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Войти в исследования The Australian & New Zealand journal of obstetrics & gynaecology · 2008
Laparoscopic transabdominal cervico-isthmic cerclage: a minimally invasive approach.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Reid Geoffrey D, Wills Hannah J, Shukla Anshumala, Hammill Peter
Аннотация
BACKGROUND: While the traditional approach to management of cervical insufficiency has been the insertion of a transvaginal cerclage during pregnancy, a transabdominal cervico-isthmic suture is indicated in certain patients. This procedure is traditionally performed via laparotomy. Laparoscopic transabdominal cervico-isthmic cerclage (LTCC) placement, however, confers the benefit of the low morbidity associated with laparoscopy.
AIMS: To describe the technique and outcomes of LTCC in three cases.
METHODS: LTCC was performed using Mersilene tape at the level of the internal cervical os in the prepregnancy period in three patients: one with previous cervical amputation and two with previous failed cervical cerclage. Procedures were performed at a tertiary level endoscopic unit, Sydney, Australia.
RESULTS: The laparoscopic approach enabled placement of a suture with no morbidity, and rapid patient recovery in these cases.
CONCLUSIONS: Laparoscopic cervical cerclage proved technically feasible and safe for a surgeon trained in laparoscopic suturing methods.
AIMS: To describe the technique and outcomes of LTCC in three cases.
METHODS: LTCC was performed using Mersilene tape at the level of the internal cervical os in the prepregnancy period in three patients: one with previous cervical amputation and two with previous failed cervical cerclage. Procedures were performed at a tertiary level endoscopic unit, Sydney, Australia.
RESULTS: The laparoscopic approach enabled placement of a suture with no morbidity, and rapid patient recovery in these cases.
CONCLUSIONS: Laparoscopic cervical cerclage proved technically feasible and safe for a surgeon trained in laparoscopic suturing methods.