title: Successful Pregnancy Outcome after Laparoscopic Cerclage in a Patient with Cervicovaginal Fistula.
abstract: Obstetric fistula usually originates from obstructed labor or, less often, from invasive maneuvers on the genital tract or the pregnant uterus. Overall, it is a rare finding in the obstetric practice of high income countries. In this report we describe the case of a successful term pregnancy in a patient with a history of recurrent late miscarriage due to a large cervical fistula of traumatic origin, connecting the uterine cavity and the posterior vaginal fornix. A combined approach of laparoscopic cerclage and transvaginal fistula repair effectively restored cervical competence and created the conditions for a viable birth in a subsequent pregnancy. This unusual cause of cervical incompetence may be included in the indications which benefit from an abdominal cerclage carried out as a minimally invasive procedure in the nonpregnant state.
authors.affiliation: Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Zanconato
authors.affiliation: Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
authors.forename: Valentino
authors.initials: V
authors.lastname: Bergamini
authors.affiliation: Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Baggio
authors.affiliation: Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Cavaliere
authors.affiliation: Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, 37134 Verona, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Franchi