Rochin BA, Raña PEF, Arellano BA

Language: Spanish
References: 20
Page: 243-251
PDF size: 284.30 Kb.

ABSTRACT

Objective: To describe five cases of laparoscopic abdominal cerclage, to detail the technique, perinatal outcomes and complications after insertion of laparoscopic transabdominal cerclage in patients with criteria for its application during pregnancy or in the interval between pregnancies.
Materials and Methods: Retrospective study of a series of five cases performed in a private hospital in Hermosillo, Sonora, in which cerclage was applied laparoscopically. All patients had an indication for abdominal cerclage.
Results: Neonatal survival after the procedure was 4 out of 5 cases. The median gestational age at birth was 37.2 weeks. One early pregnancy loss (anembryonic abortion) was recorded. Of the remaining four patients, one had a complication of premature rupture of membranes, which did not affect neonatal survival. In all cases the cervical cerclage was left in situ.
Conclusion: Laparoscopic abdominal cerclage is a minimally invasive procedure that is very effective in patients who are unsuitable for vaginal management or who have failed vaginal cerclage. Compared to laparotomy, historically the original procedure, it is not associated with increased morbidity. On the other hand, it offers the advantages of minimally invasive surgery: early ambulation, reduced risk of infection, bleeding, hospital stay, pain, analgesic requirements, and time to return to daily activities.

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