective To describe a case of endoscopic transabdominal cervical cerclage. Setting St Mary’s Hospital, Paddington, London, UK. Subject A 33‐year‐old lady with clinical cervical incompetence. Intervention Cervical cerclage was performed with zero gauge coated polyester at the level of the internal os. Results The duration of the operation was 50 min and was performed uneventfully. Prior to surgery the cervix admitted the largest dilator available (14 mm) without resistance. After the operation, the internal os did not admit a dilator of 9.5‐mm diameter. The patient was discharged 18 hours after completion of the procedure. Conclusion In this instance, laparoscopic cervical cerclage proved technically easy for a surgeon trained in laparoscopic suturing methods and resulted in discharge from hospital in the morning following an afternoon procedure.