Laparoscopic cervico-isthmic cerclage: surgical technique and obstetric outcomes.
OBJECTIVE
The purpose of the study is to review the surgical technique, complication rate and obstetric outcome associated with the laparoscopic approach to the placement of the cervico-isthmic cerclage.


METHODS
A prospective cohort study was conducted from 2003-2008 and compared with previously reported cases of cervico-isthmic cerclage by laparotomy and laparoscopy.


RESULTS
Thirty-one patients underwent cerclage placement during pregnancy and 34 patients were not pregnant at the time of the surgery. Seven cases were converted to laparotomy due to complications arising from uterine vessel bleeding or impaired surgical visibility; 2 pregnancies were lost perioperatively. No other complications occurred. The fetal salvage rate (n = 67 pregnancies) was 89% with a mean gestational age of 35.8 +/- 2.9 weeks. Six pregnancies were lost in the second trimester due to the consequences of acute or subacute chorioamnionitis.


CONCLUSIONS
Our findings suggest that the cervico-isthmic cerclage placed laparoscopically compares favorably with the traditional laparotomy approach.
Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
Wendy L
WL
Whittle
Sukhbir S
SS
Singh
Lisa
L
Allen
Louise
L
Glaude
Jacqueline
J
Thomas
Rory
R
Windrim
Nicholas
N
Leyland
D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D002821:Chorioamnionitis / Q000453:epidemiology; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D013536:Suture Techniques; D055815:Young Adult