Laparoscopic Abdominal Cerclage
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Purpose of Review
This article reviews the current state of the literature as regards to the indications, outcomes, and techniques of laparoscopic abdominal cerclage.
Laparoscopic abdominal cerclage is a safe and effective method for the treatment of refractory cervical insufficiency or anatomic restriction to transvaginal cerclage placement. Laparoscopic cerclage has similar success rates to open abdominal cerclage and is the preferred approach given reduced blood loss, postoperative pain, length of stay, and cost. Laparoscopic placement prior to conception may improve feasibility of the procedure and decrease complications. Various surgical techniques to aid in suture placement have been described.
Laparoscopic cerclage is a highly successful intervention for the treatment of cervical insufficiency. Continued research is needed to further define the surgical and obstetric benefits of this method.
KeywordsLaparoscopic cerclage Abdominal cerclage Surgical technique Cervical insufficiency
Compliance with Ethical Standards
Conflict of Interest
Nisse V. Clark and Jon I. Einarsson declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).
Papers of particular interest, published recently, have been highlighted as: • Of importance
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