Laparoscopic transabdominal cervicoisthmic cerclage

Scibetta, Joseph J.; Sanko, Stephan R.; Phipps, William R.

doi:10.1016/s0015-0282(97)00444-5

Cited by 80 publications

(71 citation statements)

References 3 publications

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“…Blood loss was approximately the same in both cases. This clearly alleviates concerns raised by earlier reports that the laparoscopic approach during pregnancy might be associated with a higher risk of bleeding because of a diminished ability to distinguish between the isthmus and adjacent vessels by tactile feedback [19]. …”

Section: Discussionmentioning

confidence: 66%

“…Since 1965, several modifications of the procedure have been proposed to limit morbidity and to improve obstetric outcomes. To date, three other approaches besides the original laparotomy route have been utilized: via laparoscopy, via robotic-assisted laparoscopy and through the vagina [17,18,19]. In the present study, laparoscopic cervicoisthmic cerclage (LCC) was found to be feasible in women with extremely short or deformed cervix unsuitable for transvaginal cerclage placement and was associated with favorable obstetric outcomes.…”

Section: Introductionmentioning

confidence: 81%

“…Of those 162 procedures, 102 were interval procedures and 60 were prophylactic procedures [17,19]. All of them were performed on an anatomically normal uterus The present study included the first report on laparoscopic abdominal cerclage on an uterus didelphys with an uneventful pregnancy that ended successfully with a healthy infant.…”

Section: Discussionmentioning

confidence: 99%

“…An interval laparoscopic approach was performed as described by Scibetta et al [19] with modifications. The laparoscope was introduced through a 5-mm infraumbilical port and pneumoperitoneum obtained.…”

Section: Methodsmentioning

confidence: 99%

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Laparoscopic Cervicoisthmic Cerclage: Technique and Systematic Review of the Literature

El-Nashar

Paraiso

Rodewald

et al. 2012

Gynecol Obstet Invest

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Background and Aims: To report on and review the outcome after laparoscopic cervicoisthmic cerclage (LCC) and robotic-assisted laparoscopic cervicoisthmic cerclage. Methods: We reported on 4 cases of LCC and conducted a systematic review of the literature up to May 2012 to identify obstetric outcomes after LCC and robotic-assisted LCC. Results: The median age of our series was 35 years (range: 31–41) with median previous pregnancies 3.5 (2–5). All 4 women had successful obstetric outcomes with a median gestational age at delivery of 37 weeks (range: 36–38). The systematic review identified 25 studies (162 women underwent LCC and 3 had robotic-assisted LCC). In the interval LLC studies, the median age was 33 years (range: 22–42); with a median gestational age at delivery of 37 weeks (range: 34–38). For prophylactic LCC, the median age was 31 years (range: 27–41); with a gestational age at delivery of 37 weeks (range: 19–39). Two of the three robotic-assisted LCC procedures were done prophylactically. The median age was 27 years (range: 23–37) with a median gestational age at delivery of 37 weeks (range: 35–38). Conclusion: LCC is feasible during and in between pregnancies as well as in congenitally malformed uteri. Current evidence suggests that LCC might be of benefit in selected cases of cervical insufficiency with short cervices.

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Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Cervicoisthmic Cerclage: Technique and Systematic Review of the Literature

El-Nashar

Paraiso

Rodewald

et al. 2012

Gynecol Obstet Invest

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“…It was these realities and others that led to the first successful cases of laparoscopic transabdominal cerclage, which were published in 1998. 9,10 Evidence now abounds in recent years with successful reports about treating cervical insufficiency with cerclage placed via laparoscopy both in pregnant and nonpregnant phases. 5,[11][12][13] The objectives of this review are to: • Ascertain the advantages of laparoscopic cerclage over conventional laparotomy cerclage; • Review the safety of laparoscopic cerclage over conventional laparotomy cerclage; • Briefly describe the procedure of laparoscopic transabdominal cerclage.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cerclage in Pregnant and Nonpregnant Uterus: Emerging Need to change Conventional Management Approach

Ayegbusi¹

2017

WJOLS

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Cervical incompetence/insufficiency occurs in 0.1 to 1% of all pregnancies, and, traditionally, management involves transvaginal cervical cerclage. In some situations, however, such as in extremely short cervix following cone biopsy, congenital absent cervix, and in cases where transvaginal cerclage fails or is technically impossible, transabdominal approach via laparotomy is usually done. Recent data suggest that these methods should be reviewed in light of the advantages seen in the developments of minimal access surgical techniques.This article, therefore, compares both approaches (conventional and laparoscopy) and, in particular, discusses the use of laparoscopy in the management of cervical incompetence/ insufficiency both in pregnant and nonpregnant uterus.

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The ‘virtual’ cervical internal os: diagnosis during the first trimester of pregnancy

Shalev

Mashiach

Bar-Chava

et al. 2003

Ultrasound in Obstet & Gyne

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Laparoscopic transabdominal cervicoisthmic cerclage

Cited by 80 publications

References 3 publications

Laparoscopic Cervicoisthmic Cerclage: Technique and Systematic Review of the Literature

Laparoscopic Cervicoisthmic Cerclage: Technique and Systematic Review of the Literature

Laparoscopic Cerclage in Pregnant and Nonpregnant Uterus: Emerging Need to change Conventional Management Approach

The ‘virtual’ cervical internal os: diagnosis during the first trimester of pregnancy

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