Da Vinci-assisted abdominal cerclage.

OBJECTIVE

To report the first placement of an abdominal cervicoisthmic cerclage using the da Vinci robot.

DESIGN

Case report.

SETTING

Tertiary-care hospital.

PATIENT(S): A 39-year-old female with a history of cervical insufficiency who required a cerclage and was not a candidate for transvaginal cerclage placement.

INTERVENTION(S): Abdominal cervicoisthmic cerclage placement using the da Vinci robot.

MAIN OUTCOME MEASURE(S): Ability to safely and successfully place an abdominal cerclage using the da Vinci robot.

RESULT(S): Abdominal cerclage was successfully placed using the da Vinci robot. The patient had minimal blood loss and was discharged to home on the same day as surgery.

CONCLUSION(S): Da Vinci robot-assisted abdominal cerclage placement is an innovative application of robotic surgery and may alter the standard of care for women who require this surgery.