Laparoscopic transabdominal cervicoisthmic cerclage

Joseph J. Scibetta, Stephan R. Sanko, Bill Phipps

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Objective: To report a laparoscopic technique for placement of a transabdominal cervicoisthmic cerclage. Design: Detailed case report of one of three patients undergoing described procedure. Setting: University hospital. Patient: A 39-year-old infertile patient with a history of cervical adenocarcinoma in situ and two cone biopsies, resulting in an essentially absent exocervix. Intervention(s): Laparoscopic transabdominal cervicoisthmic cerclage placement, as an interval procedure, followed by ET of cryopreserved donor oocyte-derived embryos. Main Outcome Measure(s): Clinical outcome. Result(s): Establishment of a pregnancy delivered at 38 1/4 weeks of gestation by elective cesarean section. Conclusion(s): Patients believed to require a transabdominal cerclage may undergo a laparoscopic interval procedure, obviating the need for a laparotomy before or during pregnancy.

Original languageEnglish (US)
Pages (from-to)161-163
Number of pages3
JournalFertility and Sterility
Volume69
Issue number1
DOIs
StatePublished - Jan 1 1998

Keywords

  • Cerclage
  • Cervical incompetence
  • Operative laparoscopy

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