Laparoscopic transabdominal cervical cerclage: Case report of a woman without exocervix at 11 weeks gestation.
10.5468/ogs.2014.57.3.232
- Author:
Jae Eun SHIN
1
;
Min Jeong KIM
;
Guk Won KIM
;
Dae Woo LEE
;
Min Kyung LEE
;
Sa Jin KIM
Author Information
1. Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea. ksajin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Cervical cerclage;
Laparoscopy;
Pregnancy
- MeSH:
Abortion, Spontaneous;
Adult;
Cerclage, Cervical*;
Cesarean Section;
Diagnosis;
Dilatation;
Female;
Humans;
Infant;
Laparoscopy;
Laparotomy;
Postoperative Complications;
Pregnancy Trimester, Second;
Pregnancy*;
Uterine Cervical Incompetence
- From:Obstetrics & Gynecology Science
2014;57(3):232-235
- CountryRepublic of Korea
- Language:English
-
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.