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Laparoscopic transabdominal cerclage in pregnancy: A single centre experience
Author(s) -
Ades Alex,
ArefAdib Mehrnoosh,
Parghi Sneha,
Hong Phoebe
Publication year - 2019
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12848
Subject(s) - medicine , cervical insufficiency , cervical cerclage , gestation , pregnancy , obstetrics , gestational age , retrospective cohort study , observational study , surgery , genetics , pathology , biology
Background Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency. Aims This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women. Materials and methods A retrospective observational study. Patients: pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage. Intervention: the insertion of a laparoscopic transabdominal cerclage in the pregnancy. Measurements: neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated. Results Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6–11 weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1 weeks. Sixteen women delivered after 34 weeks. Conclusions Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.