Report of 6 Cases of Simplified Laparoscopic Cervical Cerclage During Pregnancy and Successful Delivery
10.3969/j.issn.1009-6604.2025.07.009
- VernacularTitle:孕期"极简式"腹腔镜宫颈环扎术6例并成功分娩
- Author:
Yiqi GUAN
1
;
Kun ZHANG
1
;
Yiting WANG
1
Author Information
1. 北京大学第三医院妇产科,北京 100191
- Publication Type:Journal Article
- Keywords:
Cervical incompetence;
Surgery during early pregnancy period;
Laparoscopic cervical cerclage
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(7):435-437
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and analyze the pregnancy outcomes of simplified laparoscopic cervical cerclage(SLCC)during pregnancy.Methods Between May 2020 and February 2024,a total of 6 pregnant patients with cervical incompetence(CIC)unsuitable for transvaginal cervical cerclage(TVC)underwent prophylactic SLCC.Among the 6 patients,the average number of spontaneous abortions during mid-pregnancy period was 1.3(range,1-2),and 3 had a history of failed TVC.The average gestational week at the time of surgery was10.3 weeks(range,7-13 weeks).The surgery used a modified simple suture technique,entering from the back to the front at the isthmic level,inside the uterine artery,without opening the broad ligament,with the knot located in front of the cervix.Results All the patients underwent the surgery smoothly,with an average operation time of 27.7 min(range,23-33 min)and a blood loss of 1-10 ml during the surgery.No serious complications occurred.All the patients underwent cesarean section to terminate pregnancy,with an average gestational week of 37.2 weeks(range,36+3-38 weeks),all resulting in live births.The average birth weight of the newborns was 2951.7 g(range,2540-3320 g).The cerclage was removed during the surgery in 2 cases.Conclusion SLCC can be used in the early to mid-pregnancy period to treat CIC,achieving good pregnancy outcomes.
