title: Laparoscopic removal of abdominal cerclage at 19 weeks' gestation.
abstract: We discuss laparoscopic removal of an abdominal cerclage in a 39-year-old woman, gravida 4, para 0, abortus 3, who presented at 19 weeks' gestation with ruptured membranes. This patient had a failed previous vaginal cerclage. An abdominal cerclage was performed at the time of abdominal myomectomy. A subsequent pregnancy was diagnosed, with ruptured membranes at 19 weeks' gestation, and the patient opted for pregnancy termination. After laparoscopic removal of the cerclage, cervical laminaria were placed, and the patient underwent an uncomplicated dilation and curettage procedure the following day.
authors.affiliation: Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC 29425, USA. carterja@musc.edu
authors.forename: James F
authors.initials: JF
authors.lastname: Carter
authors.forename: Ashlyn
authors.initials: A
authors.lastname: Savage
authors.forename: David E
authors.initials: DE
authors.lastname: Soper
mesh_terms: D000005:Abdomen; D000328:Adult; D023802:Cerclage, Cervical; D020878:Device Removal / Q000379:methods*; D004107:Dilatation and Curettage; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D007795:Laminaria; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D013537:Sutures