Obstet Gynecol Sci.  2014 May;57(3):232-235. 10.5468/ogs.2014.57.3.232.

Laparoscopic transabdominal cervical cerclage: Case report of a woman without exocervix at 11 weeks gestation

• Shin JE
• Kim MJ
• Kim GW
• Lee DW
• Lee MK
• Kim SJ

• KMID: 1704431
• DOI: http://doi.org/10.5468/ogs.2014.57.3.232

Abstract

Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester. We report a 25-year-old patient, gravid 2, para 1, at 11 weeks' gestation with the diagnosis of cervical incompetence, in whom transvaginal cerclage was not technically possible and laparoscopic cervical cerclage was performed successfully. There were no operative or immediate postoperative complications. A healthy infant was delivered at 35 weeks by cesarean section. Laparoscopic cervical cerclage during pregnancy can be safe and effective treatment for well-selected patients with cervical incompetence and eliminates the need for open laparotomy.

Keyword

Cervical cerclage; Laparoscopy; Pregnancy

MeSH Terms

Abortion, Spontaneous
Adult
Cerclage, Cervical*
Cesarean Section
Diagnosis
Dilatation
Female
Humans
Infant
Laparoscopy
Laparotomy
Postoperative Complications
Pregnancy Trimester, Second
Pregnancy*
Uterine Cervical Incompetence

Figure

• 

  Fig. 1 The 5-mm mersilene tape that was tied anteriorly with an intracorporeal surgeon's knot.

• 

  Fig. 2 Postoperative ultrasound images of the cervix. (A) The cervix with mersilene tape (arrow). (B) 3D image of Mersine tape in the cervix.

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