title: Experience with three cases of laparoscopic transabdominal cervico-isthmic cerclage and two subsequent pregnancies.
abstract: Three women with a history of recurrent miscarriages and failed vaginal cerclage had laparoscopic transabdominal cerclage. A 5 mm non-absorbable polyether suture was placed laparoscopically at the level of the internal os as an interval procedure. All procedures were successful. All women were discharged on day 2 and none required transfusion. Two of them were pregnant within four months and were delivered by caesarean section at 38 weeks of gestation. The main interest of this technique is to avoid a laparotomy; thus, reducing the abdominal wall aggression and the recovery time.
authors.affiliation: Maternal Fetal Medicine Unit, Maternité de l'Hôtel-Dieu, Clermont-Ferrand, France.
authors.forename: Denis
authors.initials: D
authors.lastname: Gallot
authors.forename: Denis
authors.initials: D
authors.lastname: Savary
authors.forename: Hélène
authors.initials: H
authors.lastname: Laurichesse
authors.forename: Jean Alain
authors.initials: JA
authors.lastname: Bournazeau
authors.forename: Joël
authors.initials: J
authors.lastname: Amblard
authors.forename: Didier
authors.initials: D
authors.lastname: Lémery
mesh_terms: D000026:Abortion, Habitual / Q000517:prevention & control*; D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000601:surgery*