Experience with three cases of laparoscopic transabdominal cervico-isthmic cerclage and two subsequent pregnancies.
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.
Gallot
Denis
D
Maternal Fetal Medicine Unit, Maternité de l'Hôtel-Dieu, Clermont-Ferrand, France.
Savary
Denis
D
Laurichesse
Hélène
H
Bournazeau
Jean Alain
JA
Amblard
Joël
J
Lémery
Didier
D
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*