Robotic-assisted laparoscopic cerclage in a pregnant patient

Fechner, Adam J.; Alvarez, Manuel; Smith, Daniel H.; Al-Khan, Abdulla

doi:10.1016/j.ajog.2008.10.029

Cited by 28 publications

(22 citation statements)

References 2 publications

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“…Bleeding and trauma were reportedly minimised to the gravid uterus by using the suction irrigator to hydro dissect the plane between the bladder and cervicouterine junction. Successful pregnancy and delivery of a healthy infant was reported in this case [1].…”

Section: Discussionmentioning

confidence: 81%

“…RA-AC has also been performed successfully during pregnancy [1,23] at 12 weeks gestation again using a Mersilene tape. Bleeding and trauma were reportedly minimised to the gravid uterus by using the suction irrigator to hydro dissect the plane between the bladder and cervicouterine junction.…”

Section: Discussionmentioning

confidence: 97%

“…The robot-assisted approach overcomes many problems associated with laparoscopy and has several advantages. Compared with laparoscopy, it allows easier broad ligament dissection, visualisation of the vasculature and knot tying [1].…”

Section: Discussionmentioning

confidence: 99%

“…The procedure was performed as previously described [1,2] using steep Trendelenburg position, uterine manipulation with a size 10 Hagar dilator in order to prevent over-tightening of the cervix, bladder reflection ( Fig. 2) and broad ligament fenestration bilaterally (Fig.…”

Section: Casementioning

confidence: 99%

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Robot-assisted laparoscopic cervical cerclage as an interval procedure

et al. 2012

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Casementioning

confidence: 99%

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Robot-assisted laparoscopic cervical cerclage as an interval procedure

et al. 2012

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“…The results are shown in Table 1. [15][16][17][18][19][20][21][22][23][24][25] The number of patients that were treated each year ranges from 1 to 101, with majority of the cases done before pregnancy, and, in all, reveals very minimal intraoperative complications which were seen in only three cases -2009, 2013, and 2014, with intraoperative complications of 10.7, 4.5, and 1.6% respectively; others did not record any form of complications. There were no severe complications like infection, severe hemorrhage, and injury of peripheral organs.…”

Section: Resultsmentioning

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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Robotic assisted laparoscopic cerclage: A systematic review

Iavazzo

Minis

Gkegkes

2018

Robotics Computer Surgery

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Introduction The gold standard in the management of cervical incompetence is cerclage via vaginal approach. Minimally invasive techniques, such as robotic, have been also described. Materials and Methods A systematic search was performed in PubMed and Scopus, searching evidence on robotic assisted laparoscopic cerclage in both pregnant and non pregnant women. Results Sixty‐four patients were included in this study. Cervical insufficiency, failure of transvaginal cerclage, and short cervix were the most frequent indications for robotic assisted cerclage. Mean operative time was 107.3 minutes. Mean estimated blood loss was 62.8 mL. Four patients converted to laparotomy. No postoperative complications were reported. Pregnancy after robotic cerclage was reported in 59 patients with mean gestational age at delivery of 36.4 weeks. The majority of pregnant women who underwent robotic assisted cerclage gave birth to live neonates. Conclusion Till now, evidence does not show a clear advantage of robotic over laparoscopic approach, under the evaluation of the current literature. However, further comparative studies might be essential to clarify the possible role of da Vinci robot in this field; this might be quite difficult even in the near future based on the fact that only five cases per year are described in the current literature.

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Robotic-assisted laparoscopic cerclage in a pregnant patient

Cited by 28 publications

References 2 publications

Robot-assisted laparoscopic cervical cerclage as an interval procedure

Robot-assisted laparoscopic cervical cerclage as an interval procedure

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

Robotic assisted laparoscopic cerclage: A systematic review

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