title: Laparoscopic cervicoisthmic cerclage for the treatment of cervical incompetence: case reports.
abstract: Cervical insufficiency/incompetence occurs in 0.5-1% of all pregnancies, often resulting in significant pregnancy lost. Three women with a history of second trimester miscarriages after failed transvaginal cervical cerclages were reviewed. A laparoscopic cervicoisthmic cerclage (LCC) was placed before pregnancy without any intra-operative or postoperative complications. Two patients have since delivered live babies at term by Caesarean section. This small case series supports the conclusion that LCC is a safe and cost-effective procedure in properly selected patients. Laparoscopic cervicoisthmic cerclage costs less, is less invasive, has fewer complications and should replace the traditional laparotomy technique.
authors.affiliation: Hugh Wynter Fertility Management Unit, The University of the West Indies, Kingston 7, Jamaica. ved111@hotmail.com
authors.forename: V
authors.initials: V
authors.lastname: DaCosta
authors.forename: S
authors.initials: S
authors.lastname: Wynter
authors.forename: J
authors.initials: J
authors.lastname: Harriott
authors.forename: L
authors.initials: L
authors.lastname: Christie
authors.forename: J
authors.initials: J
authors.lastname: Frederick
authors.forename: S
authors.initials: S
authors.lastname: Frederick-Johnston
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D002581:Uterine Cervical Incompetence / Q000601:surgery*