Abstract
The most commonly used prophylactic treatment of cervical insufficiency is cerclage but it carries significant morbidity either through vaginal or abdominal approach. A robotic-assisted transabdominal cerclage (RoboTAC) placement as an interval procedure could offer advantages over the conventional laparoscopic approach especially in morbidly obese patients. We report the use of interval RoboTAC procedure in a morbidly obese patient and ultimately she delivered a healthy infant at 38 weeks 2 days nonetheless removal of the cerclage.
References
American College of Obstetricians and Gynecologists (2014) ACOG Practice Bulletin No. 142: Cerclage for the management of cervical insufficiency. Obstet Gynecol 123(2 Pt 1):372
Al-Fadhli R, Tulandi T (2004) Laparoscopic abdominal cerclage. Obstet Gynecol Clin North Am 31:497–504
Burger NB, Brölmann HAM, Einarsson JI, Langebrekke A, Huirne JAF (2011) Effectiveness of abdominal cerclage placed via laparotomy or laparoscopy: systematic review. J Minim Invasive Gynecol 18(6):696–704
Barmat L, Glaser G, Davis G, Craparo F (2007) Da Vinci-assisted abdominal cerclage. Fertil Steril 88(5):1437-e1
Iams JD (2009) Cervical insufficiency. Creasy and Resnik maternal-fetal medicine, 6th edn. Saunders and Elsevier, Philadelphia, pp 583–595
Alfirevic Z, Stampalija T, Roberts D, Jorgensen AL (2012) Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy. Cochrane Database Syst Rev 4:CD008991
Witt MU, Joy SD, Clark J, Herring A, Bowes WA, Thorp JM (2009) Cervicoisthmic cerclage: transabdominal vs transvaginal approach. Am J Obstet Gynecol 201:105.e1–105.e4
Tulandi T, Alghanaim N, Hakeem G, Tan X (2014) Pre and post-conceptional abdominal cerclage by laparoscopy or laparotomy. J Minim Invasive Gynecol 21(6):987–993
Fechner AJ, Alvarez M, Smith DH, Al-Khan A (2008) Robotic-assisted laparoscopic cerclage in a pregnant patient. Am J Obstet Gynecol 200(2):e10–e11
Moore ES, Foster TL, McHugh K, Addleman RN, Sumner JE (2012) Robotic-assisted transabdominal cerclage (RoboTAC) in the non-pregnant patient. J Obstet Gynaecol 32(7):643–647
El-Nashar SA, Paraiso MF, Rodewald K, Muir T, Abdelhafez F, Lazebnik N, Bedaiwy MA (2013) Laparoscopic cervicoisthmic cerclage: technique and systematic review of the literature. Gynecol Obstet Invest 75(1):1–8
Berghella V, Szychowski JM, Owen J, Hankins G, Iams JD, Sheffield JS et al (2012) Suture type and ultrasound-indicated cerclage efficacy. Vaginal Ultrasound Trial Consortium. J Matern Fetal Neonatal Med 25:2287–2290
Berghella V, Rafael TJ, Szychowski JM et al (2011) Cerclage for short cervix on ultrasonography in women with singleton gestations and previous preterm birth: a meta-analysis. Obstet Gynecol 117:663
Wolfe L, DePasquale S, Adair CD, Torres C, Stallings S, Briery C et al (2008) Robotic-assisted laparoscopic placement of transabdominal cerclage during pregnancy. Am J Perinatol 25:653–655
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The Institutional Review Board of Acıbadem University does not require approval for this case report because it describes a standard surgical procedure.
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Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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The authors declared that this study received no financial support.
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Güngör, M., Afşar, S., Özbaşlı, E. et al. The interval robotic transabdominal cerclage in a morbidly obese patient. J Robotic Surg 10, 69–72 (2016). https://doi.org/10.1007/s11701-015-0543-y
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DOI: https://doi.org/10.1007/s11701-015-0543-y