It was reported via journal article: title: "laparoscopic cervical cerclage in patient with recurrent pregnancy loss (clinical case)," authors: veresnyuk nataliya, pyrohova vira, vernikovskyy igor, malaschynska mariya.Citation: gynecol surg.2013; 10 (1): s1¿s151.Cervical incompetence is the cause of 18 to 37% of the second trimester pregnancy losses.Abdominal cervical cerclage is quite appropriate procedure for women who have the history of previous failure of vaginal cerclage.The authors described a case of the laparoscopic cervical cerclage in a (b)(6) woman with recurrent miscarriage and cervical incompetence.The authors performed a laparoscopic abdominal cervical cerclage using mersilene tape suture (ethicon) before the patient¿s pregnancy to treat cervical incompetence.Reported complications included premature rupture of membranes, insignificant vaginal bleeding, and partial slipping of tissues of uterine isthmus past the tape which required removal of the tape.The abdominal procedure in contrast to vaginal cerclage is more difficult to perform and is more dangerous due to its potential complications.The patients who have undergone laparoscopic cervical cerclage require a careful supervision and need to be delivered by caesarean section.
|